Ayurvedic Management of Vata-Kapha Gridhrasi (Sciatica): A Single Case Report

Abstract

Gridhrasi, classified in Ayurveda as a Vatavyadhi, is a common disorder characterized by radiating pain, stiffness, and difficulty in walking, resembling the gait of a vulture (Gridhra). The condition primarily arises from vitiation of Vata Dosha, and when Kapha is also involved, it manifests as Vata -Kaphaja Gridhrasi. Clinically, it correlates with Sciatica in modern medicine, presenting as pain radiating from the lumbar region along the posterior aspect of the thigh and leg, often accompanied by restricted movement and impaired daily activities. This case report presents the Ayurvedic management of Vata Kaphaja Gridhrasi through internal medications. A 45-year-old male presented with chronic low back pain radiating to the right heel for six months and numbness over the right sole for one week. MRI revealed disc extrusion at the L5–S1 level with nerve root impingement. The patient was treated with Ayurvedic therapies including Lepana, Swedana, Vaitarana Vasti, Kati Vasti, and Pizhinju Thadaval, along with internal Ayurvedic formulations. Significant improvement was observed in pain, numbness, and range of motion by the end of the treatment. This case demonstrates the effectiveness of integrative Ayurvedic therapy in managing Gridhrasi (Sciatica), emphasizing its role in pain reduction, functional restoration, and improvement of quality of life in patients with lumbar disc pathology.