1.Rasnadi Guugulu-2 tab before food with warm milk - 3 times 2.Ashwagnadha Churna-2gm+ Chopa Churna-1gm+ maha Vatavidhwansini-125mg+ Ekangaveera Rasa-125mg+ Pippalimula churna-1½ gm+Gokshura churna-1 gm+ Guduchi Churna-1gm - after food 3 times a day with ashwagnadha ghrita 3.Sahacharadi Kashaya-15 ml+Marma Kashaya-15ml - after food 2 times a day with water 4 Myostal Linement -ext. appln 2 times Contraindication All Forward Bending Asanas, Sarwangasana, Halasana, Shirshasana (Head stand) & its variations
Fast Breathing, Left nostrill Breathing, Bhastrika Pranayama, any Pranayama with Kumbhaka.
Vamana Dhauti, Shankha Prakshalana (Laghoo / Purna)
Diet and Lifestyle
Pathya (Do’s)
Black gram, Horse gram, wheat, rice, gingili oil, mustard oil, ghee, milk, butter, sour fruits, Dry grapes, garlic, drumstick fruits and leaves, meat.
Pouring of warm water, residing at non-windy place, gentle squeezing, tub bath, oil massage, application of hot & oily substances, covering the body with blankets.
Apathya (Don’ts)
Potato, Cucumber, cold drinks, ice cream, Rajma, dry meat, etc.
Bending, sudden stretching, weight lifting, long journey on two wheeler, sitting in abnormal posture, sitting for long time.
Advice
Keep a wide base in standing.
Keep body weight in equal distribution.
Toes must be able to function freely.
Hip must be placed right into back of the seat.
Bedding must be firm & soft.
Thin pillow.
Chair having armrest should be used.
Try to avoid constipation, cough, cold, flatulence (gas) as they worsen the condition.
Strengthen back and abdomen muscles that support your spine.
In the context of a lumbar disc bulge at the L4-L5 vertebral level, Ayurveda offers treatments focusing on the underlying vata imbalance often contributing to conditions like these. While surgery might be essential, when there are risks of nerve damage or worsening conditions, Ayurveda can provide supportive care that may potentially alleviate pain and improve function.
First, it’s essential to understand how critical it is for your mom to avoid certain postures and activities that could exacerbate her condition. Encourage her to avoid lifting heavy weights, bending forward too much, or sitting for prolonged periods.
Ayurvedic treatments can include specific internal medications and external therapies. Internally, giving her Kashaya (decoctions) like Rasnasaptakam or Sahacharadi Kashayam can help manage pain and inflammation. These decoctions should be taken as advised by an Ayurvedic practitioner, typically 15-20 ml twice a day before meals.
Externally, abhyanga (oil massage) using medicated oils like Sahacharadi Thailam or Mahanarayan Thailam, followed by swedana (herbal steam), can be beneficial. These therapies help in reducing the stiffness and improving circulation in the affected area.
Dietary regulation is also crucial; she should consume vata-pacifying foods which are warm, moist, and nutritious. Including ghee in her diet can be beneficial, as it has lubricating and vata-balancing properties.
In some cases, Panchakarma therapies like Vasti (medicated enemas) can be particularly effective for alleviating symptoms related to vata disorders by removing toxins and balancing doshas. However, these should only be performed under the guidance of an experienced Ayurvedic physician.
Always consider these treatments as complementary, not a replacement for necessary surgical intervention. The severity and risk assessed by her allopathic doctors must guide the decision-making process for pursuing any surgical options. It is vital to regularly consult with both Ayurvedic and conventional healthcare providers to monitor her condition and choose the best course of action.
Disc bulge can be treated without surgery. But she needs to get admitted atleast for 7 days.
There is treatment called “kati basti” in ayurveda which gives immense response to pain and then enema therapy along with dhaara or massage depending on the physical and medical features of the patient. If you approach a marma specialist they can help with this by marma manipulation and reducing the disc bulge. Oral medication has to be continued for a period till the patient gets maximum cure.
Take Trayodashang guggul 1-0-1 after food with water Ashwagandha tablet 0-0-1 at bedtime with Ekangvir ras 1-0-1 after food with water At nearby ayurvedic centre take kati basti. & Matra basti Snehan + nadi swed will also help. Continue all these treatments and follow up after 1 month
Trayodashanga guggulu- Peedantaka vati- One tablet twice daily after food with warm water Mahanarayana taila-gentle massage to be done
Hello Anees,
Yes, a disc bulge at L4–L5 level with radiating nerve pain to the buttocks and thigh is commonly treated successfully in Ayurveda without surgery, especially when addressed early. Since your mother is only 33 years old, her body has good healing strength, and surgical intervention can often be avoided with consistent Ayurvedic therapy.
In Ayurvedic terms, this condition resembles Gridhrasi (sciatica) caused by Vata vitiation, leading to dryness, nerve irritation, and disc compression. The disc may be bulging, but if inflammation and nerve sensitivity are calmed, the pain and discomfort can reduce significantly, often without needing surgical correction.
Internal Medicines (6–8 weeks minimum) Trayodashanga Guggulu – 2 tablets twice daily after meals Yogaraja Guggulu – 1 tablet twice daily after meals Rasnadi Kashayam – 15 ml with 45 ml warm water before meals Dashamoolarishtam – 20 ml with equal water after meals Ashwagandha Churna – ½ tsp at bedtime with warm milk
If pain is sharp or radiating:
Apply Mahanarayana Taila or Vishagarbha Taila locally twice a day with gentle warmth Panchakarma and External Therapies (Highly Recommended) If possible, visit a certified Ayurvedic center and undergo:
Kati Basti – oil pooling therapy over the lower back (5–7 sittings) Abhyanga with Nadi Swedana – full body oil massage followed by steam to reduce muscle tension Patra Pinda Sweda – herbal leaf bolus massage for pain and inflammation Matra Basti – oil enema (30–60 ml) with Sahacharadi Taila or Narayana Taila for deep Vata relief
Diet (Pathya)
Include: warm rice, moong dal, ghee, beetroot, spinach, cooked methi, and milk boiled with turmeric Soaked almonds, soaked raisins, and 1 date daily Use cow ghee in all three meals to pacify Vata Hydrate with warm water throughout the day
Avoid (Apathya)
Cold water, sour curd, refrigerated and fermented food Spicy, fried items, junk food Excessive salt and sugar Sitting for long periods, bending forward, soft mattresses
Lifestyle Tips
Gentle yoga postures like Bhujangasana, Makarasana, and Setu Bandhasana (under guidance only) Avoid forward bending, squatting, and lifting weight Regular warm water bath in the morning Use orthopedic support while sitting
Investigations (Only if not done recently) MRI (already done) Serum Vitamin D3 Serum B12 Calcium levels
If there are no neurological deficits like foot drop or bladder issues, Ayurvedic treatment can bring long-term relief without surgery. The key is to calm the aggravated Vata, reduce nerve compression, and strengthen the spine and surrounding muscles gradually.
If you have any doubts, you can contact me. Take care, Regards, Dr. Karthika
HELLO ANEES,
Your mother has a disc bulge at L4-L5- the lower part of the spine , just above the tailbone. The spine has soft cushions(disc) between the bones. These discs allow movement and act like shock absorbers
In her case, the disc between the 4th and 5th lumbar vertebrae is bulging out and pressing on nearby nerves. This is why she feels -pain starting from lower back -radiating pain to buttocks, thighs, and possibly the legs -tingling , numbness, or weakness in those areas
This is often referred to as sciatica in modern medicine
TREATMENT GOAL Ayurveda calls this condition Gridhrasi(sciatica), caused mainly due to vata dosha imbalance. The goal of treatment are -reduce pain and inflammation -stop the disc from getting worse - restore nerve function -strengthen bones, muscles and disc -prevent recurrence - avoid surgery
START INTERNALLY WITH
1) DHANVANTARAM GULIKA= 1 tab twice daily after food with Rasnadi kashaaya =vata kapha pacifier, useful in lower back pain and degenerative disorders
2) SIMHANADA GUGGULU= 2 tabs twice daily after meals =reduces vata and toxins, indicated in joint and nerve disorders with stiffness and swelling
3) EKANGAVEER RAS= 250 mg once daily with honey in morning =very effective in paralysis, sciatica and nerve weakness
4) VATAKULANTAKA RASA= 125 mg with warm water twice daily after meals =excellent for chronic vata disorders and nerve root compression
5) RASNASAPTAKAM KASHAYA= 15 ml with 15 ml water twice daily before meals =effective for pain, swelling, and nerve compression
6) BALARISHTA= 20 ml. with water after meals with water =rejuvinative, improves nerve strength, muscle tone and overall immunity
GANDHARVAHASTADI KASHAYA= if constipation take 20 ml. with water at night
TAKE THIS MEDIICNES FOR ATLEAST 2-3 MONTHS
EXTERNAL THERAPIES= ADVISED TO GO AT PANCHAKARMA CENTRE
1) KATI BASTI= warm medicated oil is pooled on the lower back for 30-40 minutes daily oils= sahacharadi taila for 4-14 days
2) ABHYANGA + SWEDANA =full body oil massage followed by herbal steam -removes stiffness and improves nerve function
3) PATRA PINDA SWEDA =leaves of eranda, nirgudi, arka made into bolus and dipped in oil, used for massage
4) BASTI=medicated enema= VERY BENEFICIAL TREATMENT -ANUVASANA BASTI= alternate days -with balaashwagandhadi taila =nourishes spine and nerves
-NIRUHA BASTI= alternate days =detoxifies colon and Balances Vata for 16 days THIS WILL GIVE LONG LASTING RELIEF WITHOUT SURGERY
DIET TO BE FOLLOWED -warm, soft, nourishing food - ghee, moong dal, khichdi - cooked vegetables-bottle gourd, ash gourd, pumpkin - milk with turmeric at night -herbal teas-ginger, cumin, coriander
AVOID -cold or refrigerated food - dry food-chips, crackers -raw salads-increases dryness/vata - caffeine, sour food, fermented foods - excess wheat, maida, or fast foods
LIFESTYLE CHANGES -avoid prolonged sitting or standing - use firm mattresses and back support -avoid sudden bending or heavy lifting - do not sit cross legged for long -avoid exposure to cold wind or cold water - apply heat compress with castor oil to lower back
EXTERNAL APPLICATIONS -MURIVENNA OIL= anti inflammatory, applied warm over back and legs
-NIRGUNDI TAILA= relieves pain ,improves circulation
-DHANWANTARAM TAILA= good for strengthening nerves and bones
Apply gently and follow with warm compress
YOGA AND PRANAYAM
MAKARASANA= relieves pressure on spine
BHUJANGASANA= strengthens lower back
SHALABHASANA= strengthens core and spine
SETU BANDHASANA= opens spine, strengthens buttocks
MARJARIASANA= improves spine flexibility
AVOID= forward bends, twisting poses and high impacts movement
PRANAYAM
ANULOM VILOM= balances nervous system, calms vata
BHRAMARI= calms mind, reduces pain perception
UJJAYI= brings awareness to breath, improves oxygenation
DO FOLLOW CONSISTENTLY
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Ayurveda offers several treatment options for a spine disc bulge at the L4-L5 level, focusing on alleviating pain and promoting natural healing. Surgery may be recommended in severe cases, but Ayurveda can provide support to manage the condition and improve quality of life. The primary goal is to reduce inflammation, pain, and pressure on the nerves.
For dietary recommendations, your mom can include foods that are anti-inflammatory and nourishing. This means preferring warm, cooked meals over raw and cold foods, focusing on soups, stews, and porridges. Spices like turmeric, ginger, and garlic can help reduce inflammation due to their Vata balancing properties. Ensure she stays hydrated with warm water or herbal teas (like ginger or chamomile).
Panchakarma therapy may offer effective support for this condition. This includes treatments like Abhyanga (oil massage), Swedana (herbal steam therapy) and Basti (medicated enemas) specifically aimed at reducing Vata dosha, which often causes imbalances leading to pain and nerve irritation. These therapies should be performed under guidance of an experienced Ayurvedic practitioner who can tailor them to your mom’s specific needs.
Encouraging mild, consistent physical activity is also vital—simple yoga poses such as Bhujangasana (Cobra pose) and Ardha Matsyendrasana (Half spinal twist) can help, but should be introduced gradually and gently, paying attention to her comfort levels and avoiding any strain.
Additionally, consider using Ayurvedic herbal supplements that are traditionally used for musculoskeletal and nerve issues. Herbs like Shallaki (Boswellia serrata) and Guggulu may be beneficial, but always consult with a qualified Ayurvedic practitioner before introducing any new supplements, especially if she’s already taking allopathic medications.
Finally, managing her stress is also critical, as it can exacerbate pain. Encourage practices like meditation or pranayama (breathing exercises) daily to calm the mind and reduce tension.
If her condition worsens or if she experiences debilitating symptoms it’s important to follow up with a healthcare provider to reevaluate her treatment plan, keeping all options open for her benefit.
HELLO ANEES,
DIAGNOSIS IN AYURVEDA -GRIDHRASI(siatica)= classic symptoms- radiating pain from Lowe back to buttocks/thigh -KATI SHOOL(low back pain)= associated with disc degeneration or bulge -VATA VYADHI=beacuse spinal disc degeneration involves Rukshata(dryness), Katinyata(stiffness), and Toda(pricking pain)- all symptoms of Vata dosha aggravation
PROPER STAGE WISE AYURVEDIC MANAGEMENT PLAN
STAGE 1= PAIN MANAGEMENT AND VATA PACIFICATION(7-10 DAYS)
1) MAHAYOGARAJ GUGGULU= 1 tab twice daily after meals with lukewarm water =analgesic, nerve relaxant
2) DASHMOOLA KASHAYA= 20 ml twice daily with water after meals =reduces vata and inflammation in sciatic region
3) ERANDA SNEHAM= 2 tsp at bedtime every 3 days =mild purgation and vata anulomana
DIET GUIDELINES -warm, oily, easy to digest food -ghee with meals (esp medicated ghee like Sukumar ghrita) -AVOID= dry, spicy, fermented, stale food
STAGE 2= EXTERNAL THERAPIES(10-14 DAYS) For local relief, muscle relaxation, and disc nourishment
DAILY PANCHAKARMA BASED THERAPIES
1) ABHYANGA(massage with medicated oils) oils= KOTTAMCHUKKADI TAILA FOCUS= lower back, buttocks, thighs DURATION= 30-40 mins
2) NADI SWEDANA= after oil massage for deeper penetration =decreases stiffness, pain and improves mobility
3) KATI BASTI (oil retention therapy on L4-L5) -pooling warm medicated oil over the affected disc area -oils= BALA TAILA duration= 30-40 mins
4) LEPAM(herbal pain relieving paste) -for acute pain or swelling =dashmoola+rasna+ nirgundi+ eranda
STAGE 3= CORE THERAPY= BASTI KARMA(14-21 DAYS) The most crucial ayurvedic treatment for disc degeneration and nerve pain
BASTI(medicated enema therapy) basti nourishes, lubricates, and detoxifies the colon and spine area- the main seat of vata
ANUVASANA BASTI = using BALA TAILA
NIRUHA BASTI= dashmoola , rasna, guduchi etc
YOGA BASTI= 8 or 15 basti plan based on chronicity
(THESE ALL SHOULD BE DONE AT PANCHAKARMA CLINIC) =VERY EFFECTIVE AND BENEFICIAL TREATMENT
STAGE 4= RASAYANA + REJUVINATION (post pain phase, 1+ month) helps regenerate disc tissue, strengthen bones and nerves
1) ASHWAGANDHA RASAYNAA= 1 tsp daily at night with warm milk = strengthens muscles and nerves
2) SHATAVARI GHRITA= 1 tsp with warm milk in morning =tonic, improves lubrication
3) KAISHOR GUGGULU= 2 tabs twice daily after meals =blood purification, anti inflammatory
4) BALA CHURNA + GHEE= 1 tsp mixed with ghee twice daily =tonic for nerves
YOGA THERAPY once pain subsides
ASANA -bhujangasana -shalabhasana -setubadhasana -makarasana
PRANAYAM -anulom vilom -bhramari -ujjayi
AVOID = froward bends, twisting movements and lifting weights
AYURVEDIC DIET PLAN
KEY PRINCIPLES -PACIFY VATA= warm , moist, oily, nourishing foods -Avoid toxins= easy to digest foods only -Build Ojas= strengthen tissues, especially bone, and nerve
FOODS TO INCLUDE
GRAINS -rice -preferably red, rice, or semi polished rice -wheat- whole wheat, rotis with ghee -oats -semolina
VEGETABLES(well cooked, not raw) -bottle gourd -ridge gourd -pumpkin -sweet potato -carrots, beets -drumstick
cook with ghee or sesame oil, add mild spices like cumin, ginger, ajwain
LEGUMES(small quantity) -moong dal - very light and vata balancing -massor dal-better digested when seasoned with hing and cumin
FATS(essential for disc and nerve health) -Ghee-highly recommended, nourishes nerves and joints -Sesame oil = warming and vata pacifying -Castor oil= occasionally
DAIRY(warm and spiced) -warm milk with turmeric and ashwagandha -buttermilk-diluted and spiced with cumin, hing
HERBS AND SPICES -cumin, coriander, ginger, turmeric -hing-excellent for gas and vata -garlic= antiinflammatory and nerve supportive
FOODS TO AVOID
COLD , DRY, HARD TO DIGEST FOODS -cold drinks, ice cream, smoothies -dry snacks-chips, popcorn etc -raw salads especially at night -leftover, stale or refrigerated food
SPICY, SOUR, FERMENTED OR GASEOUS FOODS -pickles, vinegar, curd-especially at night -excess garlic-chilli chutneys -cabbage, cauliflower, beans, peas cause gas
STIMULANTS AND DEHYDRATING ITEMS -tea, coffee in excess -alcohol -cigarettes/smoking -fried foods and bakery products
1) HERBAL DECOCTION - YOU CAN MAKE AT HOME =dashmoola+ rasna+guduchi= anti inflammatory =take warm in morning or evening
2) SPICED MILK =boil milk with 1 tsp ghee, pinch turmeric, cardamom, nutmeg- before bed
FOOD HABITS AND RULES -eat at fixed times -sit calmly and eat without distractions -don’t skip meals- vata increases on empty stomach -use lukewarm water avoid cold water
THANK YOU
DR. HEMANSHU MEHTA
