Sciatica radiating painnumbnesson right leg foot - #26826
I have L5 S1 discissueandpain radiationto my right leg from hip to toe.Under went14 days panchakarma treatment..The pain impacted my sleep after 14 days treatment, my sleep is better. But atdaytime thereis a discomfort and pullingpain withfoot numbness.. Continuing the oil application at.home as advised..Whatis thepossibilityit will be cured in coupleof days as said by doctor..
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Doctors’ responses
Avoid sour and fermented food. Regular exercise. Cap. Spondylon 2-0-2 Tab. Parijat 2-0-2
Don’t worry,
Start taking, 1.Sahacharaadi kwath 20ml with equal amount of Lukewarm water empty stomach twice in a day. 2.Trayodashang guggulu 2-0-2 for chewing. 3.Giloyghanvati 1-1-1
*KATI BASTI WITH SAHACHARAADI OIL.
FOLLOW UP AFTER 15 DAYS.
TAKE CARE😊
Do not worry it takes some time to relieve all those chronic pains Meanwhile you can start on Trayodashanga guggulu- Peedantaka vati- Vishatinduka vati- 1 tab each twice daily after food with lukewarm water Do not lift heavy weights Do gentle yogas lik bhujangasana
1.Sacharadi kashaya 10ml-0-10ml with 40 ml of water 2.Yograja guggulu 1-0-1 tab 3.Tryodashang guggulu 1-0-1 tab 4.Ekanga veer rasa 1-0-1 tab
Adv: you should complete your panchkarma treatment but it will lots of patience anf faith after that you will get wonderful results.
Could you please provide your current medication details?
Which are the treatment you have done
Even after Panchakarma, the nerve often needs weeks to months to fully heal.
So while your doctor may have meant that you’ll “feel better in a couple of days,” full recovery usually takes longer. You might see some improvement in a few days.
But here what you can do now
1. Continue Ayurvedic Care • Daily oil application (Mahanarayana taila / Sahacharadi taila) with gentle warming before application • Mild stretching after warm oil application, only if pain allows • Avoid forward bending, sudden twisting, or lifting weights
2. Combine with Gentle Modern Care • Physiotherapy: Continue physiotherapy treatment as long as possible • Hot fomentation (not too hot) after oil massage for 10–15 min • B12 & Vitamin D check — low levels slow nerve recovery
3. For Diabetes Control • Keep fasting sugar & HbA1c in good range for optimal nerve repair • Avoid prolonged sitting; change posture every 30–40 min
If you develop: • Sudden increase in pain • Weakness in foot/leg (foot drop) • Loss of bladder/bowel control Seek medical help immediately — these can indicate severe nerve compression.
Hi parthasarathy this is Dr Vinayak as considering your problem… No need to worry as you already took panchakarma procedure…it is really k…but only one sitting is not enough if you have chronic issue…
Other thing is you are diabetic so you need long time ri get relief Maintain both external and internal medicine Rx- Mahanarayana taila Abhyanga before bath then hot water bath Maharasnadi kada 10ml twice after food Trayodashanga guggulu 1-0-1after food
From an Ayurvedic perspective, the symptoms you’re describing, including L5-S1 disc issues, radiating pain to the leg (sciatica), and numbness, are commonly associated with an aggravation of Vata dosha. This condition is often referred to as Gridhrasi.
Ayurvedic Treatment Principles
Ayurvedic treatment for conditions like yours focuses on reducing inflammation, relieving pain, and strengthening the affected area by balancing the aggravated Vata dosha. This is done through a combination of therapies, internal medications, and lifestyle adjustments.
Herbal Medications: various herbal medicines to be taken internally. These are chosen for their anti-inflammatory, analgesic (pain-relieving), and nerve-strengthening properties. Common herbs used include:
Guggulu: Known for its ability to reduce pain and inflammation.
Ashwagandha: Helps to strengthen nerves and muscles.
Dashamoola: A blend of ten herbs with potent anti-inflammatory effects.
Diet and Lifestyle: To prevent a recurrence and support healing, a Vata-pacifying diet is recommended
. This involves consuming warm, nourishing, and easily digestible foods while avoiding cold, dry, and gas-forming foods. Maintaining proper posture and avoiding heavy lifting are also crucial.
Yoga and Exercises: Gentle exercises and specific yoga postures can help improve flexibility, strengthen core muscles, and reduce stiffness. However, it’s essential to perform these under expert guidance to avoid worsening the condition.
The pulling pain and foot numbness during the daytime are classic symptoms of nerve compression (radiculopathy) associated with your L5-S1 disc issue. It’s not uncommon for symptoms to persist after initial treatment, and follow-up care is often necessary to achieve a full recovery. Continued treatment, potentially including more Panchakarma sessions, herbal medicines, and consistent lifestyle changes, can help to further alleviate your daytime symptoms and provide a more long-lasting cure.
1) Tab. Rasnadi Guggulu-2 tab. After food with warm water; 3 times
2) Tab. Sahacharadi Kashayam-2 tab.
After food with hinguwachadi tail 2ml and warm water; 2 time
3) Ashwagandha-2gm+ Pippalimoola -1gm+Chopachini-1gm +Gokshura-1 gm+Maharashtrian Rasa 125mg+Sameerapannaga Rasa-60mg- after food with water 2 times
kindly go for panchkarma center as panchkarma can solve your problem permanently
Start with Trayodashang guggul 1-0-1 after food with water Ekangvir ras 1-0-1 after food with water Laxadi guggul 1-0-1 after food with water. Continue oil application Once pain comes under control Start yogasan slowly, don’t over stretch learn back strengthening yogasana/ exercises but only once pain reduces. Wear lumbo sacral waist belt during the day .
HELLO PARTHASARATHY,
You have L5-S1 disc problem, -The spinal discs are like cushions between the bones of your spine -At the L5-S1 level (low back), your disc is bulging or slipped, pressing on the sciatic nerve. -The sciatic nerve runs from your lower back-> through the buttocks -> down the leg to the toes
THAT’S WHY -You have pain from hip to toe (radiating pain) -There’s a “pulling” feeling and numbness in the foot -pain worsens during the day with activities -numbness means the nerve is irritated and partly compressed. You also have diabetes, which can slow nerve healing because high sugar can affect nerve nutrition.
In Ayurveda, this is similar to Gridhrasi, a disease caused mainly by aggravated Vata dosha (the energy responsible for movement, nerve impulses, dryness). Sometimes Kapha dosha also joins (causing stiffness and swelling)
ROOT PROBLEM ACCORDING TO AYURVEDA -weakness/dryness in spine tissues (asthi dhatu and majja dhatu) -vata movin gin wrong direction (vyana Vayu and apana Vayu disturbance) -obstruction of nerve pathway by disc swelling
TREATMENT GOALS -Reduce nerve irritation and pain-> relieve inflammation and pressure -Nourish and strengthen discs, nerves, and muscles-> to prevent recurrence -Correct vata imbalance-> restore proper nerve function and body balance
EXTERNAL TREATMENT
1) OIL MASSAGE= MAHANARAYAN TAILA =warm oil massage for 15 mins daily =lubricates tissues, relaxes muscles, pacifies vata, improves blood circulation
2) FOLLOWED BY HOT STEAM =allow oil to penetrate deeper
INTERNAL MEDICATIONS
1) MAHAYOGARAJ GUGGULU= 2 tabs twice daily after meals =removes stiffness, clears channels, pacifies vata
2) DASHMOOLA KASHAYA= 20 ml with warm water twice daily before meals =anti inflammatory, vata kapha balancing
3) ASHWAGANDHA CAPSULES= 500mg cap twice daily after meals =strengthens nerves, reduces stress, improves sleep
4) RASNADI KASAHYA= 15 ml with equal water twice daily after meals =for pain and swelling
5) TRIPHALA= 1 tsp with warm water at bedtime =maintain digestion and prevents constipation
DURATION= usually 8-12 weeks
LIFESTYLE CHANGES AVOID= sitting for long periods, lifting heavy objects, forward bending, sudden twisting
USE= firm mattress, lumbar support chair, avoid high heels
WARMTH= keep lower back warm, avoid exposure to cold wind
MOVEMENT= short walks, gentle stretching, never stay in one position > 30 mins
YOGA - GENTLE AND SLOW -Bhujangasana= strengthens back muscles -Makarasana= relieves back strain - Setu bandhasana= strengthens core -Shalabhasana= improves spinal health
PRANAYAM -Anulom vilom= balances vata, calms mind -Bhramari= relieves stress, improves nerve healing -Ujjayi= improves oxygenation
DIET
INCLUDE= warm cooked vegetables, soups, khichdi, ghee, whole grains, soaked almonds, sesame seeds
SPICES= ginger, cumin , ajwain, turmeric
AVOID= cold drinks, raw salads, excess dry foods, too much caffeine, processed sugar
DIABETES FRIENDLY TWEAKS= use millets ragi, jowar, bajra, avoid refined flour, limit rice to small quantities
HOME REMEDIES -Warm sesame oil massage on lower back+ mild heating pad -decoction of dashmoola or rasna= 1 cup twice daily -turmeric+ warm milk with black pepper at night= anti inflammatory -fenugreek seed powder (1/2tsp) in warm water morning- reduces stiffness
INVESTIGATIONS NEEDED -MRI lumbar spine -Blood sugar -vitamin b12 and D
-Pain may reduce quickly, but numbness takes time- often several weeks to moths -with diabetes nerve healing is slower, so patience is key -consistency, correct posture, proper diet, and vata pacifying lifestyle will reduce recurrence -Ayurveda aims not just at pain relief, but strengthening your back for long term
DO FOLLOW CONSISTENTLY
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
With L5 S1 disc issues, sciatica, and symptoms like pain radiating from the hip to the toe, what ou’re experiencing is understandable. The improvements in sleep after Panchakarma indicate some positive shift, but daytime discomfort, pulling pain, and foot numbness are quite common with this condition. Ayurveda looks at the root cause, often linked to aggravated Vata dosha, and aims to balance this through specific treatments and lifestyle adjustments.
Expecting a cure in just a few days might be overly optimistic, particularly if symptoms are long-standing. Recovery times can vary, and while significant relief may occur soon, complete healing sometimes requires more persistent efforts. Regular oil applications (like Mahanarayana or Sahacharadi taila) support the process by soothing aggravated nerves and reducing inflammation. Continue using warm oil (slightly above body temperature) and massage gently to promote better circulation and relieve stiffness.
Include anti-inflammatory herbs in your routine such as Ashwagandha or Guggul, whichever suits your body type. Consult with your Ayurvedic practitioner for personalized doses. Diet also plays a crucial role; focus on warm, fresh foods, avoiding raw or very cold items that could aggravte Vata. Ginger tea can aid digestion and reduce Vata imbalance. Gentle yoga or stretching exercises tailored for sciatica relief may support recovery; however, avoid strain.
Consider seeking a second opinion if symptoms persist or worsen. The realistic outcome depends not only on initial treatments but also on staying committed to self-care routines and possibly exploring adjunct Ayurvedic therapies. Time, patience, and comprehensive management are key components in addressing such conditions holistically. Keep in touch regularily with your Ayurvedic physician for follow-up and modifications as necessary.
Sciatica pain and symptoms from an L5-S1 disc issue are often rooted in Vata imbalance, particularly focusing on Apana Vata that governs the lower part of the body. You’ve mentioned undergoing a Panchakarma treatment, which is a very beneficial approach for cleansing and possibly alleviating some of those Vata disturbances. However, healing from sciatica can be gradual, and while your sleep improvement suggests some positive progression, the daytime discomfort and numbness indicate that your body still needs more time and care to recover fully.
Immediate full recovery in a couple of days might be optimistic. Consistency with the recommended therapies and lifestyle adjustments will help facilitate your healing process. Continue with the oil application, ideally using medicated oils like Mahanarayan oil or Kottamchukkadi oil, which support joint health and pain relief. Apply warm oil gently on the affected area twice a day, followed by a warm compress, if suggested.
Incorporate gentle yoga poses or exercises that can help in stretching and strengthening muscles around the spine and lower limb. Focus on postures like Bhujangasana (cobra pose) and Pawanmuktasana (wind-relieving pose) but practice carefully and under guidance if you’re unfamiliar. Pranayama, especially slow, deep breathing, can also assist in balancing Vata and calming the nervous system.
Keep an eye on your diet to support Vata pacification. Warm, cooked foods with healthy fats like ghee can be beneficial. Avoiding cold, dry, or overly processed foods can also support your condition. Nourishing your body with warm fluids such as herbal teas, specifically ginger or ajwain tea, can support digestion and Vata balance.
Ensure you’re resting appropriately during the day to prevent exacerbating the symptoms. If discomfort persists or worsens, follow up with your Ayurvedic physician, and consult a neurologist to exclude more severe neural problems needing urgent medical intervention.
HELLO PARTHASARATHY,
AGE= 54 years CONDITION= L5-S1 disc issue with radiating pain from hip to toe, foot numbnesss (sciatica) CHRONIC ISSUES= diabetes STATUS= completed 14 days of panchakarma, night sleep improved, daytime discomfort and numbness continue
AYURVEDIC MANAGEMENT
DOSHA INVOLVEMENT= predominantly vata disorder (apana vata imbalance)
DHATU AFFECTED= majja dhatu (nerves), asthi dhatu (bones)
PATHOLOGY= vata gets aggravated and compresses nerve roots at L5-S1, causing radiation and numbness
CURRENT PROGRESS -improvement in sleep post panchakarma indicates calming of aggravated vata -Daytime discomfort and numbness suggest residual vata imbalance, deeper nerve involvement
CAN IT BE CURED IN A COUPLE OF DAYS? Unikely to be fully cured in just a few days- nerve recovery takes time. However with proper continuation of care, symptoms can significantly improve within 2-6 weeks
CONTINUE EXTERNAL THERAPIES AT HOME
-Oil massage daily with Mahanarayan taila
-After oil massage localised or full body steam therapy
ORAL MEDICATIONS
1) YOGARAJ GUGGULU= 2 tabs twice daily after meals =anti inflammatory and balances vata
2) DASHMOOLA KASHAYA= 25 ml with equal water twice daily before meals =reloeves pain and inflammation
3) TRAYODASHANGA GUGGULU= 2 tabs twice daily after meals =nerve tonic, useful for sciatica
4) BALA CHURNA= 1 tsp with warm water/milk in night =strengthens nerves and reduces fatigue
5) VATA VIDHWAMSA RAS= 125 mg in morning =vata hará
LIFESTYLE AND DIET -warm, vata pacifying diet= no cold/raw foods, avoid gas- forming items -use ghee, warm cooked meals, herbal teas ginger, ajwain -avoid long sitting, forward bending and cold exposure -gentle yoga/stretching
SUPPLEMENTS -Ayurvedic nerve tonic= Brahmi vati= 1 tab at night
WHAT TO EXPECT
1 WEEK= reduced pain and stiffness
2-4 WEEK= gradual reduction in numbness
4-6 WEEK= significant nerve recovery
-Full nerve regeneration may take several weeks to few months -stick to routine, dont skip oil application and internal medications -avoid heavy exercise until pain subsides
THANK YOU
DR. HEMANSHU MEHTA

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