Hello It was really nice of you to share your medication details along with the symptoms. I can totally empathize with you. Chronic back pain with nerve involvement naturally is very painful and takes away the comfort of the day-to-day life and also the personal life to some extent. I am going to help you in a very safe, integrative Ayurvedic way considering your existing medicines.
YOUR CONCERN Your symptoms depict Medium chronic pain The pain intensifies when you bend forward Occasional numbness and tingling Sexual activity limited due to pain & nerve discomfort Temporary relief with a small towel under the lower back
Your relief from the use of a towel confirms that you are supporting your lumbar lordosis, which is typical in Vata disorders of the spine.
👉Your Current Medicines –
You are taking: 1.Tizanidine – muscle relaxant 2. Lacosamide – nerve stabilizer (you feel better on this ✅) 3.Omeprazole – stomach protector 4.Vitamin B12 – nerve nourishment 5. Piroxicam Betacyclodextrin – pain killer ❌ Pregabalin – stopped (since Lacosamide works better)
➡️ The first piece of good news is that these are the right medicines for controlling nerve pain and spasm.
However, long-term use of painkillers and muscle relaxants can weaken the digestive system and, according to Vata, make it worse, so Ayurvedic support is very necessary at this time.
✅ Ayurvedic Treatment Plan
PANCHAKARMA (Purification - only under the supervision) In case pain becomes chronic or increases: Matra Basti (oil enema) with: Bala Taila This nourishes the nerves and lumbar spine directly.
INTERNAL MEDICATION
You are allowed to take the following along with your present medicines (it would be better if there is a gap of 1–2 hours between them):
1.Yograj Guggulu - 1 tablet twice daily after food (Reduces nerve compression & stiffness)
2. Dashmoolarishta – 20 ml with equal water at night (Best anti-Vata spine tonic)
3. Maharasnadi Kashayam – 15 ml twice daily with an equal amount of water before food (Perfectly suited for nerve and joint inflammation)
4. Ashwagandha Churna - ½ tsp at night with warm milk (Nerve, muscle strength & stamina improvement)
5. Balarishta – 15 ml at night (Improves pelvic, lower back & sexual strength)
✅ External Ayurvedic Therapy (Very Important)
Daily massage of: - Lower back - Hip region - Back of thighs with: Mahanarayan Taila
– 15 mins daily – Follow with a warm water bath – This brings about the following improvements: Better blood circulation Nerve lubrication Reduction of the stiff feeling Gradual sexual function improvement
✅ DIET PLAN As you are taking pain medicices
✅ Eat:
Warm, soft foods Rice gruel, khichdi Ghee – 1 tsp daily Milk at night Soaked almonds (5)
❌ Avoid
Dry food (biscuits, bakery) Cold drinks Too much tea/coffee Late-night dinner
✅LIESTYLE ADVICE While sleeping, use a small towel under your lower back (continue ✅)
❌ Avoid: Suddenly bending forward Sitting on the floor Using a squatting toilet
✔️ Do: Walking at a gentle pace Simple spine stretching (only within a pain-free range)
✔️ Do not lift heavy things
✅ Sexual Activity Issue – Important Reassurance
Your limitation is the result of: Compressed nerves Pelvic Vata aggravation Muscle spasm & fear of pain
✅ This is REVERSIBLE with nerve nourishment + oil therapy + Ashwagandha + Balarishta.
✅ Investigations Suggested (If Not Done)
MRI Lumbar Spine (if pain persists > 3 months) Vitamin D3 ESR / CRP Blood sugar levels
- Lacosamide is the one you are responding better to, and this confirms a nerve origin which Ayurveda treats root-level. - With oil therapy + internal Vata medicines + diet correction, you may: Reduce your reliance on painkillers Improve your movement Restore your confidence in daily life Naturally improve the quality of your sex life
Warm Regards Dr Snehal Vidhate
Don’t worry take brihath vata chintamani ras 1tab bd, rasandi Guggulu 1tab bd,maha yoga Raja Guggulu with Gold 1tab, mahanarayana tail external application enough, swadista virechana churnam 1tsp with lukewarm water enough
Take ashtisrukhala ghee 5 ml morning at empty stomach Take lubartone 2 tds Take pulcurd 2 bd Take mahayograj gugulu 2 bd



