Abstract

INTEGRATED MANAGEMENT OF ACUTE AILMENT OF VATAKAPHAJA GRIDHRASI W.R.T SPINAL CANAL STENOSIS- A CASE STUDY

*Dr. Chinmayi I. Koppad BAMS. MD(AYU) and Dr. D. S. Wodeyar

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Abstract

Background: 40% of the population experiences lower back pain linked to sciatica arising from herniated intervertebral discs. Approximately 90% of these instances opt for conservative therapy instead of surgical procedures. In 95% of cases of disc herniation, the L4-L5 and L5-S1 areas are the most frequently involved. Sciatica is a persistent, intense pain located in the lower back that extends to the buttocks, thigh, calf, and foot, linked to the lumbar sacral nerve root (sciatica), typically resulting from disc bulge, disc protrusion, or disc prolapse caused by degenerative changes in the lumbar spine. In Ayurveda, the traditional signs and symptoms of Sciatica align with a condition known as Gridhrasi. Methods: Efforts were focused on managing a case of L4-L5-S1 disc bulge with Spinal Canal Stenosis through an extensive Ayurveda, Yoga, and physiotherapy. The protocol consists of a series of treatment methods along with internal medication. Results: Outcomes were noted using the pain Visual Analogue Scale (VAS), SLRT (Straight-Leg Raise Test), and Schober's test, tenderness, and range of motion demonstrated significant improvement. Conclusion: Integrated Management with Ayurveda, Yoga, and Physiotherapy is effective in managing Acute Pain in Vata-Kaphaja Gridhrasi w.r.t to Spinal Canal Stenosis resulting from Vata Prakopa and Kapha-Meda Margavarana. In the current study, patient have demonstrated the best response in the remission of functional impairment, neurological deficits, and other symptom criteria, coupled with an increase in functional capacity.

Keywords: Kshara Basti, Kaphavatahara Basti, Gridhrasi, Canal Stenosis, Yoga, Physiotherapy.