Ayurvedic Management of Lumbar Radiculopathy with Asymmetric Paraparesis

Abstract

Lumbar radiculopathy is a common cause of lower limb pain, sensory disturbances, motor weakness, and functional disability resulting from compression of the lumbar nerve roots. In severe cases, it may present with paraparesis, significantly impairing mobility and quality of life. Although surgical decompression is often recommended, it may not be feasible for all patients because of associated risks, cost, and patient preference. In Ayurveda, the clinical presentation can be correlated with Gridhrasi, Katigraha, and Vatavyadhi involving Sira, Snayu, and Kandara. A 35-year-old female presented with low back pain radiating to both lower limbs, numbness, asymmetric paraparesis, gait impairment, and restricted lumbar movements. MRI revealed lumbar disc pathology with nerve root compression, consistent with lumbar radiculopathy. The patient was managed with individualised Ayurvedic treatment comprising internal medications and external therapeutic procedures aimed at Vatanulomana, Amapachana, Sothahara, and Brṃhaṇa. Following treatment, significant improvement was observed in pain, muscle strength, sensory symptoms, gait, and functional status. Clinical outcome measures, including the Visual Analogue Scale (VAS), Straight Leg Raise Test (SLRT), and Oswestry Disability Index (ODI), showed significant improvement, with sustained clinical benefits observed during follow-up. This case suggests that Ayurvedic management may serve as an effective conservative approach for lumbar radiculopathy with asymmetric paraparesis.