Abstract

AYURVEDIC MANAGEMENT OF KATIGRAH (DEGENERATIVE LUMBAR ANTEROLISTHESIS) – A CASE REPORT

Dr. Pushpa* and Dr. Parshuram Dongare

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Abstract

Introduction - Degenerative anterolisthesis is described as a anterior translation of a vertebra with respect to the vertebra below without any modification or notable lesion to the pars - interarticularis. In this back pain is typically worse with activities such as bending and lifting, and often eases when lying down. This condition occurs as a consequence of the general aging process in which the bones, joints, and ligaments in the spine become weak and less able to hold the spinal column in alignment. In Ayurveda, it can be compared with gridhrasi and katigrah clinically and can be effectively managed on the treatment principles of gridhrasi and katigrah. Methodology - This present article deals with a case of diagnosed grade 1 Degenerative anterolisthesis of L4 over L5 and lumbar canal stenosis and was advised for surgery. The Ayurvedic diagnosis of Gridhrasi was made. Management included panchkaram procedures like Kati Basti, basti and Agni Karma. Results - The effectiveness of Ayurvedic management was assessed by Roland Morris's low back pain and disability questionnaire scale, Oswestry Low back disability index, straight leg raise test (SLRT) and visual analog scale. The patient was relieved of symptoms and the general conditions also improved. Conclusion- The present case substantiates the effectiveness of classical Ayurvedic treatment in Grade - 1 degenerative anterolisthesis and lumbar canal stenosis.

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