-Complaint:
Chronic lower back pain (>6 months), aggravated by lifting heavy objects, moderate intensity, affecting daily life. History of sacrococcygeal hyperlordosis, interfacet arthrosis L6-S1, discopathy, osteochondrosis, posterior protrusions L4-L5 & L5-S1, Tarlov cyst sacrum.
-Ayurvedic Diagnosis:
Vataja Kati Shoola (Vata-type lower back pain), Asthi Majja Kshaya (degeneration of bone and marrow), Sandhi Shoola (joint pain).
-Treatment Plan (OPD style):
Internal Medications:
1)Ashwagandha Churna – 3g, twice daily with warm milk
2)Yogaraja Guggulu – 2 tablets, twice daily after meals
3)Bala Taila Capsules – 1 capsule, twice daily with warm water
(Purpose: strengthen bones & muscles, pacify Vata, reduce inflammation)
-External Therapies:
Abhyanga (oil massage) with Mahanarayan Oil – daily 15–20 min
Swedana (steam therapy) – 10–15 min after massage, 3–4 times/week
-Lifestyle & Diet:
Avoid heavy lifting and sudden movements
Use firm mattress, maintain good posture
Warm, nourishing foods; include ghee, milk, soft cooked vegetables
Gentle daily yoga: Bhujangasana, Shalabhasana, Ardha Matsyendrasana (as tolerated)
-Follow-up:
Every 2 weeks
