Exploring the link between Grahanidosha, and Chronic Neck and Back Pain: A Cross-Sectional Study

Introduction: Chronic back pain is a significant public health issue, often leading to work absenteeism. Traditional treatments may not fully address the root causes, particularly the role of gut health in chronic pain. This study explores the association between grahaṇīdōṣaḥ, a digestive dysfunction concept in Ayurveda, and chronic neck and back pain. Methodology: A cross-sectional analysis was conducted at VPSV Ayurveda College Hospital involving 164 patients with chronic neck and back pain. The study used a newly validated assessment tool to identify grahaṇīdōṣaḥ, examining its prevalence and association with pain. Inclusion criteria were patients aged 20-45 with pain persisting for over three months, excluding those with traumatic, infective, or malignant causes. Results: The study revealed a significant association between grahaṇīdōṣaḥ and chronic pain. Notably, 109 out of 164 patients exhibited features of grahaṇīdōṣaḥ. Statistical analysis showed a strong correlation between digestive dysfunctions and pain sites, particularly low back pain and cervical pain with gastrointestinal symptoms like indigestion and constipation. Discussion: The findings suggest that underlying digestive issues, as conceptualized in Ayurveda, play a crucial role in chronic neck and back pain. Addressing grahaṇīdōṣaḥ could lead to more effective and holistic pain management strategies, integrating both Ayurvedic and modern medical approaches. Conclusion: This study underscores the potential association between grahaṇīdōṣaḥ and chronic pain pathologies. Further research should explore the clinical efficacy of integrating these traditional Ayurvedic concepts with conventional treatments to develop a comprehensive approach to pain management.