Role of Panchakarma Chikitsa in the Management of Katigraha (Lumbar Spondylosis): A Literature Review

Abstract

Katigraha is a disease in which Vata gets imbalanced in its sthana (seat), causing pain to originate in the joints of sphika and prishtha-vanshasthi. According to Gadanigraha, when Vata is affected by Ama and is located in Kati Pradesh, it exhibits the symptoms of Katigraha, namely Graha (stiffness) and Ruja (pain) in Kati Pradesh (lower back). Compared with modern science, the authors can correlate this disease to lumbar spondylosis. Chronic low-back pain affects 4.2% of the population and accounts for almost 50% of total low-back pain related costs. The treatment involves various approaches, including anti-inflammatories, analgesics, muscle relaxants, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), exercises, traction, and invasive procedures like surgeries. Panchakarma, a specialised facet of Ayurveda, not only focuses on bringing the body to a state of Samadosha, thereby targeting to achieve normal health. With literary evidence supporting its efficacy, Panchakarma offers a comprehensive approach in managing such conditions, encompassing curative, preventive, and promotive aspects of health. Databases such as PubMed, Google Scholars, Shodhaganga, etc., were searched, and a total of 12 articles were shortlisted based on various Panchakarma interventions being used for the management of Katigraha. Panchakarma provides a promising avenue for the effective management of Katigraha, paving the way for enhanced well-being and improved quality of life for individuals suffering from this condition.