Ayurvedic Management of Lumbar Spondylosis with Bilateral Lower Limb Pain in an Elderly Female: A Case Report

Background: Lumbar spondylosis is a common degenerative spinal disorder in elderly individuals, often associated with chronic low back pain, radicular symptoms, lower limb heaviness, and impaired mobility. In Ayurveda, such manifestations resemble Katigata Vata with associated Sandhigata Vata features due to Vata predominance in old age. Case Presentation: A 69-year-old female presented with complaints of chronic low back pain radiating to both lower limbs, bilateral knee pain, crepitus with swelling in both knees, left lower limb swelling, difficulty in prolonged standing and walking, and bilateral lower limb heaviness. The patient had a history of fall two years prior and known hypertension for 20 years under allopathic treatment. Intervention: The patient was prescribed an integrative herbal regimen consisting of Gond Siyah powder, T-Care capsules, P-Care capsules, Pachan Care Syrup administered with lukewarm water and Gond Siyah oil for local application as advised. Outcome: After treatment, the patient reported reduction in low back pain and bilateral knee pain, mild reduction in lower limb heaviness, and improved ease in daily activities. Stiffness persisted mildly but no fresh complaints were observed. Conclusion: This case demonstrates symptomatic improvement in degenerative lumbar pathology through conservative traditional medicine management, suggesting possible benefit in pain reduction, mobility enhancement, and quality-of-life improvement in elderly patients with lumbar spondylotic changes. Keywords: Ayurveda; Lumbar spondylosis; Katigata Vata; Degenerative spine disease; Case report; Elderly patient