CASE DISCUSSION-GRIDRASI WITH KATIGRAHA W.R.T LUMBAR SPINE STENOSIS

 CASE DISCUSSION

GRIDRASI WITH KATIGRAHA W.R.T LUMBAR SPINE STENOSIS

Presenter- Dr. Nayana D R, 2nd year PG Scholar

A 50-year-old male farmer, Neelappa, presented with progressive low back pain radiating to both lower limbs, numbness, tingling, stiffness, and walking difficulty for six months. MRI confirmed multi-level cervical and lumbar spinal canal stenosis with nerve root compression. Ayurveda diagnosed it as Gridhrasi with Katigraha, involving Vata-Kapha imbalance and degeneration of Mamsa, Asthi, and Snayu.

He received Ayurvedic management including Sarvanga Abhyanga, Pinda Sweda, Ksheera Vaitarana Kala Basti, and herbal formulations like Rasnasaptaka Kashaya and Trayodashanga Guggulu. Supportive physiotherapy and yoga (Bhujangasana, Shalabhasana) were advised. Functional scores improved — RMQ from 22 to 14, showing 36% improvement.

The discussion highlights Margavarana and Dhatukshaya as key factors, with Basti therapy pacifying Vata and nourishing tissues. This case shows integrative Ayurvedic treatment can significantly relieve symptoms and improve function, potentially avoiding surgery in moderate spinal canal stenosis.