AYURVEDIC MANAGEMENT OF LUMBAR SPONDYLOSIS WITH MULTILEVEL DISC BULGE ASSOCIATED WITH OSTEOARTHRITIS KNEE, BENIGN PROSTATIC HYPERPLASIA, AND GRADE-I FATTY LIVER: A CASE REPORT

Background: Lumbar spondylosis with disc bulge is a prevalent degenerative spinal disorder characterized by chronic low back pain, stiffness, restricted mobility, and impaired quality of life. In Ayurveda, the condition can be correlated with Katigata Vata resulting from Vata Prakopa and Dhatukshaya. Degenerative changes affecting the knee joints, fatty liver, dyslipidemia, and benign prostatic enlargement often coexist and require a holistic therapeutic approach. Case Presentation: A 52-year-old male presented with chronic low back pain, restricted lumbar movements, bilateral knee pain, urinary frequency, and difficulty in performing routine activities. Magnetic resonance imaging revealed diffuse disc bulges at L2–L3, L4–L5, and L5–S1 levels with mild neural foraminal stenosis. Radiographic examination showed osteoarthritic changes in both knee joints. Ultrasonography demonstrated Grade-I fatty liver and prostatomegaly with a median lobe bulge. Laboratory investigations revealed elevated total cholesterol (215.8 mg/dL) and low-density lipoprotein cholesterol (147.5 mg/dL). Intervention: The patient was treated with a proprietary Ayurvedic regimen comprising Gond Siyah Powder, T-Care Capsule, S-Care Capsule, P-Care Capsule, Haldi Plus Capsule, and Pachan Care Syrup along with dietary modifications and lifestyle management. The formulations contained ingredients such as Withania somnifera (Ashwagandha), Boswellia serrata (Shallaki), Curcuma longa (Haridra), Colchicum luteum (Suranjan), Vitex negundo (Nirgundi), Emblica officinalis (Amalaki), Terminalia chebula (Haritaki), and other herbs known for their anti-inflammatory, analgesic, antioxidant, Rasayana, and metabolic regulatory properties. Outcome: Following 12 weeks of treatment, the patient reported substantial reduction in low back pain and stiffness, improvement in lumbar mobility and walking capacity, reduction in knee pain, and improvement in urinary symptoms. The overall quality of life improved considerably without any adverse events. The intervention also supported correction of metabolic abnormalities associated with fatty liver and dyslipidemia. Conclusion: This case demonstrates the potential role of a comprehensive Ayurvedic herbal regimen in the management of lumbar spondylosis with multilevel disc bulges associated with osteoarthritis, fatty liver, dyslipidemia, and prostatomegaly. The observed clinical improvement suggests that Ayurvedic interventions may provide a safe and holistic treatment option for complex degenerative and metabolic disorders. Further systematic clinical studies are warranted to validate these findings.