Management of Lumbar Canal Stenosis (Katigraha) with Ayurvedic Modalities: A Case Report

Background: Lumbar canal stenosis (LCS) is a degenerative spinal condition causing narrowing of the spinal canal, leading to nerve compression. Symptoms include pain, stiffness, tingling, numbness, and difficulty walking, which worsen with standing and improvement with sitting. Conventional treatments offer symptomatic relief, while surgery carries risks and a high recurrence rate. Ayurveda provides a holistic, non-surgical approach through Shodhana (purification) and Shamana Chikitsa (palliative care). Objectives: This study evaluates the effectiveness of Ayurvedic therapies, including Panchakarma and oral medications, in managing lumbar canal stenosis. Methodology: A 68-year-old male presented with lower back pain radiating to both legs, tingling, numbness, and difficulty walking for nine months following a road traffic accident. He underwent an 8-day Panchakarma therapy, including Sarvanga Snehana and Swedana, Kati Basti, and Yoga Basti, which included Matra Basti and Niruha Basti along with oral medications. Results: After 8 days treatment, the patient experienced significant symptom relief, improved mobility, and enhanced ability to perform daily activities independently. Conclusion: This case highlights the effectiveness of Ayurvedic therapies in managing LCS, suggesting Panchakarma and oral medications as a viable non-surgical alternative. Further research on larger populations is needed to validate these findings.