What to do for lower back pain at night with L4 L5 gap after physiotherapy? - #54544

Your symptoms suggest L4–L5 disc bulge/slip-disc with nerve compression, which in Ayurveda is commonly related to aggravated Vata dosha affecting the lower back region (Katigraha/Kativata). Night pain radiating to the legs indicates irritation of the nerves, so proper care is important. Since physiotherapy gives only temporary relief, treatment should focus on reducing inflammation, calming Vata, strengthening the spine, and avoiding further disc stress. Ayurvedic Management Avoid bending forward, lifting heavy weight, and long sitting Do not sleep on very soft mattresses Apply gentle warm oil massage with sahacharadi oil Mild heat fomentation may help stiffness and pain Take adequate rest but avoid complete bed rest for long periods Helpful Ayurvedic Therapies Kati Basti Patra Pinda Sweda Basti therapy (medicated enema) — very beneficial for chronic Vata disorders Rx 1. Rasnasapthakam kwath tab - 1 tab twice a day after meal 2.Myaxl cap - 2 cap twice a day after meal Depending on digestion and body constitution Lifestyle & Diet Keep digestion strong and avoid constipation Avoid cold, dry, packaged, and excessive fried foods Include warm homemade food, ghee in moderation, garlic, and nourishing diet

आपकी कमर के नीचे का दर्द और पैरों तक जाना वात बढ़ने और नसों पर दबाव के कारण है यह धीरे-धीरे ठीक होने वाली समस्या है, तुरंत ऑपरेशन जरूरी नहीं होता सही उपचार से आराम मिल सकता है –Internal Medicines 1) Muscalt Forte – 1 tab bd after food 2) Brihat Vata Chintamani Ras – 1 tab bd before food (with honey/ghee) 3) Mahayograj Guggulu – 2 tabs BD after food 4) Shatavari Tablets – 1 tab BD after food 5) tab trifla 1 tab at bed time 2. External Application Mahanarayan Taila – for local Kati Abhyanga (twice daily) followed by mild warm fomentation (Swedana) 3. Panchakarma Therapy (Advised) Kati Basti – 14 days course Abhyanga + Swedana – daily Basti Karma (Matra/Niruha) – all therapies under supervision 4. Pathya (Regimen) Avoid cold, dry, processed food No heavy lifting, bending, or prolonged sitting Sleep on firm mattress Gentle walking recommended