Katishoola (low back pain) is among the most prevalent clinical complaints in elderly populations. Chronic constipation, frequently encountered in geriatrics, is a major cause of Apana Vata vitiation, which may subsequently manifest as Katishoola. A 62-year-old male presented with chronic constipation for two years and low back pain for six months. Pain was dull and aching, aggravated by sitting for prolonged durations, and partially relieved by massage. Ayurvedic assessment revealed Apana Vata prakopa with Pakwashaya dushti. The patient was managed with Mridu Virechana (Eranda Taila), Hingwashtak Churna, Maharasnadi Kwath, Panchsakar Churna, Yogaraj Guggulu, and the Snehan/Swedan procedure. Pathya-apathya (dietary and lifestyle regulations) was also advised. Within two weeks, constipation was relieved with smooth daily evacuation. Low back pain intensity decreased from 7/10 to 3/10 on the Visual Analogue Scale (VAS). Stiffness and tenderness reduced, mobility improved, and overall quality of life enhanced. Chronic constipation may act as a contributory factor for Katishoola through Apana Vata vitiation. Ayurvedic management focusing on Vata anulomana and Shoola shamana provided effective results in this case.
Varade et al. (Wed,) studied this question.