The Management of Katishoola (vertebral Compression fracture) through Panchakarma- A case study

Background: In present era low backache (Katishoola) is a common complain among the patients visiting hospital for treatment. There are various causes for low backache like compression fracture, inter vertebral disc prolapse [IVDP], Lumbar spondylosis, tuberculosis of spine etc. About 39% of the population present complaints of low back pain at some point in their lives, Incidence is more in females aged between 40 and 80 years. vertebral compression fracture (VCF) are one of the cause of severe low backache. VCF is a common fracture of the spine. The symptoms of VCF are back pain, numbness, tingling, and weakness and intensity of pain increase while standing or walking. It can be correlated with Katishoola in Ayurveda. In contemporary science there is no treatment except some invasive procedure like vertebroplasty. Here in this case pain in lower backache associated with tingling sensation managed with Ayurveda Panchakarma treatment like Matra Basti, Katibasti, Pinda Swedana. The collected data shows that Panchakarma therapy along with oral medicine gave encouraging effect in low backache. Material and method: In this study the patient with complaint of pain in lower back, tingling sensation, unable to stand for long duration approached to the OPD of Panchakarma, AIIA hospital. He was managed with Panchakarma therapies along with oral medicines. Effect of treatment was assessed before and after the treatment on presenting complaints. Result and observation: Significant improvement was noticed after the treatment. Pain was reduced significantly. There was reduction in VAS scale, SLR, Marked improvement was noticed in Score of Oswestry low back pain index, Low back outcome score (LBOS). Discussion: In this case study we are focusing in the management of low backache due to wedge compression fracture through Ayurveda oral medicine along with Panchakarma to further deterioration of the condition of the patient.