Management of Gridhrasi (Sciatica) with Kala Basti and Agnikarma: A Combined Effect - An Ayurvedic Case Report

Abstract

Gridhrasi, a painful condition classified under Vatavyadhi, closely resembles Sciatica in its clinical presentation. Ayurvedic modalities such as Kala Basti and Agnikarma are individually recognised for their effectiveness in pain management; however, evidence regarding their combined efficacy is limited. This case report describes a 45-year-old male with chronic radiating low back pain and associated neurological symptoms treated with a 16-day Kala Basti regimen followed by three sittings of Agnikarma. The intervention resulted in significant clinical improvement, as evidenced by the ODI score improved from 58% (severe disability) to 30% (moderate disability), VAS score showed more than 50% reduction, and SLR became negative bilaterally.” No adverse events were noted, and the benefits were sustained on follow-up (day 48). The findings suggest that the integrated application of Kala Basti and Agnikarma demonstrated significant improvement in Gridhrasi by pacifying Vata Dosha and relieving Srotorodha. This case highlights the potential of combining Panchakarma and Shalya Tantra therapies for effective, safe, and sustainable management of sciatica.