Sciatica (Gridhrasi) - An Ayurveda Perspective

Large number of population suffers from low back pain. Chronic low back pain (CLBP) prevalence increases linearly from the third decade of life on, until the 60 years of age, being more prevalent in women. Sciatica is the most common debilitating condition causes CLBP. Radiating leg pain and related disabilities are the observed in sciatica. Nearly 40% people experience sciatic pain at some point in their life. The diagnosis of sciatica and its management varies considerably within and between countries. Conventional Medicine and surgery are widely used in the management of sciatica. There is radical rise in the use of Complementary and Alternative Medicine (CAM) in patients with sciatica. Ayurveda is one of the widely used CAM in the recent past. Sciatica resembles the disease Gridharsi of Ayurveda. Gridharsi is one among the Vataja nanatmaja vyadhi, where dysfunction of Vata affect gridharsi nadi characterized by low back pain radiating to lower limbs, stiffness and pricking type of pain. It starts from kati- prishta (pelvic region and Lumbosacral) radiating to jangha paada (Thigh, Feets) with impairment of lifting the leg. The gait of the person is very similar to vulture (Gridhra) hence the name is given as Gridharsi. In this article, attempt has been made to review the Ayurvedic classics text and related literatures to understand the disease Gridharsi with emphasis on its samprapti on the basis of Kriyakala and role of Shodhana and Shamana chikitsa in the management of Gridharsi