Table of Contents
Table of Contents

Low Back Pain

Disclaimer: The content on this page is about Lower Back Pain. We will shortly update the content on Inter Vertebral Disc Prolapse (IVDP).


Low back ache or lumbago is a common presentation in middle to elderly age groups. It is denoted as KATISHOOLA in Ayurveda. KATI is the area pertaining to the lumbosacral spine. Pain in the low back, varying in intensity and frequency affects daily activities at different levels. The nature of pain may range from a dull ache to shooting pain, freezing you in a position making it difficult to move or stand up straight.

LBA can be classified into 3 based on the duration of pain:-

  • Acute if it has lasted less than 6 weeks.
  • Sub-acute if it has lasted 6-12 weeks.
  • Chronic if it has lasted more than 12 weeks.
Common causes
  1. Muscle sprains
  2. After any sports activities
  3. Lifting/carrying weights
  4. Wrong postures
  5. Uncomfortable chair/bed
  6. Old age, being sedentary
  7. Falls and accidents
  8. Lack of exercises
  9. Weight gain
  10. Psychological issues
  11. Ligament sprains and injuries.

If the pain does not improve within 72 hours after symptomatic management, it needs further evaluation. Different musculoskeletal conditions and other systemic diseases can also have low back pain as a symptom which will need examination in detail.

Signs and Symptoms

  • The dull ache to stabbing, throbbing/burning pain is the common symptom.
  • Muscle stiffness and pain over the low back area on touch are noted.
  • Radiating pain in legs, numbness or weakness of legs, impaired sensation, swelling and tingling in legs, loss of bladder and bowel control, unexplained weight loss, fall/ blow injuries, etc if noticed alarms other conditions.
  • Degenerative changes in the spine, arthritis of vertebral joints, cancer, tumors, and other infective and inflammatory conditions have low back pain along with other clinical findings.

Ayurveda Treatment

Katishoola is a disease caused by the increase of Vata dosha in the body. Aggravation of vata dosha due to old age, faulty diet, and lifestyle result in triggering of an inflammatory process or amatwa in the body which in turn slows down metabolism, causes srotorodha or blockages in channels of circulation, and hinders tissue metabolism.This can affect bone health and lead to muscle stiffness resulting in pain.

The vitiated vata cause dryness of the shleshmaka kapha/synovial fluids resulting in friction of the joint surfaces leading to arthritic changes, movement restriction, and pain on movements.

Treatment protocol

Symptomatic management of acute low back pain is by application of oils/ medicines with muscle relaxing properties and pain relief. External and internal medicines are given.

Ayurveda management of back pain is determined after analyzing a variety of factors in the body like body constitution, nature of aggravated doshas, type of pain and location, the root cause of the condition, investigation support, and medical history. Ayurveda treatment focuses on correcting inflammation, removing obstructions, relieve muscle spasms and pain. Based on the underlying factors that lead to pain, panchakarma treatments like nasya, virechana, vasthi, and rakthamoksha are planned. Also, other para-surgical procedures like Agni karma and siravedha are also beneficial in cases of low back pain.

Our Approach

AyurVAID focuses on precision classical Ayurveda treatment protocols, following the fundamental principles of Ayurveda in addressing the root cause of diseases. After an in-depth assessment of the symptoms, detailed history taking, and understanding of the patient and the disease thoroughly on Ayurveda parameters, a definite treatment protocol is designed.

Treatment aims to achieve management of pain by breaking the pathogenesis of the disease, thereby correcting the root cause and arresting further progression. Our whole person-centric approach will help you regain your happiest and healthiest state of life. Our rehabilitation specialists will also give you advice on ergonomics, nutrition, and lifestyle changes to help you better manage your back pain. Patient centricity is at the core of the Ayurvaid approach.

Key Outcome

  • The outcomes of treatment in acute cases of back pain without many clinical findings are high.
  • Moderate cases of chronic pain depending on the intensity of the root cause can provide reversal of pathology and a state of remission.
  • Severe cases of back pain will need regular follow-ups along with correction of other causative factors.

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