Abstract
Katishula (low back ache) is one of the major health problems now a days which affects approximately 60 – 85% of adults during some point of their life causing trouble to their daily routine. It is shosha (degeneration), sthamba (stiffness), and shula (pain) predominant vyadhi (disease). It is clearly stated in the classics that the pain is produced due to stiffness which is produced by sama or nirama vayu movement in the kati (low back) region. Ayurvedic classics have mentioned appropriate treatment modalities for kati shula. A 24 year old female patient with katishula was treated conservatively with internal medicine and panchakarma (treatment procedure). Patient presented with low back ache for 1 year with aggravated symptoms like shooting pain, pain while standing and pain in the left leg. SLR was positive being 20 degree on the left leg and was negative in the right leg. There was no history of any kind of trauma. Management was done in 2 rounds where the first part included matra basti and oral medications, through which the symptoms got reduced around 40 – 50% and in the second part of the treatment patient was managed only with the oral medications which gave very good results where the patient was almost completely relieved.
Highlights
Ayurveda is an ancient system of medicine which gives more importance to the Tridoshas i.e. Vata, Pitta and Kapha which makes the basic components of the body whose balance keeps a man healthy and imbalance leads to roga (1)
Kati shula has not been described as a separate disease in brihattrayis, rather it has been mentioned as a symptom of the disease Gridhrasi (Sciatica)
A 24 year old female patient came to our OPD with the complaint of pain in the Kati region and pain in the left leg with a history of 1 year, Narahari B R et al, Conservative management of kati shula - A case study which got aggravated since 5 months associated with disturbed sleep and restricted movements
Summary
Ayurveda is an ancient system of medicine which gives more importance to the Tridoshas i.e. Vata, Pitta and Kapha which makes the basic components of the body whose balance keeps a man healthy and imbalance leads to roga (disease) (1). One among the Tridoshas is Vata which due to various causative factors gets vitiated and accumulates in the kati region causing kati shula. Low back pain is a common disorder involving the muscles, nerves and bones of the back. It is a multifactorial disease affecting vast population (6). A 24 year old female patient came to our OPD with the complaint of pain in the Kati region (low back ache) and pain in the left leg with a history of 1 year, Narahari B R et al, Conservative management of kati shula - A case study which got aggravated since 5 months associated with disturbed sleep and restricted movements. The criteria’s were graded before and after the treatment for the assessment of results
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