Ayurvedic Management of Gridhrasi W.S.R. To Sciatica Through Shampakadi Niruha Basti With Oral Administration of Aabhadi Churan-a Case Study

Gridhrasi is a commonly encountered musculoskeletal disorder characterized by radiating pain, stiffness, numbness, and paresthesia affecting one or both lower limbs. Owing to its similarity in clinical presentation, Gridhrasi can be closely associated with sciatica, a condition resulting from compression or irritation of the sciatic nerve or its nerve roots, most frequently at the L4–L5 and L5–S1 levels. Sciatica predominantly impacts individuals during their productive years, often leading to significant impairment in daily activities and occupational performance. Conventional conservative management typically provides temporary relief and is frequently accompanied by recurrence of symptoms. This case report presents a 40-year-old male patient who reported severe low back pain of a sharp, radiating nature extending to the bilateral lower limbs up to the calf region of right leg and upto thigh region of left leg, accompanied by numbness, tingling sensations, pricking sensation and difficulty in maintaining prolonged sitting, particularly during office work. The patient was managed with Shampakadi Niruha Basti therapy in combination with oral Aabhadi Churan for a period of 16 days. Clinical assessment following the intervention revealed marked improvement in both subjective and objective parameters, including Straight Leg Raise (SLR) test, Flip test, Lasegue’s sign, Visual Analog Scale (VAS) score for pain, as well as reductions in numbness, pricking sensation, and tingling sensations. The therapeutic intervention resulted in significant symptomatic relief and demonstrated sustained benefits by reducing the likelihood of recurrence. These findings suggest that Shampakadi Niruha Basti may aid in alleviating neuromuscular discomfort and enhancing functional stability of the lower back, thereby highlighting its potential as an effective Ayurvedic modality in the management of Gridhrasi (Sciatica).