GRIDRASI (LOW-BACK ACHE/SCIATICA): CURE AND CARE BY AYURVEDA

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Dr. Imlikumba
B.A.M.S, M.D (Panchakarma), KRTC (Jamnagar)
MO (Ayur) Bokajan PHC
Chief consultant @Health Naturally Clinic
Kevijau Colony Dimapur                                                                              Email: [email protected]
Ph: 09483328411
 
 
Article was published in leading newspaper of Nagaland ie Nagaland Post on 16/July/2017

 

Back pain is like youth leaving the body.

 

Gridrasi (Sciatica) is a disorder in which low back pain is found, that spreads through the hip, to the back of the thigh and down the inside of the leg. There are many causes for low back pain, however true sciatica is a symptom of inflammation or compression of the sciatica nerve. The sciatica nerve carries impulses between nerve roots in the lower back and the muscles and nerve of the buttocks, thighs and lower legs. Compression of a nerve root often occurs as a result of damage to one of the discs between the vertebrae. In some cases, sciatic pain radiate from other nerves in the body. This is called referred pain. Pain associated with sciatica often is severe, sharp and shooting. It may be accompanied by other symptom, such as numbness, tingling, weakness and sensitivity to touch. Although low back pain is a common condition that affects as many as 80-90% of people during their lifetime, true sciatica occurs in about 5% of cases. Sciatica is more common between 30 and 50 years of age. Pain in sciatica is very severe, which makes the patient difficult to walk; hampering the daily routine of the individual.

Basti is the most important among panchkarma due to its multiple effects. Basti is not only best for vata disorder but also equally effective in correcting the morbid pitta , kapha, rakta. Charak has considered, Basti therpy as half of the treatment of all the disease, while some authors consider it as the complete remedy for all the ailments. Gridrasi is characterized  by  piercing  type  of  pain/stiffness cramps,  beginning  from Sphika (Hip)  region  and gradually  radiates  down  to Kati (Back), Uru (Thigh), Janu(Knee), Jangha(Calf)  and Paada (foot)  region (are  due  to Vata)  and  along  with  these,  systemic symptoms   which   includes Gaurava (heaviness), Tandra (drowsiness) and Aruchi (anorexia) (are due to Kapha). Pain in the leg generally unilaterally caused by   irritation   of   Sciatica Nerve,   there   may   be numbness, difficulty in moving or controlling the leg. Pain, generally travel from back of thigh to back of calf and  may  also  extend  upwards  to  the  hips  and downwards  to  the  foot. So comparatively Sciatica resembles  with  the Gridhrasi which  is  described  in Ayurvedic text. Despite   technological   and pharmacological  advances  in  modern  science  the management  of  sciatica  is  still  a  medical  problem, where no permanent medical treatment is available, except   some   palliative   measure. No satisfactory treatment available in modern medical science, patients depends on pain killers which has temporary action.  Chances   of reoccurrence are high even after surgery. So to fulfill the expectations in the management of Sciatica from the Ayurvedic   point   of   view is the need of the hour.

Signs:-Tenderness in lumbo-sacral area, SLR test positive, Lasagne’s sign positive.

Symptoms:-Dragging type of pain radiating from lower, back region to left or right limb, associated with numbness, tingling sensation and heaviness of the limb.

TREATMENT: As a Vatavyadhi (diseases due to vata), general treatment of Vata is applicable in Gridhrasi. The treatment principle of Gridhrasi is Siravyadha (venesection), Basti karma (enema therapy), and Agnikarma (cauterizaion).

Snehana(Oleation Therapy):Snehana (oleation therapy) is the first and important treatment of all Kevala Vatika conditions (vitiation of vata only). Snehana can be done externally as well as internally.

Pada Abhyanga/Sarvanaga Abhyanaga: By  the  application  oil  to  the  feet,  roughness, immobility,  dryness, fatigue,  and  numbness  are instantaneously   cured   and   even   strength   and steadiness of feet will increases. Most importantly  it does the prevention of, the Sciatica, cracking of feet, constriction of vessels and ligaments of lower limbs.

 

Kati Basti: (Topical application of medicated oil): The procedure of applying heat to the sacral or lumbar region by retaining warm medicated oil with in a specially formed frame on this area is known as Kati Basti. It is indicated in painful condition of low back region. It is the most effective procedure in reducing pain, as it increases blood circulation at the site of lesion, pain will get  reduced  by  the  entry  of  new  oxygenated blood   at   the   site   of lesion. Taila’s are   selected according to the condition Roga and Rogi and  even also Kashayas can also be used where ever there is a involvement of Kapha Dosha is there.

 

Kati Pichu: It is preferred when patient is unable to lie in prone position  for  long  time.  As  per  the  condition  of  the Dosha’s, Taila’s are to be selected. It can be done at OPD level also.

 

Swedana (sudation  treatment)– Repeated Swedana (sudation) is the most important treatment of Vatavyadhi. Swedana is good in reducing Soola (pain), Sthambha (stiffness), Gourava (heaviness), which are the cardinal features of Gridhrasi. Bahya Swedana at the site of Vata Prakopa with Nadi,  Prasthara,  Ruksha Sweda according to condition. Type of Sweda adopted in different types of Gridhrasi are as follows, Different  specialized Panchakarma procedure  which provides simultaneous Snehana and Swedana

 

Kayaseka (Pizhichil)- A   part   of   Kerliya Panchkarma. Good  for  external snehana  and Swedana.

 

Patra  Pinda  Swedana– Patra Pinda Swedan is a form of Sankara Swedana. The word Sankara as it suggests the mixture of different medications or drugs when used in form of Pinda or Pottali, it is called as Pinda Swedana. Good  for  external senahana  in Gridhrasi-  It  also provides muscles strength and relief in muscles spasm.

 

Shashtika  Shaali  Pinda  Sweda-One  of  the varieties  of Bahya Snehana, gives immediate results  because  it  acts  at  the  site  of  lesion  and pacify the Vata Dosha.

 

Mridu Virechana: Mainly for the correction Agni and to treat the Ama condition Mridu Virechana is  adopted  prior  to Basti Karma. For  example  constipation  in Vata Prakruti person  or Vata predominant  disease  by Erand Taila, Hingu-TrigunaTaila is  given.  For  removing Ama and constipation   in Kaphaja Prakruti or Kapha predominant  disease  by Nishotha Churna+ Sunthi Churna+ Madhu can be given.

 

Basti : (Therapeutic enema): Niruha Basti (Decoction enema): The composition of the medicine administered in the form of Basti contains Kwath (herbal decoction), Sneha (medicated oil), Madhu (Honey), Saindhava Lavana (rock salt) and Kalka (herbal powder).In Kevala Vataja and Dhatu Kshayaja condition Shamana or  Brumhana Basti containing  more number of Sneha Basti’s can be adopted.

Raktamokshana: Raktamokshana can  cure  the  diseases  when  other treatments do not have effect on nature of diseases or  when  other  treatments fails  to  manage  the diseases.It   gives   immediate   relief   in   pain   of Gridhrasi. It  is  helpful  to  eliminate Doshas from Shakha and in this therapy, there is no need to bring the Doshas in Koshtha.

 

Various sites of Raktamokshana:

4 Angula up  or  low  from Janu Sandhi (back side)

4 Angula up from Gulpha (back side).

In between the Kandara and Gulpha (Inner side)

 

Agnikarma (cauterizaion) The site of Agnikarma (cauterization) is the Snayu (tendon) which passes below the little toe of feet. Agnikarma is contraindicated if there is Daha (burning sensation), Vidaha (pricking pain). Agni karma can be done in conditions where Bheshaja (medicines), Kshara (extract of ashes), Sastrakarma (surgical operations) are failed. Agni Karma with Loha Salaka (metallic cautery) about two or four Angula around the Gulpha also can be done.

 

Shamana Aushadi:- Palliative treatment with Dasamuladi kwatha, Sephalika Daladi kwatha, Panchamula Kashaya, Krishna Prayoga in Vata Kaphaja Gridhrasi, Eranda Phala Payasa, Rasnadi Guggulu, Triyodasanga Guggulu, Saindhavadya Tailam, Rasnadi Kashaya, Ajamedadi Churna, Yograja Guggulu, Rasna Saptaka Kwath, Ksheerabala 101 drops with milk two times a day, Panchasakara Churna. Ekangaveera Rasa, Dasmoola Kwatha, Ashwagandha Churna, Trayodashanga Guggulu etc.

Preventive Measures: Hard bed, Matra Basti, Proper Posture, Pada Abhayanga, Proper Dinacharya (Daily regims) and Ritucharya (Seasonal regims).

CONCLUSION: Gridhrasi is a Vatika Nanatmaja Vikara. It cannot be considered as a single disease. It is a symptom with certain specifications explained above. As the Nidana (cause) for vatakopa (aggrevaion of vata) can occur due to Dhatu kshya (depletion of tissue) and Avarana (clouding of doshas), Gridhrasi can occur due to both these reasons. Lakshana of Gridhrasi may vary from person to person due to variation in Samprapti. In kevala vatika (vata only) condition, Brimhana therapy (nourishing therapy) is enough while in Avarana conditions, treatment of Avarana should be done followed by that of kevala vatik condition. Depending upon the condition of the patient, the treatment can be planned. Vata is  chief  among  the  three Doshas and  the functional  requirement  for  both Kapha and Pitta, if co-ordination of Vata gets disturbed then the disease is going to manifest.

NOTE: Ayurvedic medicines and treatments should be taken under Qualified Ayurvedic Doctor/Physician. contact 9483328411. The drugs described in this article are for general information/educational purpose only. Anyone should not use these without consulting a qualified Ayurveda doctor/physician.

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