The increasing demands of contemporary lifestyle and occupational engagements exert significant strain on the body's musculoskeletal framework, often disrupting physiological homeostasis.¹ Contributing factors such as prolonged sedentary behavior, excessive physical exertion, sudden or repetitive movements during travel, and improper lifting techniques are well-documented precursors to mechanical stress and resultant low back pain.² Among the etiological factors, intervertebral disc prolapse (IVDP) remains a prominent cause, characterized by the herniation of the nucleus pulposus through a defect in the annulus fibrosus.³ Notably, the L4–L5 and L5–S1 intervertebral discs are affected in approximately 95% of lumbar disc herniation cases.³ From an Ayurvedic perspective, the clinical manifestations of IVDP align closely with the condition known as Gridhrasi (sciatica). Classical features include Ruk (pain), Toda (pricking sensation), Muhuspandana (intermittent tingling), and Stambha (stiffness), typically involving the Sphik (buttocks), Kati (waist), Uru (thigh), Janu (knee), Jangha (calf), and Pada (foot), in sequential order. Additionally, Sakthikshepanigraha (difficulty in leg lifting) is considered a cardinal diagnostic feature. When Kapha is associated with Vata, accompanying symptoms such as Tandra (drowsiness), Gaurava (heaviness), and Aruchi (loss of appetite) may also be observed.⁴–⁷ This case report discusses the Ayurvedic clinical management of a 45-year-old male patient diagnosed with lumbar IVDP, presenting with symptoms consistent with Gridhrasi, who was admitted for further evaluation and Panchakarma-based intervention.
Deepali Kumar (Wed,) studied this question.
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