Efficacy of Kati Basti, Kati Dhara and Patrapinda Sweda in Treating Gridhrasi (Sciatica): A Narrative Review

Gridhrasi (Sciatica) is a condition characterised by radiating pain, stiffness and restricted movement, significantly affecting quality of life. Although current management is largely symptomatic, recurrence is common because the underlying pathological processes remain unaddressed. Ayurvedic therapies such as Kati Basti, Kati Dhara and Patrapinda Sweda offer holistic management by correcting Vata and Kapha dosha imbalances. In this narrative review, the efficacy of these therapies in managing Gridhrasi— specifically in terms of pain reduction, improved mobility and restoration of function—is compared. Based on the literature, authors reviewed clinical trials, case series and comparative studies. The primary outcome parameters included pain relief measured using the Visual Analogue Scale (VAS), functional disability assessed by the Oswestry Disability Index (ODI) and range of movement assessed by the Straight Leg Raise Test (SLRT). The review found that Kati Basti was the most effective in relieving local pain and stiffness, primarily due to its role in correcting Vata imbalances. Kati Dhara was particularly effective in relieving stiffness and limited movement associated predominantly with Kapha dosha. Patrapinda Sweda, through its combined oleation and sudation effects, offered benefits for both Vata and Kapha imbalances, providing comprehensive relief. All therapies demonstrated significant improvements in pain, mobility and quality of life, with no notable side-effects. In conclusion, Kati Basti, Kati Dhara and Patrapinda Sweda are effective, safe and cost-efficient treatment modalities for Gridhrasi, when administered according to doshic imbalancebased individualised treatment plans. Large-scale studies are necessary to validate these findings.