Author(s): Vd. Pragati A Katariya, Vd. Kanika Aggarwal, Vd. Vinod Barwal and Vd. Sumit Srivastava

Abstract: Sciatica refers to pain that travels along the path of the sciatic nerve. The sciatic nerve travels from the lower back through the hips and buttocks and down each leg. Sciatica most often occurs when a herniated disk or an overgrowth of bone puts pressure on part of the nerve. Herniated disc is common cause of sciatica. In this condition patient experiences maximum pain in unilateral direction, which gets aggravated with prolonged standing or lumbar extension. The distribution of pain in the lower extremities is dependent on site of nerve compression but feels relief while at rest. According to Ayurveda, based on resembling clinical manifestation this condition can be co-related with Gridhrasi. Aim: To understand the efficacy of Ayurveda treatment protocol in the management of Sciatica (Gridhrasi). Materials and Method: A 43 years old female suffering from complaints of Katishoola (lower back pain), radiating to right lower limb, which increased while sitting, over standing, and walking since past 3-4 years on and off, presented in the OPD of SDACH, Chandigarh. The above complaints exasperated over the last 1 month. Based on clinical presentation and X-Ray findings, the condition was diagnosed as Gridhrasi (Sciatica). A multimodal therapeutic intervention as per Ayurveda with Katibasti, Nadi Swedana, Matrabasti, Shaman Chikitsa was prescribed for 21 days. Clinical assessment was done before and after treatment, based on Oswestry low back disability index. Observation and Results: Before treatment Oswestry disability index score was 26 and after the complete treatment patient reported relief in symptoms of Ruk (pain), Stambha (stiffness), Spandan (cramping), distribution of pain significantly reduced and score was only 4. Conclusion: The present case study revealed that the multiple Ayurveda treatment modalities including Shamana and Shodhana Chikitsa (palliative and purification therapies) were effective in curing the disease, Gridhrasi.

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