Diagnosis and management of lumbago/sciatica – an ayur-vedic perspective

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Low back ache with or without radiation is an extremely common malady afflicting the human race across the globe cutting the geographical boundaries, race, age, gender etc. The pain and the disability caused by this affect the day today activity and occupation which in turn makes the patient to seek the medical advice Lumbago is one of the symptoms in different pathogenesis of the kati pradesha where dhatus and upadhatus in the kati region are involved. As these come under vatavyadhi, those specific nidanas related to affect kati and its management are discussed Keywords: Lumbago,Sciatica, Gridhrasi, Katishula DIAGNOSIS AND MANAGEMENT OF LUMBAGO/SCIATICA – AN AYUR- VEDIC PERSPECTIVE C PadmakiranPrasad, U. N PG Department of Panchakarma, SDM College of Ayurveda, Udupi, Karnataka, India INTRODUCTION The changed life style, stress, excess travelling, improper postures, occupation, all these interfere the normal life. Lumbago/Sciatica is the common outcome of the above. Low back ache refers to pain from the lower lumbar areas, lumbosacral areas and both the sacro iliac joints. It is the second most common cause affecting the working population 1 . This is a major causeof disability and an important driver of health care costs in the United States and other countries 2 This reflects the necessaryattention and intervention Ayurvedic literatures explain differentdiseases affecting the kati region. They mainly present with pain (local or radiating) or stiffness as one of the prominent symptoms in the kati pradesha and even end up in crippling. The vata vyadhi nidana specific to the diseases causing Kati shula / Gridhrasi are categorized as agantuja and nija. Aagantuja karana : Abhighata and Apatamsana : Hit on the back, fall from a height are the common forms of trauma ( abhighata ). The above two causes are the sannikrusta nidanas for the disease affecting the katipradesha When the intensity is mild, this maycause minor injury in the snayu, sira, khandara, Asti and sandhi of Kati pradesha or in severe cases it may cause severe injury to these structures causing sandhi cyuti or asti bhagna . Marmabhighata is another possible consequence. Here the pain resulted is mainly because of vata prakopa . There will be an acute and severe pain with or without radiation. When the khandaras are affected, then radiating pain will be the symptom Fall from a height, road traffic accidents are the common causes for the thoraco lumbar injuries. Wedge compression, stable burst fractures, unstable burst fractures are the different types of fractures. Here patient gives a history of fall/ road traffic accidents, based on the severity of injury, there will be Review Article International Ayurvedic Medical Journal ISSN:2320 5091 ABSTRACT Low back ache with or without radiation is an extremely common malady afflicting the human race across the globe cutting the geographical boundaries, race, age, gender etc. The pain and the disability caused by this affect the day today activity and occupation which in turn makes the patient to seek the medical advice Lumbago is one of the symptoms in different pathogenesis of the kati pradesha where dhatus and upadhatus in the kati region are involved. As these come under vatavyadhi, those specific nidanas related to affect kati and its management are discussed Keywords: Lumbago,Sciatica, Gridhrasi, Katishula DIAGNOSIS AND MANAGEMENT OF LUMBAGO/SCIATICA – AN AYUR- VEDIC PERSPECTIVE C PadmakiranPrasad, U. N PG Department of Panchakarma, SDM College of Ayurveda, Udupi, Karnataka, India INTRODUCTION The changed life style, stress, excess travelling, improper postures, occupation, all these interfere the normal life. Lumbago/Sciatica is the common outcome of the above. Low back ache refers to pain from the lower lumbar areas, lumbosacral areas and both the sacro iliac joints. It is the second most common cause affecting the working population 1 . This is a major causeof disability and an important driver of health care costs in the United States and other countries 2 This reflects the necessaryattention and intervention Ayurvedic literatures explain differentdiseases affecting the kati region. They mainly present with pain (local or radiating) or stiffness as one of the prominent symptoms in the kati pradesha and even end up in crippling. The vata vyadhi nidana specific to the diseases causing Kati shula / Gridhrasi are categorized as agantuja and nija. Aagantuja karana : Abhighata and Apatamsana : Hit on the back, fall from a height are the common forms of trauma ( abhighata ). The above two causes are the sannikrusta nidanas for the disease affecting the katipradesha When the intensity is mild, this maycause minor injury in the snayu, sira, khandara, Asti and sandhi of Kati pradesha or in severe cases it may cause severe injury to these structures causing sandhi cyuti or asti bhagna . Marmabhighata is another possible consequence. Here the pain resulted is mainly because of vata prakopa . There will be an acute and severe pain with or without radiation. When the khandaras are affected, then radiating pain will be the symptom Fall from a height, road traffic accidents are the common causes for the thoraco lumbar injuries. Wedge compression, stable burst fractures, unstable burst fractures are the different types of fractures. Here patient gives a history of fall/ road traffic accidents, based on the severity of injury, there will be Review Article International Ayurvedic Medical Journal ISSN:2320 5091 ABSTRACT Low back ache with or without radiation is an extremely common malady afflicting the human race across the globe cutting the geographical boundaries, race, age, gender etc. The pain and the disability caused by this affect the day today activity and occupation which in turn makes the patient to seek the medical advice Lumbago is one of the symptoms in different pathogenesis of the kati pradesha where dhatus and upadhatus in the kati region are involved. As these come under vatavyadhi, those specific nidanas related to affect kati and its management are discussed Keywords: Lumbago,Sciatica, Gridhrasi, Katishula C