A comparative study of the effect of Kati Basti and Kati Pichu with Astakatvar Taila in the management of Gridhrasi w.s.r. to Sciatica

Gridhrasi, commonly equated with Sciatica in modern medical terminology, is a debilitating condition characterized by radiating pain along the course of the sciatic nerve. Ayurveda describes Gridhrasi as a disorder predominantly caused by vitiation of Vata Dosha, often accompanied by Kapha, resulting in pain, stiffness, and restricted mobility. The condition derives its name from the characteristic limping gait of affected individuals, resembling a vulture (Gridhra). Modern medical science attributes Sciatica to nerve root compression or irritation, frequently due to herniated discs, spinal stenosis, or degenerative changes in the lumbar spine. Though technological advancements have improved diagnostics and treatment modalities, the chronic and recurrent nature of Sciatica necessitates a holistic management approach. Ayurveda offers a unique perspective through Panchakarma therapies, Shamana Chikitsa (palliative care), and lifestyle modifications. The integration of Ayurvedic practices with contemporary medical interventions has demonstrated promising results, warranting further exploration of their combined efficacy. This review article aims to provide a comprehensive analysis of Gridhrasi, examining its etiology, pathophysiology, and therapeutic approaches from both Ayurvedic and modern perspectives. By analyzing classical references alongside current evidence, this work endeavors to underscore the relevance and effectiveness of traditional practices in addressing this persistent clinical challenge. The study specifically focuses on the Ayurvedic classification, underlying pathophysiology, and etiological factors of Gridhrasi, contributing to a deeper understanding of its holistic management.