EFFECT OF AYURVEDIC AND PANCHAKARMA TREATMENT IN GRUDHRASI (LUMBAR CANAL STENOSIS): A CASE STUDY

Deshpande Vaishali Shailesh*, Deshpande Shailesh Vinayak, Prof. Sakapal Shashikant S. and Prof. Joshi Abhjit

ABSTRACT

Background: Lumbarcanal stenosis is painful condition, often referred for surgical correction. In chronic stages, it leads to painful and disabled routine activities and badly affects quality of life. It can be correlated with grudhrasi. Case: Here is case of 66 years old male suffering from pain in lumbar region and both lower extremities along with tingling and numbness, difficulty in walking, standing for more than two minutes, for thirty years with increasing severity. MRI of lumbar spine showed lumbar canal stenosis with large posterior disc protrusion between second and third, fourth and fifth lumbar vertebrae, fifth lumbar and first sacral vertebrae. Patient was diagnosed as a case of grudhrasi. Treatment – Patient received oral ayurvedic treatment – Yogaraja Guggulu (500 mg) with Dashamoola RasnadiKwatha (50 ml) twice daily, powders of Shatavari and Ashwagandha (each 5 gm) twice daily with milk and gandharva-haritaki (3 gm) at night with warm water. Patient also received sarvanga abhyanga with tila taila and bashpa sweda. Patient also received kala basti krama (16 basti) initially followed by three sittings of pancha-tikta- ghruta-ksheera basti (14 basti each). Patient received the treatment from November 2003 to June 2006. Results: Patient showed significant improvement in pain and disability. Initially patient could walk for five minutes with assistance and stand for two minutes, that improved to walking for one hour without assistance and standing for ten minutes. SLR, hypaesthesia improved significantly. Conclusion: Ayurvedic treatment is useful in painful and debilitating conditions such as lumbar canal stenosis even in chronic stage.

Keywords: Panchakarma, Ayurved, Basti, Pancha Tikta Ghruta, PID.