Seeking Ayurvedic Treatment for L5-S1 Disc Bulge - #45331
Dear sir/madam , Am saikumar, age 23 years . Suffering with L5 - S1 disc bulge problem from the past 1 year . looking for non surgical treatments , looking for ayurvedic medicine trayodashang guggul etc ..... Mri scan impression: Lumbarization of S1 vertebra Diffuse L5-S1 disc bulge with posterior annular tear , posterocentral disc protrusion and extrusion and caudal migration of disc by 6.8mm causing compression on bilateral S1 traversing nerve roots. Doctor recommendation for surgery but am not interested in surgery looking forward for non surgical procedures and ayurvedic medicine. Current symptoms: Left leg pain while in walking ( mrng low & Evng to night little high)(unable to freely walk 15 - 20 steps without pain. And lower back pain while in sitting and relax and better feel while in lying on bed or in sleeping state. Kindly provide the details to cure my problem with ayurvedic medicine trayodashang guggul etc....and it's user mannual. Kindly let me know the brand name of medication too.
How would you describe the severity of your pain?:
- Moderate, affects daily activitiesHave you tried any treatments for your condition so far?:
- Yes, a few treatmentsWhat is your typical daily activity level?:
- Sedentary, little to no exerciseDoctor-recommended remedies for this condition

Doctors' responses
For your L5-S1 disc bulge issue, preventing further damage and promoting healing is key. While surgery is often recommended in cases like this due to nerve compression, certain Ayurvedic remedies might help alleviate symptoms if you’re seeking non-surgical options. Please consult a healthcare professional before starting any new treatment.
Trayodashang Guggul is a commonly used Ayurvedic preparation for neurological issues and joint pains. It’s crafted from a blend of herbs that are believed to strengthen nerves and reduce inflammation. Take 1 tablet, three times a day after meals with warm water. Remember, it is crucial to consult an Ayurvedic physician in person to tailor the dose to your specific needs.
Besides Trayodashang Guggul, consider the following:
1. Abhyanga (Oil Massage): Using warm Mahanarayan or Sahacharadi oil, gently massage the affected back area to improve circulation and reduce stiffness. Apply oil in the morning, leave it for about 30 minutes, and follow with a warm shower. This might help in alleviating pain and improving mobility.
2. Panchakarma Therapy: Procedures like Kati Basti, where warm medicated oil is retained on the lower back, may provide relief. Consult a certified Panchakarma therapist for personalized treatment.
3. Dietary Adjustments: Incorporating anti-inflammatory foods can be beneficial. Include turmeric, ginger, and garlic in your diet for their potential pain-relieving properties. Avoid excessively spicy or fried food, as they can aggravate your condition.
4. Yoga and Physical Therapy: Certain Asanas (yoga postures) like Bhujangasana and Makarasana might be recommended; they can help in strengthening back muscles and improving flexibility with guidance from a qualified yoga instructor.
As for the brand name, various verified Ayurvedic pharmacies produce Trayodashang Guggul - look for reputable ones like Dabur or Baidyanath. However, always ensure authenticity and quality. If pain persists or worsens, seek a professional medical evaluation immediately to prevent further complications.
In cases like an L5-S1 disc bulge, Ayurveda primarily focuses on managing symptoms, reducing inflammation, and preventing further damage by correcting the underlying vata dosha imbalance. Trayodashang guggul can indeed be beneficial here due to its anti-inflammatory and analgesic properties. Typically, it is taken in a dosage of 1-2 tablets, two or three times daily after meals, but it’s crucial to consult with a qualified practitioner for a personalized prescription based on your prakriti and symptoms.
Dietary agni is also crucial here, so focus on foods that pacify vata — warm, moist, and lightly spiced. Include cooked vegetables, whole grains, and lean proteins in your diet. Avoid cold or dry foods, as these too can aggravate the vata dosha.
Alongside, practices like gentle yoga asanas or specific stretches tailored to your capacity may relieve discomfort, too. Poses like the Bhujangasana (Cobra Pose) and Shalabhasana (Locust Pose) can enhance flexibility and strength without further strain, though ensure these activities are supervised or pre-approved by your healthcare provider.
Regular abhyanga (oil massages) with warm sesame oil or mahanarayana thailam can provide substantial relief in reducing muscle tension, improving blood circulation, and soothing nerve pains. Doing this in the morning before a warm shower can be particularly effective in increasing flexibility and mobility.
Seek medical attention promptly if your pain continues or worsens, as an MRI indicates severe impingement on the nerves. Avoid delaying any recommended interventions that might alleviate such acute distress long-term.

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