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Chronic pain management and Prevention in Ayurveda-Part 2




            Chronic pain management and Prevention in Ayurveda-Part 2

     
    Back pain /Low back pain is one of the most common conditions which is experienced by all age groups.

   Low back pain is referred to as Kati Shoola in Ayurveda, where Kati refers to ‘low back’ (hip region) and shoola refers to ‘pain’. And this physical condition is included under Vata Dosha imbalance disorders.

   The low back, or the lumbar area, of a human body provides structural support, movement, bending, extending or rotating at the waist and protection to certain body tissues, serving a number of important functions of the body. The back is an intricate structure of bones, muscles, and other tissues that form the posterior part of the body’s trunk, from the neck to the pelvis.

   The spinal column provides the main support for your body, allowing you to stand upright, bend, and twist, while protecting the spinal cord from injury. Strong muscles and bones, flexible tendons and ligaments, and sensitive nerves contribute to a healthy spine. Yet, any of these structures affected by strain, injury, or disease can cause pain.

Causes of Low Back Pain:

Some of the common causes of the low back pain are:


  • A lumbar strain where a stretch injury happens to the ligaments, tendons and/or muscles of the lower back.
  • An irritation in the nerves of the lumbar spine due to the mechanical pressure by bone or other tissues, or from an underlying disease.
  • Damage in the discs between the vertebrae leading to the nerve irritation.
  • Degenerative disc disease
  • Disorders related to kidney, ovary,and pregnancy can also be a reason for the low back pain.
  •  Bulging discs (herniated, or ruptured),sciatica, spinal degeneration, spinal stenosis, osteoporosis, skeletal irregularities, spondylitis, osteomyelitis and sacroilitis are some conditions which can cause low back pain.

 
Symptoms may include any combination of the following:

  • Pain that radiates into the buttocks and back of the thighs
  • Pain that worsens when bending backward
  • Pain that feels better with sitting, especially sitting in a reclining position
  • Tired feeling in the legs, and possibly leg numbness or tingling, especially after walking
  • Pain typically felt on one side the buttock or leg only
  • Pain that is usually worse after long periods of standing still or sitting: relieved somewhat when walking
  • More severe (burning, tingling) vs. dull, aching pain
  • Pain that interrupts sleep
  • Pain that is most pronounced first thing in the morning and again toward the end of the day
  • Localized tenderness when the affected area of the spine is pressed
  • Aching, steady or intermittent pain in the lower back that is aggravated by extended activity
  • Stiffness or loss of flexibility in the back.

 Ayurvedic Treatments for Low Back Pain:

    The aim of Ayurvedic treatment for backache is to bring the Vata dosha to its equilibrium or normal state.

The line of treatment generally starts with :

  • Snehana (oleation) – by sneha dhara (pouring oil), abhyanga (oil massage), avagaha (tub bath with oil /herbal baths)
  • Specialised Panckhkarma treatments- Kati basti
  • Swedana (medicated steam) –Avagaha sweda  (sweating treatment in tub bath, Pinda sweda (medicated herbal poultice),Patra Pinda Sweda
  • Mild Purgation-(laxative)-Virechan (specialised panchkarma programme which includes a diet regime followed by oral dose of herbal medicated oil which has a mild laxative effect)
  • Yoga and Meditation to combat stress and anxiety as both of these factors play a major role in the process of pain management.
  • Herbal medicated decoctions and medications to be taken orally are proven to be effective along with the above specialised treatments.


to be continued....



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