From Pain to Power: Efficacy of Panchakarma in Vataja Gridhrasi with Padabhramsha

Abstract

Gridhrasi is a painful neurological disorder characterized by radiating pain, stiffness, and impaired mobility, often correlated with lumbar radiculopathy in contemporary terms. Padabhramsha (foot drop) represents a serious complication arising from aggravated Vata dosha, often triggered by trauma or excessive exertion. This case report presents a 53-year-old female patient with low back pain radiating to the right lower limb, associated with foot drop, following trauma and physical strain. She was also a known case of Type 2 Diabetes Mellitus and hypothyroidism. A comprehensive Panchakarma protocol was designed, including Sarvanga Abhyanga, Parisheka, Shashtikashali Pinda Sweda, dry cupping, and Mustadi Yapana Basti administered in Kala Basti pattern. Treatment outcomes were assessed using clinical parameters such as muscle strength, gait improvement, and SLR test. Significant improvements were noted in pain relief, muscle power (Tibialis anterior and EHL from 1/5 to 2/5), and mobility (step count improved from 8 to 12 steps in 10 seconds). This case highlights the potential of Brimhana Chikitsa and classical Panchakarma therapies in managing Vataja Gridhrasi with Padabhramsha, even in the presence of metabolic comorbidities. Early Ayurvedic intervention, when tailored to the individual Samprapti, can play a pivotal role in functional recovery and quality of life enhancement.