Back Pain


Low back pain is an important clinical,social,economic and public health problem affecting the population indiscriminately .the prevalence of LBP in Indian population has been found to vary between 6% (in general population)-94% (in workers)

 

Low back pain is common. The main cause for low back pain is a strain of the muscles, or other soft structures (e.g., ligaments and tendons) connected to the back bones (vertebrae).

 

Yogaratnakar- a famous book on ayurveda describes back pain under the heading of Vata Vyadhi- Diseases of vata (nervous system disorders and disorders of joints) as Kati Sandhigata Vata (Back ache).

 

In kati shoola (Back ache) pain is confined to the Kati Pradesha or the Lumbo sacral and sacroiliac region only. Pain can arise due to the vitiated Vyana Vata (Type of vata) which dries up the Shleshaka Kapha (synovial fluid ) in the joints creating friction which leads to the pain.

 

In ayurveda retreat we developed various special treatments like snehana (oleation), swedana( medicated herbal steam bath with medicated herbal milk, kashaya vasti(medicated enema wit decoction), matra vasti(medicated oil enema), kati vasti, kati pichu ect with some specially formulated internal herbal infusion , poly herbal compounds to address this chronic problem.

BACK PAIN IN AYURVEDA- KATI SULA,IVDP,SCIATICA

Low back pain (LBP) is an important clinical, social, economic, and public health problem affecting the population indiscriminately. Low back pain is common. The main cause for low back pain is a strain of the muscles, or other soft structures (e.g., ligaments and tendons) connected to the back bones (vertebrae). Shoola in Kati Pradesha is Pratyatmaka Lakshana of Kati Shoola. The Shoola may be of various types, which occurs by provoked Vata Dosha. In a typical case, pain is confined to the Kati Pradesha or the Lumbo sacral and sacroiliac region only.

The spine is made of blocks of bones piled one on top of the other. Sandwiched between these bony blocks are cushions of cartilage and elastic tissues called interring vertebral discs. The ver- The spine is made of blocks of bones piled one on top of the other. Sandwiched between these bony blocks are cushions of cartilage and elastic tissues called interring vertebral discs.

The ver-The spine is made of blocks of bones piled one on top of the other. Sandwiched between these bony blocks are cushions of cartilage and elastic tissues called interring vertebral discs. The ver-tebral discs act as shock absorbers for the back. Mobility would be impossible without discs. Sometimes these cushions rupture and the pulp protrudes a little.

The process is erroneously called a 'slipped' disc. If the cushion disappears entirely, the result is known as a degenerated disc. In slipped-disc trouble, the nerve is af-fected in such a way that the pain radiates down the thigh and leg. If the disc 'slips' in the neck area, it causes numbness and pain radiates to the arms.

Disc trouble does not occur suddenly but builds up over a long time. The backbone forms Mobility would be impossible without discs.Sometimes these cushions rupture and the pulp protrudes a little. The process is erroneously called a 'slipped' disc. If the cushion disappears entirely, the result is known as a degenerated disc.

In slipped-disc trouble, the nerve is affected in such a way that the pain radiates down the thigh and leg. If the disc 'slips' in the neck area, it causes numbness and pain radiates to the arms. Disc trouble does not occur suddenly but builds up over a long time.

The vitiated Vata when it takes Ashraya in Kati Pradesha it leads to the Shoshana of the Shleshaka Kapha present in the Sandhis there.

The Shoshana of Shleshaka Kapha leads to the hampered functioning of the joints preventing all the movements at the Kati Pradesha. Thus, the movements at the Lumbo-sacral region like flexion, extension, lateral flexion and rotation are hampered either completely or partially.

The degree of affection varies depending on the presentation of etiological factors, such as the site of the structures injured and the extent of injury and duration.

MANAGEMENT

Langhana and Pachana are the first line of treatment preceding Snehapana to facilitate the Niraamaavasta. Both Ghrutha Paana and Taila Paana can be effectively adopted according to the conditions after attaining

Niraamaavasta. Bahya Snehana can be performed in the form of Snehadhara, Abhyanga, Avagaha, Parisheka, Kati Basti etc.

Swedana: Kati Shoola is a Sweda Sadhya Vyadhi. Among the different forms of Sweda procedures, Avagaha Sweda, Pizhichil, Nadi Sweda, Patra Pinda Sweda, Pinda Sweda, and Upanaha Sweda, Kati Basti may be performed efficiently in Kati Shoola. Swedana is also

useful in relieving pain, restricted movement in Kati Pradesha. It can be done in entire body or in affected part of the body like Kati, Prishta etc. alone.

Mridu Samshodhana: Virechana has an important role in chronic LBP. In Vata Vyadhi most of the authors mentioned Mridu Virechana. Eranda Taila is recommended for Nitya Virechana

Basti: For the Chikitsa of Kati Shoola, various types of Nirooha and Anuvasana Basti are mentioned

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