An Integrated Ayurvedic Approach in the Management of Lumbar Spondylosis with Radiculopathy

Abstract

Lumbar spondylosis with radiculopathy is a common degenerative spinal disorder characterized by chronic low back pain, radiating lower limb pain, sensory disturbances, and functional impairment. In Ayurveda, it correlates with Gridhrasi associated with Katigata Vata, resulting from Vata vitiation, Dhatu kṣaya, and Marga avaraṇa. Conservative Ayurvedic management, particularly Panchakarma-based interventions, offers a potential non-surgical approach. A 45-year-old male with chronic low back pain radiating to the right lower limb, associated with numbness and burning sensation, was treated using a phased Ayurvedic protocol. Initial therapy focused on Rukṣaṇa and Ama pacana to address Kapha–Meda avaraṇa and metabolic obstruction, followed by Snehana and Swedana to pacify Vata, relieve muscular spasm, and improve lumbar mobility. Considering the chronic Vata-dominant pathology, Vaitaraṇa Basti was administered as the principal Sodhana therapy. Supportive interventions included lumbar traction and a structured stage-wise lumbar strengthening exercise program to enhance neural decompression, spinal stability, and functional recovery. Br̥iṃhaṇa therapy was later incorporated to nourish tissues and support long-term neuromuscular stability. Following treatment, the patient demonstrated marked improvement in subjective and objective parameters, including significant reduction in low back pain, complete resolution of radicular symptoms, numbness, and burning sensation, with improved lumbar mobility and functional capacity. He was able to resume daily activities without discomfort. This case highlights that an integrated, phased Ayurvedic approach combining Panchakarma, supportive traction, and therapeutic exercises can effectively manage lumbar spondylosis with radiculopathy and may serve as a safe, non-invasive alternative to surgery.