What is the best treatment for my wife's sciatica pain that only gets relief with physiotherapy? - #55390

In Ayurveda, sciatica is precisely correlated with Gridhrasi, a prominent Vata Vyadhi (neurological disorder caused by vitiated Vata). The fact that your wife gets temporary relief with physiotherapy indicates that her condition responds well to mechanical decompression and muscle relaxation, but the core neuromuscular inflammation and Vata imbalance require a deeper, more sustained internal and external protocol 1.Panchakarma ••Kati Basti (Localized Oil Retention): This is highly specific for sciatica. A reservoir made of black gram dough is built over the lumbo-sacral region, and warm medicated oils like Sahacharadi Taila or Mahanarayana Taila are pooled inside for 30–45 minutes. This deeply nourishes the intervertebral discs, relieves nerve root compression, and reduces tissue inflammation.
••​Patra Pinda Swedana (Bundle Fomentation): Fomentation using boluses filled with Vata-hara leaves (like Nirgundi, Eranda, and Arka) fried in medicated oils. It helps relieve the deep muscle spasms (Stambha) and radiating pricking pain (Toda) along the sciatic nerve pathway.
2.Medicine ••Trayodashanga Guggulu: 2 tablets twice daily after food with lukewarm water. (Excellent for nerve root compression and sciatica associated with lower back stiffness).
••​Simhanada Guggulu: 2 tablets twice daily if there is an associated mild metabolic sluggishness or Ama (toxicity) involvement causing morning stiffness. ​Maharasnadi Kwatha: 15–20 ml mixed with an equal quantity of lukewarm water, taken on an after food in the morning and evening.