Persistent Lower Back and Spinal Pain with Fatigue - #48931

Provisional Diagnosis: Katigraha Vata Vyadhi Asthi-Majja Kshaya 💊 Medicines Yograj Guggulu Tab – 1 BD | After meals | Warm water Mahayograj Guggulu Tab – 1 OD | Morning | Warm water Dashmool Kwath 20 ml BD | Before meals | Warm water Ashwagandha Churna 5 g HS | With warm milk Godanti Bhasma 250 mg BD | With honey / milk 🧴 External Treatment Abhyanga with Mahanarayan Taila – Daily Swedana (Nadi / Patra Pottali) – After massage 🍽 Pathya–Apathya Pathya: Warm, light diet Ghee, milk Avoid prolonged sitting Apathya: Cold food, curd at night Excess tea/coffee Heavy lifting 🧪 Investigations Advised X-ray / MRI Lumbo-sacral spine Vitamin D3, Vitamin B12 Hb, TSH - Follow-up: After 14 days Tq