Journal of Research in Ayurvedic Sciences

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VOLUME 4 , ISSUE 1 ( January-March, 2020 ) > List of Articles

Case Study

An Ayurvedic Approach to Prolapsed Intervertebral Disc (Gridhrasi): A Case Report

Ritu Kumari, Naimish Raj Singh, Jitendra Varsakiya

Keywords : Gridhrasi, Lower backache, Lumbar disc herniation, Prolapsed intervertebral disc,Ayurveda

Citation Information : Kumari R, Singh NR, Varsakiya J. An Ayurvedic Approach to Prolapsed Intervertebral Disc (Gridhrasi): A Case Report. J Res Ayurvedic Sci 2020; 4 (1):38-43.

DOI: 10.5005/jras-10064-0101

License: CC BY-NC 4.0

Published Online: 21-12-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


This case study exemplifies the efficacy of Ayurvedic medications and procedures in the management of prolapsed intervertebral disc (PIVD), where disc bulge with nerve impingement at L5-S1 was diagnosed radiologically. A 24-year-old patient presented to the OPD of Dept. of Kayachikitsa, Ch. Brahm Prakash Ayurved Charak Sansthan, New Delhi, with complaints of severe low back pain radiating to the bilateral lower limb, rendering him unable to do his day-to-day activities. The pain started 8 months back, but the intensity of pain became severe in the last 1 month so much so that he had to rely upon others to do his routine activities and this brought about considerable financial impact also. This case was diagnosed as PVID or lumbar disc herniation at the L5-S1 level based on the magnetic resonance imaging (MRI) report. The patient was treated with Panchakarma procedures and Ayurvedic oral drugs and got satisfactory results with no side effects. The visual analog scale (from 9 to 0), Oswestry disability index (from 58% to 17%), SLR (from 35° left and 30° right to 90° in bilateral limbs), ESR (from 45 to 8), and MRI report were considered as parameters of assessment. Sustained and satisfactory improvement was noted at the follow-up after 2 months and protrusion of disc was resolved during treatment. After the course of treatment, the pain was completely resolved during the walking or rest condition and during the follow-up period, he also resumed his work with no disquiet. This case study validates that PIVD can be successfully treated with the Ayurvedic treatment modality.

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