Effect of Snehapana and Adjuvant Ayurveda Medicines in the Management of Sciatica: An Evidence based Case Report

Abstract

Sciatica represents a debilitating condition characterized by pain and/or paraesthesia in the distribution of the sciatic nerve or the corresponding lumbosacral nerve roots. Any structural abnormality leading to compression of the sciatic nerve may produce sciatica. Lumbar intervertebral disc herniation or bulge is the most common cause, while lumbar spinal stenosis is frequently seen in elderly patients. The condition can severely impact the quality of life of those affected. This article presents an Ayurvedic case report of a 69 years old male patient who presented to out-patient department with low back pain radiating to right lower limb associated with numbness over bilateral lower limb aggravated since 1 and ½ months. Based on the presentation of radiating pain along the course of lower limb, the condition can be correlated with Gridhrasi- one among the Nanatmaja Vatavyadhi. Pre- and post-treatment assessment following Snehapana showed significant improvement in the patient’s condition, specifically improvement in gait, range of motion and SLR being negative. The report highlights the effect of Snehapana using Dhanwantaram Mezhukupaka in the management of Sciatica.