FROM PAIN TO RESTORATION: ACUTE LUMBAR DISC PROLAPSE MANAGED THROUGH AYURVEDA – A CASE REPORT

Abstract

Background: Intervertebral disc prolapse (IVDP) is a very prevalent Musculoskeletal disorder. In Ayurveda, conditions like Gridhrasi and Katigraha show features similar to lumbar radiculopathy, frequently associated with Vata-Kapha vitiation. Objective: This report correlates MRI-confirmed L5–S1 IVDP with Vata-Kaphaja Gridhrasi and evaluates the effect of integrative Ayurvedic therapy on pain and function. Case report: A 37-year-old female presented with acute low back pain radiating to the right lower limb, with heaviness, tingling and restricted mobility. MRI showed L5–S1 disc extrusion with neural compression. Previous symptomatic management failed and the patient declined surgery. Intervention: A 14-day Ayurvedic regimen included Shodhana (Vaitharana Basti), Rukshana (Agnilepa, Nadisweda), Brimhana therapies (Kati Basti, Veshtana)and Shamanaoushadhis (Lashuna Rasayana, Yogaraja Guggulu, Vishamushti Vati, Avipattikara Churna), targeting Vata-Kapha imbalance and neural compression. Outcomes: The patient had a marked reduction in radiating pain, stiffness and heaviness. Lumbar spine movements, walking ability, and functional scores improved (Oswestry Disability Index: 82% to 44%; Sugarbaker and Barofsky Scale: 7 to 19). She was able to perform her day-to-day activities independently. Conclusion: Integrative Ayurvedic management, incorporating Shodhana, Rukshana, Brimhana, and Shamana therapies, resulted in significant symptomatic and functional improvement in L5–S1 IVDP presenting as Vata-Kaphaja Gridhrasi. These data show a potential conservative alternative to surgical intervention.