Ayurvedic Management of Katishool (Lumbar Spondylosis): A Case Report

Katishoola, or low back pain, is a prevalent condition because of the aggravation of Vata Dosha, causing neurological and musculoskeletal disorders. In Ayurveda, it is experienced as an expression of disturbed Vata in the lower back. In Western medicine, this condition is associated with lumbar spondylosis, a degenerative spine disease commonly associated with pain, stiffness, and neurological findings. Both systems are concerned with the management of pain and improvement in mobility. However, Ayurveda offers a holistic and individualised regimen that controls the symptoms and tries to balance the underlying doshas. This case study presents the management of a 56-year-old male patient with acute pain in the lumbar region, with anal and perianal numbness. The patient had these symptoms for 20 days, with aggravation of discomfort and decreased movement. After diagnosis, the management was based on the principle of Vata Prakopa (degenerative process due to increased Vata dosha). The therapies applied were Snehan (oil massage), Swedan (sudation), Kati Basti (localised application of oil for the lumbar region), Matra Basti (medicated enema), and oral administration of Kamdudha Vati and Trayodashanga Guggulu. Surprisingly, after a week of regular management, the patient showed marked relief from pain and increased mobility. The neurological symptoms also showed marked improvement, making this case a strong indication of the efficacy of Ayurveda in managing lumbar spondylosis and other related spinal diseases.