THE EFFICACY OF AYURVEDIC INTERVENTIONS AND PANCHAKARMA IN GRUDHRASI (SCIATICA): A CLINICAL CASE STUDY

Abstract

Background: Grudhrasi (Sciatica) is a common Vataja Nanatmaja Vyadhi, characterized by radiating pain along the sciatic nerve pathway, stiffness, tingling, and restricted movement. Modern medicine primarily manages sciatica with NSAIDs, corticosteroids, and surgical interventions, which provide symptomatic relief but do not address the root cause. Ayurveda, through Shodhana (detoxification) and Shamana (palliative) therapies, offers a holistic and sustainable approach. This case study evaluates the effectiveness of Ayurvedic interventions, including Panchakarma therapies like Basti and Kati Basti, in the management of Grudhrasi. Case Presentation: A 42-year-old male patient presented with complaints of radiating pain from the lower back to the left leg, associated with numbness and tingling sensations for the past eight months. The pain was aggravated by prolonged standing and walking. MRI findings revealed disc prolapse at L4-L5 with nerve root compression, correlating with Grudhrasi Lakshanas. The patient underwent a comprehensive Ayurvedic treatment plan, including Kati Basti with Sahacharadi Taila, Kala Basti (16-day regimen of Niruha and Anuvasana Basti), along with Shamana Aushadhi such as Trayodashanga Guggulu, Dashamoola Kwatha, and Vatagajankusha Rasa. Intervention and Outcome: After the treatment regimen, the patient reported significant pain relief, improved mobility, and reduction in tingling sensations. The Visual Analog Scale (VAS) score reduced from 8/10 to 2/10, and straight leg raise (SLR) test improved from 30° to 70°. Post-treatment MRI showed reduced nerve root inflammation. No adverse effects were noted, and the patient maintained symptomatic relief during the follow-up period. Discussion: This case study highlights the efficacy of Panchakarma and Ayurvedic interventions in Grudhrasi by addressing the root cause—Vata Dushti and nerve compression. Basti Chikitsa alleviated neurogenic inflammation, while Kati Basti provided localized relief by nourishing the affected structures. Unlike conventional treatments, which focus on symptomatic management, Ayurveda offers a sustainable and non-invasive therapeutic approach with minimal side effects. Further clinical trials are recommended to validate these findings. Conclusion: The integrative approach of Panchakarma and Shamana Aushadhi proved to be effective in alleviating symptoms of Grudhrasi (Sciatica), improving mobility, and reducing dependency on conventional painkillers. This case study suggests that Ayurvedic interventions can be a promising alternative for the long-term management of Sciatica.