Abstract

A LITERARY REVIEW ON GRIDHRASI (SCIATICA) IN AYURVEDA

*Dr. Akanksha Sachan, Dr. Anant Krishna, Dr. Priyanka Singh

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Abstract

Gridhrasi is one among Vataja Nanatmaja Vyadhi. This disorder is a pain-dominant lifestyle disorder where the pain originates in Sphik Pradesh and spreads to the foot. The pain is piercing and limits the affected leg's range of motion, causing it to resemble a bird vulture and placing the sufferer in an embarrassing situation. According to Acharya charaka the cardinal symptoms of Gridhrasi are sphikpurvakati, prishta, uru, janu, jangha, pada kramatvedana(pain), stambha (stiffness), toda (pricking sensation) and spandana (twitching sensation). Acharya Sushruta and Vagbhatta also included restricted upward lifting of the affected lower limb i.e. Sakthiutkshepanigraha. When Kapha gets involved with Vata, produces symptoms like Tandra, Gaurava, and Arochaka, so on the basis of Dosha involvement Gridhrasi can be of two type 1. Vataja Gridhrasi, 2. Vatakaphaja Gridhrasi. With all the symptomatology of Gridhrasi comes under the purview of “sciatic syndrome”. The term “sciatica” evolved from the inflammation of sciatica nerve and also the term sciatica is used when the pain in the distribution sciatic nerve which begins from the buttock and radiated towards the posterior aspect of thigh, calf muscles and to outer border of foot. Sciatica is a relatively common musculoskeletal disorder with a prevalence ranging from 2-5 %, depending on the popution. Lifetime incidence varying from 13% to 40%. The common corresponding annual incidence of an episode of sciatica ranges from 1% to 5% in India. Herniation and degenerative changes in intervertebral disc, often history of trauma, lifting of heavy weight or exposure to cold are most common causes. The diagnosis of sciatica is based on history and physical examination, the most applied physical examination is SLR test.

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