WHEN LEAF MEETS FLAME: AGNIKARMA WITH ARKA PATRA FOR CHRONIC LUMBAR SPONDYLOSIS—A CASE REPORT

Background: Lumbar spondylosis is a degenerative spinal condition commonly associated with chronic low back pain and functional limitation. In Ayurveda, its clinical features may be interpreted in relation to Katigraha and Gridhrasi. Agnikarma is a parasurgical procedure involving the controlled application of therapeutic heat. This report describes the short-term clinical outcome of Agnikarma performed using Arka patra as an intermediary medium. Case Presentation: A 52-year-old woman presented with a three-year history of low back pain radiating to the left gluteal region. MRI demonstrated an L4–L5 disc bulge with left foraminal encroachment. She received five sittings of Agnikarma at three-day intervals. Pain intensity and functional disability were assessed using an 11-point Numerical Rating Scale (0–10) and the Roland–Morris Disability Questionnaire, respectively.