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Management of low back pain through Ayurvedic Therapy

Vaidya Sruthi Bhat, MPH
Very Poor Poor Fair Good Very Good
New Jersey, United States
 5 years exp 
April 17, 2020
54 YearsFemaleAsian

Medical Condition:

Lower Back Pain

Therapies:

Ayurveda

Type of Outcome:

Very Poor Poor Fair Good Very Good

Medical History:

Client complaints of acute low back pain and radiating pain on the right leg and off over the last year. 

 


History of present illness


 


She states that that from last May, she has pain, which worsens during night time, and she cannot sleep. During that time, she was treated with muscle relaxants and rest. Her symptoms recovered after about a week. More recently, in the last few weeks, she has had a similar episode of discomfort. Pain present in the mid-low back and spreads up into the lower right leg. Recently, the patient was seen by his primary care for this discomfort, about a week ago. The client says that she had a little bit of tingling in her left great toe at that time. She has been using anti-inflammatories, muscle relaxants. She has not done any of the physical therapy at this time.


 


Past History


Non-diabetic patient with no history of any injury. 


 


Family history: 


Not significant 


 


Treatment history: 


The patient has a history of Allopathic medicines but had no relief.


 


Personal History 


G.C – Poor 


Appetite – Decreased 


Diet -Vegetarian 


Urine - Normal frequency and amount 


Bowel – Constipated 


Thirst - Normal 


Sleep - disturbed due to pain


 


 


General Examination 


Pulse Rate- 72/min, 


B.P. - 120/84mmHg 


Pallor- Not Present


Tongue- Coated 


Icterus - Not present 


Lymph nodes - Not enlarged 


Cyanosis - Not present 


Oedema- Not present 


JVP – Not raised 


Height - 5’4” 


Weight – 128 pouds


 


Clinical Finding


SLR test positive on Right leg


30 degree on the right and 45 degrees on left


Case Management:


ASSESSMENT AND PLAN: 


The patient is a 54-year-old female with a history of acute low back pain. After the ayurvedic examination, this client was diagnosed with suffering from Gridhrasi (sciatica), and a composite Ayurvedic treatment was given. Patrapinda Swedana for seven days and Kati Basti for seven days schedule were used as Panchakarma procedure


Step 1- 


Ruksha Pottali Sweda (dry bolus fomentation in katipradesh (low back region) and full body


 


Step 2- 


Further Kati-Basti (a procedure where specified medicated oil is 


retained for a stipulated period in the Kati region) with herbal oil.


 


RESULTS


 


   Walking distance:


  • Before treatment: - Patient had severe pain after walking 100 mts
  • After treatment: - Patient could easily walk without pain about 200 mts


 


  • Sitting on the sofa
  • the treatment patient was not able to sit on the sofa 
  • the treatment the client can easily sit on the sofa


 

Discussion

According to Ayurveda, Gridhrasi is a caused due to imbalance of Vata dosha, which results in intervening with the functional ability of low back & lower limbs. According to Arundutta, in his commentary, it is mentioned that due to Vata dosha in Kandara (tendon) the pain is produced at the time of raising leg straight and it restricts the movement of the thigh

In modern science, there is a condition called sciatica. The sciatica is the distribution of pain along the course of the sciatic nerve or its component nerve roots. Radiating deep-seated cramping pain in buttocks followed with numbness and paresthesia in lower extremities favors the diagnosis. Restricted SLR test consolidates the diagnosis clinically, and imaging techniques can confirm even the illness.

Patra Pinda Sweda (bolus fomentation) is used mainly to provide relief from pain, inflammation, swelling, and stiffness (catch) associated with bone, joint, and or musculoskeletal pains. (8)

 

In Kati Basti (local oil retention ), sukhoshna taila (lukewarm oil) is used over the Kati Pradesh. Sneha (oil) by its Snigdha (smoothness), guru (heaviness) and ushna Guna (hotness) 

counteracts Vata and by using guna prevents Kapha also.(9).

a

Based on this single case study it can be concluded that Panchakarma treatments like Kati Basti and full-body polite massage had been useful in the management of Gridhrasi(sciatica)

Other recommended therapy

Local Churna pinda swedha – 7 sessions 

Ekanaga Pichil (sahacahrdi oil) on the back – 7 sessions 

 

Yoga for back pain 

Dhaurasana ( Bow pose)

Ustraasana (camel pose )

Marjarasana (cat pose)

Mathyasana (Fish pose)

Trikonasana ( Extended triangle pose )

 

Naturopathy Therapy for back pain 

Hip bath 

Spinal spray

Wet pack


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