Synergistic Efficacy of Kati Basti and Physiotherapeutic Traction in Lumbosacral Pain in Concurrent Application: A Novel Clinical Insight

Abstract

Lumbosacral pain (Katigraha) is a major contributor to global disability and healthcare burden. It often hampers daily functioning and quality of life. Despite the wide availability of modern treatments, chronic low back pain often requires a multimodal approach. In Ayurveda, Kati Basti is a localized therapy using warm medicated oil that provides analgesic, anti-inflammatory, and Vata-pacifying effects. Physiotherapeutic lumbar traction, a standard modern treatment, offers mechanical decompression to reduce nerve root irritation and improve spinal alignment. This review article explores the theoretical and practical basis of combining these two therapeutic systems and highlights clinical evidence supporting their integrative use, examining their mechanisms of action and therapeutic synergy in managing lumbosacral pain. The synergy of Ayurvedic and physiotherapeutic principles may offer enhanced pain relief, functional recovery, and reduced dependency on pharmacological or invasive interventions.