The management of Degenerative Lumbar Spondylolisthesis through Ayurveda - A Case Report
Abstract
Introduction: Back pain is the most common symptom of degenerative lumbar spondylolisthesis. This pain is typically worse with activities such as bending and lifting, and often eases when lying down. This condition occurs as a consequence of the general aging process in which the bones, joints, and ligaments in the spine become weak and less able to hold the spinal column in alignment. In Ayurveda, the complaints of Degenerative Lumbar spondylolisthesis can be effectively managed on the treatment principles of Gridhrasi and Katishula. Methodology: The present article deals with a case of diagnosed grade 1 Degenerative Lumbar spondylolisthesis of L4 and L5 and was advised for surgery. The Ayurvedic diagnosis of Gridhrasi was made. Management included internal medications and procedures like Kati Basti and Agni Karma. Results: The effectiveness of Ayurvedic management was assessed by Roland Morris's low back pain and disability questionnaire scale and Oswestry Low back disability questionnaire. On Roland-Morris's low back pain and disability questionnaire, the before treatment score was 20(83.33%) and at the time of discharge, it was reduced to 4 (16.66%). That means the patient showed an improvement of 66.67% on the Roland-Morris low back pain and disability questionnaire. Conclusion: The present case substantiates the effectiveness of classical Ayurvedic treatment in degenerative lumbar spondylolisthesis.
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