How does back pain Ayurveda treatment work, and what are the best therapies? - #12813

I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.

I am an Ayurveda doctor with about 1 yr of hands on clinical practice, still learning everyday from patients and the science itself. My journey started as a VOPD doctor with Hiims Hospital under Jeena Sikho Lifecare Ltd. For 6 months I was into virtual consultations, understanding cases online, preparing treatment protocols and doing follow ups to track progress. That phase trained me well in quick patient assesment and also in explaining Ayurveda in a way that fit with modern expectations. I dealt with many chronic and acute cases during that time.. things like gastric issues, joint pain, stress related complaints, skin problems. The remote setting forced me to sharpen my diagnostic skill and rely more on careful history taking, prakriti analysis, and lifestyle understanding. After that, I moved to a Resident Doctor role at Chauhan Ayurved and Panchkarma Hospital, Udaipur. This was very different.. more practical, hands on, and really grounded me in classical Panchakarma. I was actively part of planning and performing therapies like Vamana, Virechana, Basti, Abhyanga, Shirodhara, and other detox and rejuvenation procedures. Many patients came with long standing spine issues, metabolic disorders, skin complaints, or hormonal imbalance and I got to see how tailored Panchakarma protocols and lifestyle advice together can bring changes that medicines alone couldn’t. Working closely with senior consultants gave me better clarity on safety, step by step planning and how to balance classical texts with practical hospital settings. Now, whether in OPD consultations or Panchkarma wards, I try to meet patients with empathy and patience. I focus on root cause correction, using herbs, diet, daily routine guidance, and therapy whenever needed. My belief is that Ayurveda should be accessible and authentic, not complicated or intimidating. My aim is simple—help people move towards long term wellness, not just temporary relief. I see health as balance of body, mind and routine.. and I want my practice to guide patients gently into that space.

I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.

I am someone who believes Ayurveda isn’t just some old system — it’s alive, and actually still works when you use it the way it's meant to be used. My practice mostly revolves around proper Ayurvedic diagnosis (rogi & roga pariksha types), Panchakarma therapies, and ya also a lot of work with herbal medicine — not just prescribing but sometimes preparing stuff myself when needed. I really like that hands-on part actually, like knowing where the herbs came from and how they're processed... changes everything. One of the things I pay a lot of attention to is how a person's lifestyle is playing into their condition. Food, sleep, bowel habits, even small emotional patterns that people don't even realize are affecting their digestion or immunity — I look at all of it before jumping to treatment. Dietary therapy isn’t just telling people to eat less fried food lol. It’s more about timing, combinations, seasonal influence, and what suits their prakriti. That kind of detail takes time, and sometimes patients don’t get why it matters at first.. but slowly it clicks. Panchakarma — I do it when I feel it's needed. Doesn’t suit everyone all the time, but in the right case, it really clears the stuck layers. But again, it's not magic — people need to prep properly and follow instructions. That's where strong communication matters. I make it a point to explain everything without dumping too much Sanskrit unless they’re curious. I also try to keep things simple, like I don’t want patients feeling intimidated or overwhelmed with 10 things at once. We go step by step — sometimes slow, sometimes quick depending on the case. There’s no “one protocol fits all” in Ayurveda and frankly I get bored doing same thing again and again. Whether it’s a fever that won’t go or long-term fatigue or gut mess — I usually go deep into what's behind it. Surface-level fixes don’t last. I rather take the time than rush into wrong herbs. It’s more work, ya, but makes a diff in long run.

I am an Ayurvedic doctor trying to bring the old wisdom of chikitsa into daily life, even if sometime I feel I am still learning new things every single day.. I work mostly with the classical principles, the ones I studied again n agin during my training, and I try to see how they fit with each patient’s prakriti and the tiny details of their health story. I am often thinking how Ayurveda doesn’t rush anything, it asks for understanding of the roga and even the rogi in a deeper way, and I keep that in mind when someone walks in and tell me their concerns. Some cases are simple, some not really, but I do my best to look at the ahara, vihara, dosha pattern and even the habits they don’t notice at first. Sometimes I get a bit caught up in analysing too many factors at once, or typing notes too fas and mixing commas,, but at the core I focus on using authentic Ayurvedic approaches—herbal formulations, routine correction, panchkarma suggestions where needed—and I try to guide people gently without overwhelming them. I am also aware that many patients come with doubts or half-heard ideas about Ayurveda, and I try to clear those without sounding too “doctorly,” just explaining what makes sense for their body. I want them to feel they can trust the process, even if progress take time or feel slow on some days. I am still growing in this field, and every person who comes to me reminds me why I chose Ayurveda in the first place: clarity, balance, and healing that respects the person as a whole. There are moments where I wish I had more hours in a day to study more granthas or revise a chapter I skipped, but I stay committed to giving care that is genuine, thoughtful and rooted in traditional practice—even if the journey gets a bit messy here n there !!

I am about 1 year into my practice journey n honestly that feels both small n big at the same time. When I first started, I wasn’t sure how quickly I could adjust from academic space into real clinical care, but gradually with each patient I learnt something more. My main focus is on pain management—conditions like knee joint pain, sciatica, lumbar back ache, spondylitis, tennis elbow, golfer elbow, frozen shoulder, heel pain etc. I try to combine careful diagnosis with treatments rooted in Ayurveda yet explained in practical way so patients don’t feel lost. Sometimes progress is slow, sometimes quick, but always there is learning in it. During this year I also kept my dedication toward research and evidence-based approach. I worked on presenting ideas and papers in academic forums whenever I got chance, and even managed to publish in journals that value Ayurveda in modern context. That gave me confidence that my small contributions can add to bigger discussions in medical field. In my postgraduate study I had finished Medicine with top score in my batch, which felt rewarding but also left me with responsibility to keep proving that I deserve that position. Honestly, academic achievements are good but real test is when someone walks in pain and goes back with relief, even if just partial at first. Sometimes patients expect instant cure, n that is where I try to keep balance—explaining how pain relief in conditions like frozen shoulder or spondylitis may take staged approach, while also keeping them hopeful. Ayurveda gives a framework but patient trust makes the treatment effective. One year is not a long time but it has been enough to show me the value of consistency, clarity and listening more than talking. My aim is not just treating pain but helping people understand their body better, manage lifestyle triggers, and feel supported in the journey of healing!!

I am fresh out of my BAMS and kind of still feeling my way through this big world of Ayurveda, and sometimes I catch myself digging too deep into new modes of therapy that our classical texts mention but we don’t always explore enough in daily practice. I am trying to understand how these concepts actually fit into real pts, real issues, not just theory on paper, and honestly that part excites me more than I thought. I am learning to look at health in a broader frame, seeing how dosha, agni, ama all play out together, and I keep noting small things that make big sense later. Some days I question if I am going too slow or missing something, but then I realise this phase of experimenting, reading, and observing the tiniest changes in people is important too. I am trying to blend these therapies gently into my approach, like testing how certain modalities respond better for digestion troubles or for stress patterns, and I feel like gradually I am shaping my own way of treating. Maybe it sounds a bit messy right now, but I want my practice to be grounded in authenticity and still open to new interpretations within Ayurveda. I am hoping that as I move ahead, these early experiences with new conceptual therapies sort of give me a stronger foundation, and even if the journey is not perfectly straight, I know I am working toward something meaningful for my future patients.

I am an Ayurvedic physician who kinda took the long way round in practice, but I feel that helped. I started off in the surgical dept., worked for a full year under a general surgeon—ya, in an allopathic setup—mostly assisting with diabetic wounds, dressing changes, debridement and post-op wound healing. That phase really taught me patience... and precision too. I wasn’t just watching, I was doing the stuff daily. Lot of tissue work, infection management, gauging healing speed—it all stayed with me even as I moved into Ayurveda fully. Now I run OPD-based practice in Mumbai. My major focus right now is musculoskeletal n autoimmune things—Amavata, Sandhivata—basically arthritis spectrum. I see a lot of cervical spondylysis, sciatica, frozen shoulder, you name it. I use internal meds + local therapies, mostly oil applications, kati basti, snehan–swedana combos. In few cases we do deeper detox (panchakarma types), but I keep it minimal unless needed. Pain relief is big, yes, but I’m more interested in building back lost mobility. Kidney stones is another area I take up often—non-surgical management only. Not everyone knows this but a lot of small-medium calculi *can* pass with the right formulations + diet corrections. It takes close monitoring, like a lot of it, but many patients avoid surgery when they stick to the plan. I always go case by case though, I don’t generalize stone care. Also yeah, I’m a certified nutritionist too, which kind of bridges the gap for me. I don’t believe Ayurveda and food can be handled separate. What they eat during vata aggravation or post-shodhana affects outcomes way more than people think. I like working on chronic cases, especially the ones who’ve seen too many doctors and still feel stuck. My treatment plans aren’t flashy, but I do adjust every small detail for each person. That’s where I think it works—the tuning, not the intensity.

I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.

I am Dr. Snehal Vidhate, born n brought up in Maharashtra—and honestly, for as long as I remember I’ve felt this pull towards Ayurveda. Not the fancy version ppl throw around, but the deep, real kind that actually helps ppl. I did my BAMS from YMT Ayurvedic Medical College in Kharghar. That’s where I got my basics strong—like really studied the shastras, understood prakriti, doshas, the whole deal. Not just crammed theory but started to see how it shows up in real lives. After finishing BAMS, I got into this one-year certificate course at Rashtriya Ayurveda Vidyapeeth, Delhi—honestly a turning point. I was super lucky to learn Kerala Ayurveda from my Guru, Prof. Dr. G.G. Gangadharan. He’s got this way of seeing things... simple but deep. That time with him taught me more than any textbook ever could. It kinda reshaped how I look at health, healing n how precise Ayurveda can be when you respect its roots. Right now I’m doing my MD in Panchakarma from SDM Ayurveda College, Bangalore. This place is like a hub for serious Ayurveda work. The Panchakarma training here? Super intense. We go deep into detoxification & rasayana therapy—not just theory again, but hands-on. I’m learning to blend classical techniques with today’s clinical demands.. like how to make Vamana or Basti actually doable in modern patient setups. My current practice is really about merging tradition with logic. Whether it’s chronic skin issues, gut problems, stress burnout or hormone stuff—my goal is to get to the root, not just hush the symptoms. I use Panchakarma when needed, but also a lot of ahara-vihara tweaks, medhya herbs, sometimes just slowing ppl down a bit helps. I really believe Ayurveda’s power is in its simplicity when done right. I don’t try to fix ppl—I work *with* them. And honestly, every patient teaches me something back.

I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?