Year - 2026Volume - 4Issue - 3Pages - 21-31
“A CLINICAL CASE STUDY ON THE MANAGEMENT OF GRIDHRASI THROUGH AYURVEDA W.S.R. TO SCIATICA”
25 Sep 2026
4
About Author
Shekh D1,Dachewar D2,
1 PG Scholar of Kayachikitsa department , Shri Ayurved Mahavidyalaya, Nagpur
2 HOD and Professor, Kayachikitsa Department, Shri Ayurved Mahavidyalaya, Nagpur
Correspondence Address
Anand nagar, Tiranga square, Nagpur
Contact No. : 7387744339, Email : arshidsshekh@gmail.com
Date of Acceptance : 29 Sep 2026
Date of Publication : 30 Sep 2026
Article ID : SD-IJAY_197
How to cite this article : http://doi.org/10.55552/SDNJAY.2026.4303
Abstract
Introduction:Gridhrasi is a disorder that predominantly affects locomotor function, and its name is derived from the characteristic gait of affected individuals, which resembles that of a vulture. According to Ayurvedic classics, Acharya Charaka has classified Gridhrasi under both NanatmajaVatavyadhi and SamanayajaVatavyadhi, depending on whether it is caused by aggravated VataDosha alone or by the association of Vata and KaphaDosha. Based on its anatomical distribution, clinical manifestations, and symptomatology, Gridhrasi closely resembles sciatica described in contemporary medicine. Sciatica is a common musculoskeletal disorder with a reported lifetime incidence of 13% to 40%, significantly impairing mobility and quality of life.
Methods: A 63-year-old male patient presented with pain and tingling sensation in the lower back radiating to the posterior aspect of the lower limb for one month. Detailed history taking and clinical examination led to the diagnosis of Vata-KaphajaGridhrasi. The treatment protocol included ChitrakadiVati, Capsule Palsinuron, TrayodashangGuggulu, PanchsakarChurna, and DashmoolaKashaya, followed by Panchakarma procedures such as NadiSweda, Basti, and Agnikarma. Appropriate dietary modifications and lifestyle advice were also administered.
Results: Post-treatment assessment revealed significant clinical improvement. Pain, tingling sensation, stiffness, and tenderness on pressure were completely relieved. The patient demonstrated improved functional mobility and a marked enhancement in overall quality of life without any recurrence of symptoms during the observation period.
Discussion: The favorable outcome observed in this case suggests that the combined approach of ShamanaChikitsa and Panchakarma therapies effectively addresses the underlying Vata-Kapha pathology of Gridhrasi. The integrated management not only relieved symptoms but also improved functional capacity and daily activities.
Conclusion: This case study indicates that Gridhrasi can be effectively managed through a combination of appropriate Panchakarma therapies, Ayurvedic medicinal interventions, dietary regulation, and lifestyle modifications. Further studies involving larger sample sizes are recommended to establish the efficacy and standardization of this treatment approach.
Introduction
In the Ayurvedic classics, EkadashaIndriya has been described as one of the fundamental concepts of the body. Among these, PadendriyaKarmahani is observed in Gridhrasi, resulting in a characteristic Gridha (vulture-like) gait.[1] The condition is marked by Vatanubandhi manifestations such as Stambha (stiffness), Ruk (pain), Toda (pricking sensation), Graha (restricted movement), and Spandana (twitching), which progressively affect the Sphika, Kati, Prishtha, Uru, Janu, Jangha, and Pada in an ascending sequence.[2] Another notable feature is SakthikshepaNigraha, which refers to difficulty or restriction in raising the affected leg.[3] In cases associated with Kapha, symptoms such as Tandra (drowsiness), Gaurava (heaviness), and Arochaka (loss of appetite) are also commonly present.
Gridhrasi is characterized by severe radiating pain in the lower extremity caused by irritation of the sciatic nerve, which is often aggravated by limb movements. Owing to its clinical manifestations and anatomical distribution, Gridhrasi closely resembles sciatica described in modern medicine. Sciatica, also referred to as sciatic neuritis, represents a group of symptoms arising from compression or irritation of the sciatic nerve and is commonly associated with pain radiating along its course. Conventional treatment modalities mainly include analgesics, physiotherapy, bed rest, and surgical interventions, which may provide symptomatic relief but can also be associated with various limitations and adverse effects.symptomatic relief but can also be associated with various limitations and adverse effects.
The prevalence of sciatica has been reported to vary widely, ranging from 3.8% among the working population to 7.9% among the non-working population.[4] It is most commonly observed in individuals between 40 and 50 years of age, with a higher incidence among males than females. Low back pain, often associated with sciatica, is considered one of the leading causes of hospitalization and a common indication for surgical intervention.[5]
With the growing burden of this condition, there is an increasing need for therapeutic approaches that can effectively alleviate pain, improve functional capacity, restore mobility, and reduce disability without imposing a significant economic burden. The incidence of Gridhrasi continues to rise due to sedentary lifestyles, prolonged computer usage, obesity, psychological stress, demanding work schedules, and modern transportation habits. These factors contribute to poor posture and spinal disorders, which are major contributors to nerve compression syndromes. Despite significant advancements in contemporary medical science, the management of sciatica remains challenging. Ayurvedic principles have demonstrated promising results in the management of Gridhrasi; therefore, the present case study explores the effectiveness of Ayurvedic interventions in its treatment.
Discussion
This case of Gridhrasi(Sciatica) was treated first by Amapachana, and VatanulomakaSamanaAushadi along with NadiSweda and Kati Lepanato combat the condition of Saamavasthafirst. After attaining the Niramavastha, Snehanaand Panchakarma Procedures like Kati Basti, Basti Karma and Agnikarmawas used along with Shaman Chikitsaprotocols asper the treatment guidelines of Gridhrasi.[7]
Conclusion
Gridhrasi, as described in Ayurvedic literature, closely resembles Lumbo-Sciatic Syndrome recognized in contemporary medicine. According to Ayurveda, the occurrence of pain is invariably associated with the involvement of VataDosha. Since Gridhrasi is characterized by intense and debilitating pain, the predominance of Vata in its pathogenesis is evident. However, due to modern sedentary lifestyles and Agnimandhya (impaired digestive fire), the condition is frequently accompanied by Kapha involvement or the accumulation of Ama.
By its very nature, Gridhrasi is considered Kashtasadhya (difficult to treat). Nevertheless, early diagnosis followed by timely and appropriate treatment administered in adequate dosage and duration can significantly improve prognosis, reducing the likelihood of recurrence. The present case study highlights the effective management of Gridhrasi through Panchakarma therapies in combination with ShamanaChikitsa. At present, the patient continues to perform her daily activities comfortably and maintains a satisfactory quality of life.
The encouraging outcome observed in this case has generated considerable optimism regarding the Ayurvedic management of Gridhrasi. However, further validation through randomized clinical trials involving larger sample sizes is necessary to establish standardized treatment outcomes and strengthen the evidence base for these therapeutic approaches.References
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