Ayurvedic management of Lumbar Radiculopathy w.s.r. to Katigraha specifically on Roland Morris Criteria: A Case Study

Low back pain affects approximately 60.85% of adults during some point of their life and 10% of this is because of lumbar radiculopathy (LR). Katigraha which is correlated with LR is a degenerative condition affecting the discs, vertebral bodies, and/ or associated joints of the lumbar spine. In current case study shows the effect of Shodhan (Basti) and Shaman therapy in management of lumbar radiculopathy. A 32 years male patient come to our institute with complaints of severe backache, tingling in bilateral lower limb, ROM, radiating pain from lumbar to left lower limb. MRI finding shows a central disc protrusion at L4-L5 level along with posterocentral annular tear. Roland Morris Criteria score was 20, Womac score was 52 and Gals score was 19. Deepan Pachan Chikitsa includes Rukshan-Pachan Kwath 40ml BD before meal along with Angitundi Vati 2BD before meal for 5 days. Panchakarma Chikitsa including Katibasti with Til Tail + Mahanarayana Tail, Kaal Basti kram (Enema) including Panchatiktadi Kshir Basti (750ml) And Dashamulguduchyadi Tail + Sahachar tail Anuwasan Basti (80ml). Shaman treatment includes Erandmoolghanvati, Parijataghanavati, Astimajjapachak Kwath, Rasrajeshwar Ras Kalpa. Patient has significant effect to improve the Womac score from 52 to 14, Gals score from 19 to 10 and Roland Morris criteria score from 23 to 12, VAS Score reduces from 8 to 4. For prevention of hazardous complication of Surgery, Present case focus on potential and synergistic effect of Ayurvedic intervention and Panchkarma in treating lumbar radiculopathy.