Back Pain Treatments

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Pain while walking, sitting, driving ?
Restricted movements ?
Numbness while long duration standing or sitting ?

How Nagarjuna Can Help You!

  • Pain is managed really well with therapies and medicines
  • Stiffness reduction promotes mobility
  • Back strengthening therapies for pain and stiffness
  • Coupled with integrated services for toning of muscle
  • Proper follow-up advise for long lasting results

How Nagarjuna Can Help You!

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Back and Neck Pain

healthcarebriarbridge

Spine related issues definitely cripple a person. Spine is the main foundation on which the whole body stands. What we mostly come across are spine issues due to sedentary lifestyle.

We have muscles inserted between each vertebra. These muscles when toned act as shock absorbers. They keepthe spine in place and thereby help the spine stay erect. Good or bad, man is the only erect animal in this world and we have to take the advantages and disadvantages of it. We haven’t heard of any other animal suffering from disc prolapse or hernia. Gravity pulls everything down and obviously, the spine is also pulled down. But strong and toned soft tissues keep it in place and prevent it from prolapsing. Any injury or jerk will lead to the prolapse of the spine. An extended abdomen will also bend the spine forwards.

Disc prolapse at different levels, cervical or lumbar (most common) can also be handled by surgery if it is due to some injury. But otherwise the prolapse would have happened due to poor lifestyle. Surgery is not an option. If strengthening of the soft tissues is not done, the next joint will prolapse.

Our treatment focuses on strengthening and toning the muscles and soft tissues. Proper follow-up and mild to moderate life style changes is definitely the right way of handling spine issues.

healthcarebriarbridgeAnkylosing spondylitis

Ankylosing spondylitis (AS) is a chronic, inflammatory arthritis and autoimmune disease. It mainly affects joints in the spine and the sacroiliac joint in the pelvis, and can cause eventual fusion of the spine. Ankylosing Spondylitis has a strong genetic predisposition.

Causes, Signs and symptoms

Ankylosing spondylitis is a seronegative spondyloarthropathies, in which rheumatoid factor tests are negative and the characteristic pathological lesion is an inflammation of the site where tensile connective tissue [such as ligaments or tendons] insert into bone. The signs and symptoms of ankylosing spondylitis are nonspecific. AS is a systemic rheumatic disease, meaning it affects the entire body. There is a strong genetic association. Inflammation of the sacroiliac joint is usually one of the earliest manifestations of AS. The initial symptoms are usually a chronic dull pain in the lower back or gluteal region and stiffness of the lower back in the morning stiffness that improves with activity. Pain is often severe at rest, but improves with physical activity. Loss of spinal mobility, with limitation of anterior flexion, lateral flexion, and extension of the lumbar spine, is seen. The most serious complication of the spinal disease is spinal fracture, AS can occur in any part of the spine or the entire spine. Arthritis in the hips and shoulders may also occur. Other common symptoms of AS include chest pain and generalized fatigue.

Ayurvedic Approach to Ankylosing Spondylitis

Ayurveda considers any disease is primarily due to improper digestion, conversion and assimilation (together named as metabolism). Toxins developed as by-product of improper metabolism can act as the major cause of any illness. There can be other external causative factors as well. According to ayurveda when the harmony of three biostatic energies ( vatha, pitha and kapha) is disturbed due to improper diet and regimen , the disease is manifested. The imbalanced Vatha degenerates the vertebrae and its related structures leads to different kinds of vertebral problems. Vata is considered to be the most important and strongest biostatic energy in the body which is the responsible factor of all the movements in the body. Once vatha got aggravated due to the above said reasons reduces the snigdhatha in the body structures leading to degeneration, rigidity, weakness, restricted movements and pain. The logic behind the treatment is to reduce the inflammation and to prevent further degeneration of the vertebrae. The body undergoes a detoxification process through Panchakarma therapies along with the administration of medicines internally. Ayurvedic treatment includes external oil applications followed by PODIKIZHI (Warm herbal powder massage), ELAKIZHI (warm herbal leaves massage), NJAVARA KIZHI (warm medicated rice massage) and PIZHICHIL ( Warm oil bath) Etc. and purification therapies like Virechanam(purgation), Vasthi(enema), Nasyam(nasal therapy).

healthcarebriarbridgeCervical spondylosis

Cervical spondylosis is an age-related ‘wear and tear’ of the bones and discs in the neck. Here the disc between the vertebrae becomes thin and weak and inter vertebral space reduces. Sometimes, the disc may even prolapse outwards or inwards, thus pressing on the spinal nerves or even the cord. Bony outgrowths may occur leading to pressure on nerves. If we neglect it, these changes can progress more rapidly

Symptoms of cervical spondylosis

In cervical spondylosis,these degeneration changes lead to various complaints like pain, tingling, numbness, and if the cord is affected, even paralysis. Since spinal cord is an organ of balance, and in case it is affected imbalance and giddiness ( vertigo) may be caused, and sometimes when a nerve root is compressed, the patient may be gripped in a vice – like grip of pain around the trunk called root pain.

Ayurvedic Approach to Cervical Spondylosis

Ayurvedic term for Cervical Spondylosis is GREEVEGRAHAM. According to Ayurveda when the harmony of three biostatic energies ( vatha,pitha and kapha) is disturbed due to improper diet and regimen , the disease is manifested. The imbalanced Vatha degenerates the Cervical vertebrae and its related structures leads to Greevagraham (Neck pain-cervical spondylosis) . Vata is considered to be the most important and strongest biostatic energy in the body which is the responsible factor of all the movements in the body. Once Vata get aggravated due to the above said reasons reduces the SNIGDHATA / Unctuousness in the body structures leading to degeneration, rigidity, weakness, restricted movements and pain. Ayurveda offers a good prognosis in conditions like this.
The treatment includes external therapies like Elakizhi(leaf bag massage), Pizhichil(oil bath), Njavara kizhi(rice bag massage), Greeva vasthi(oil pool over cervical area / neck), and Pichu( local application of medicated pads), Lepanam (Medicated paste application). The purification therapies like Virechanam(purgation), Nasyam(nasal therapy) and Vasthu(enema).Along with these therapies patient has to take internal medications too.

healthcarebriarbridgeFrozen shoulder

Frozen shoulder (Adhesive capsulitis) is a painful and disabling disorder of unclear cause in which the shoulder capsule, the connective tissue surrounding the glenohumeral joint of the shoulder, becomes inflamed and stiff, greatly restricting motion and causing chronic pain. The condition is thought to be caused by injury or trauma to the area and may have an autoimmune component.

Signs and symptoms

Movement of the shoulder is severely restricted, with progressive loss of both active and passive motion. The condition is sometimes caused by injury, but also often arises spontaneously with no obvious preceding trigger factor.
In frozen shoulder, there is a lack of synovial fluid, which lubricates the shoulder capsule. It thickens, swells, and tightens due to bands of scar tissue, that have formed inside the capsule. As a result, there is less room in the joint for the humerus, making movement of the shoulder stiff and painful. Pain is usually constant, worse at night, and with cold weather. Certain movements or bumps can provoke episodes of tremendous pain and cramping. People with diabetes, stroke, lung disease, rheumatoid arthritis, or heart disease are at a higher risk for frozen shoulder. Injury or surgery to the shoulder or arm may cause the capsule to tighten from reduced use during recovery.Cases have also been reported after breast and lung surgery

Ayurvedic Approach to Frozen shoulder

Frozen Shoulder is termed as APABAHUKAM in Ayurveda.According to Ayurveda, the Vatha Dosha vitiated due to certain causative factors (mentioned earlier) gets located at the root of the shoulders and constricts the veins (Siras) there thus results in Apabahukam (loss/ restriction of movement of the arm).
Ayurvedic treatment involves mainly the removing the of root cause and relief of symptom is only the ultimate cure for the diseases.The treatment includes administration of of Herbally medicated Kashayas, Aristas, oils for both internal and external use & Purgation (for Complete removal of toxin of the body). Panchakama Treatment includes Oil Massage (Abhyanga), Steam bath (Swedanam), Nasyam, Narangakizhi( a special type of Panchakarama therapy of Kerala.)

healthcarebriarbridgeInter Vertebral Disc bulge

Intervertebral Disc bulge is the problem in which the disc material between two vertebrae will get prolapsed from its position .The disc has nucleus pulposus in its center and a covering layer called annular layer .Nucleus pulposus is having a semisolid constitution and it is prolapsing even through a very tiny discontinuity in the annular layer. So this will create a compression in the spinal nerves which is emerging through the vertebral foramina. It leads to enormous pain in the whole course of the nerve along with the starting point. It is more common in the lumbar and sacral region of vertebral column. A bulging disc injury is a common spine injury sustained to the spine’s intervertebral disc. It can occur in lumbar spine (lower back), thoracic spine (upper and mid-back) or cervical spine (neck).

Cause, Signs and Symptoms

The causes of Disc Bulge are, Degenerative Disc Disease, General Wear and Tear, Injury or Trauma, Bad Posture(Sitting, standing or sleeping improperly can strain the neck and back, leading to a bulging disc.) Occupational Hazards(If your job requires repetitive lifting, bending, standing and/or driving, you may be at risk for a bulging disc).

Pain or tingling in the neck, shoulders, arms, hands or fingers can signal a bulging disc in the cervical (upper spine) area, Pain in the upper back that radiates to the chest or stomach can signal a thoracic (mid-spine) bulging disc. Muscle spasms and lower back pain may be evidence of a bulging disc in the lumbar (lower back) region.

Ayurvedic Approach of Intervertebral Disc Prolapse

In Ayurveda we can correlate these conditions as Katigraha . According to ayurveda when the harmony of three biostatic energies ( vatha,pitha and kapha) is disturbed due to improper diet and lifestyle , the disease is manifested. The imbalanced Vatha degenerates the vertebrae and its related structures like inter vertebral disc leads to Kateegraham ( low back pain).Vata is considered to be the most important and strong biostatic energy in the body which is the responsible factor of all the movements in the body. Once vata got aggravated due to the above said reasons reduces the snigdhatha in the body structures leading to degeneration, rigidity weakness, restricted movements and pain. Here the treatment mainly concentrates on bringing back the aggravated Vata to normalcy. The treatment comprises of Preparing the body for Purification, Detoxification and Rejuvination. The treatment includes external therapies like Elakizhi(leaf bag massage), Pizhichil(oil bath), Njavara kizhi(rice bag massage), kateevasthi(oil pool over back) ,Pichu(local application of medicated pads), Greevavasthi(oil pool over neck), Virechanam(purgation), Nasyam(nasal therapy), Vasthy(enema) are done as per the necessity and condition. Along with these, certain internal medications too have to be taken. These therapies will strengthen the supportive spine structures, reduces the inflammatory changes, give nourishment to the joints.

healthcarebriarbridgeLumbar spondylosis

Degeneration in the region of the spine located in the lower back is named as Lumbar spondylosis. Since the lower spine is responsible for bearing the majority of the body’s weight as well as carrying out a full range of body movements, it is common for spondylosis to occur in this area. In this condition the interfacetal joints are not involved. If severe, it may cause pressure on nerve roots with subsequent sensory and/or motor disturbances, such as pain, numbness or muscle weakness in the limbs.

Causes, Signs and Symptoms

Spondylosis is a medical term used to describe age-related degeneration in the spine. While a number of factors can contribute to the onset of this condition, the primary contributing factor to lumbar spondylosis is aging.
The pain from spondylosis is mostly caused by nerve compression as the structures of the spine become abnormal or joint stiffness as cartilage erodes. The most common lumbar spondylosis symptoms include lower back pain and stiffness, pain that is worse in the morning, and improves with exercise, loss of coordination or difficulty walking and sciatica. In extremely serious cases, neurological problems and bowel and bladder control issues may be present.

Ayurvedic Approach to Lumbar spondylosis

Lumbar spondylosis can be correlated as Kateegraham in Ayurveda. According to ayurveda when the harmony of three biostatic energies ( vatha,pitha and kapha) is disturbed due to improper diet and regimen , the disease is manifested.
The imbalanced Vatha degenerates the vertebrae and its related structures leads to kateegraham(low back pain).Ayurveda offers a good prognosis in conditions like this. The external therapies includes Podikkizhi (powder bag massage) , Elakizhi(leaf bag massage) , Njavara (rice bag massage), Pizhichil (oil bath) , Lepanam (medicinal paste application) ,kateevasthy (oil pool over back) etc.The purificatory therapies include Virechanam(purgation)and Vasthi(enema). The internal medications like Kashayams, Aristams etc too have to be taken by the patient.

healthcarebriarbridgeSciatica

A set of symptoms including pain caused by general compression or irritation of one of five spinal nerve roots of each sciatic nerve—or by compression or irritation of the left or right or both sciatic nerves is called Sciatica. The term sciatica describes a symptom rather than a specific disease. Some use it to mean any pain starting in the lower back and going down the leg. Others use the term more specifically to mean a nerve dysfunction caused by compression of one or more lumbar or sacral nerve roots from a spinal disc herniation. It may be associated with neurological dysfunction, such as weakness. The pain is characteristically of shooting type, quickly traveling along the course of the nerve.

Cause, Signs and Symptoms

Spinal disc herniation pressing on one of the lumbar or sacral nerve roots is the primary cause of sciatica Other compressive spinal causes include lumbar spinal stenosis, a condition in which the spinal canal (the spaces the spinal cord runs through) narrows and compresses the spinal cord. Sciatica may also occur during pregnancy as a result of the weight of the foetus pressing on the sciatic nerve during sitting or during leg spasms. Sciatica can also be caused by tumours impinging on the spinal cord or the nerve roots Severe back pain extending to the hips and feet, loss of bladder or bowel control, or muscle weakness may result from spinal tumours or cauda equina syndrome. Trauma to the spine, such as from a car accident, may also lead to sciatica.
Symptoms include lower back pain, buttock pain, and numbness, pain or weakness in various parts of the leg and foot. Other symptoms include a “pins and needles” sensation, or tingling and difficulty moving or controlling the leg. Typically, symptoms only manifest on one side of the body. The pain may radiate above the knee, but does not always.

Ayurvedic Approach to Sciatica.

Ayurveda described sciatica as Gridhrasi, as the gait of the affected person resembles that of an eagle’s walk and the inflamed nerve appears like eagle’s beak. Ayurveda categorized Sciatica as one of diseases caused by vitiation Vata . Sometimes even kapha vitiation along with Vata (vata kapha) also causes sciatica. Treatment in Ayurveda is aimed at restoring the equilibrium through correction of the underlying functional in-equilibrium. Ayurvedic treatments for Sciatica concentrate on bringing back the aggravated vata or vata kapha to the state of normalcy.Treatment comprises of three approaches, Pacification (Samanam),(correction) of the imbalanced equilibrium , Elimination (Sodhanam) of the accumulated toxins, and Rejuvenation (Rasayanam) of the bodily tissue to regain and maintain natural strength and vitality. Therapies like Podikkizhi (powder bag massage) , Elakizhi(leaf bag massage) , Njavara (rice bag massage), Pizhichil (oil bath) , Lepanam (medicinal paste application) ,kateevasthy (oil pool over back),Vasthi(enema), Virechanam(purgation) are done as per the necessity and condition. These therapies are directed towards relieving the inflammatory changes and underlying causes of Sciatica.

healthcarebriarbridgeSpinal Canal Stenosis

Spinal stenosis is an abnormal narrowing (stenosis) of the spinal canal that may occur in any of the regions of the spine. This narrowing causes a restriction to the spinal canal, resulting in a neurological deficit. The location of the stenosis determines which area of the body is affected. With spinal stenosis, the spinal canal is narrowed at the vertebral canal, which is a foramen between the vertebrae where the spinal cord or nerve roots pass through. There are several types of spinal stenosis, The most common forms are cervical spinal stenosis, at the level of the neck, and lumbar spinal stenosis, at the level of the lower back. Thoracic spinal stenosis, at the level of the mid-back, is much less common. In lumbar stenosis, the spinal nerve roots in the lower back are compressed which can lead to symptoms of sciatica . Cervical spinal stenosis can be far more dangerous by compressing the spinal cord. Cervical canal stenosis may lead to serious symptoms such as major body weakness and paralysis.

Causes , Signs and Symptoms

Causes Can be aging, due to which body’s ligaments can thicken, bone spurs develop on the bone and into the spinal canal. Arthritis( Two types), heredity, structural deformities of the vertebrae may cause narrowing of the spinal canal and instability of the spine, or spondylolisthesis. Trauma and Tumors of the spine can also cause the disease..
The common signs and symptoms are standing discomfort, numbness, weakness ,bilateral symptoms ,discomfort/pain, in shoulder, arm hand ,buttock / thigh and below the knee. Neurological disorders are Pinched nerve, Intermittent neurogenic claudication. Symptoms occur with extension of spine and are relieved with spine flexion. Nerve root dysfunction causes objective signs such as weakness, loss of sensation and of reflex. Other signs and symptoms may include fever, nocturnal pain, gait disturbance, structural deformity, unexplained weight loss, previous carcinoma, severe pain upon lying down, presence of severe or progressive neurologic deficit , lower back pain [due to degenerative disc or joint changes, narrowing of spinal canal, nerve root canal or intervertebral.

Ayurvedic Approach to Spinal Stenosis

In Ayurveda we can correlate Lumbar Stenosis as Kateegraham , Cervical Stenosis as Greevagraham and is having a definite protocol of treatment . According to ayurveda when the harmony of three biostatic energies (vatha,pitha and kapha) is disturbed due to improper diet and lifestyle , the disease is manifested.The imbalanced Vatha degenerates the Lumbar vertebrae or Cervical vertebrae and its related structures like inter vertebral disc leads to Kateegraham/Greevagraham. Vata is considered to be the most important and strong biostatic energy in the body which is the responsible factor of all the movements in the body. Once vata got aggravated due to the above said reasons reduces the snigdhatha in the body structures leading to degeneration, rigidity weakness, restricted movements and pain.
Ayurveda offers a good prognosis in conditions like this.The treatment includes external therapies like Elakizhi(leaf bag massage), Pizhichil(oil bath), Njavara kizhi(rice bag massage), Kateevasthi(oil pool over back),Greeva vasthi(oil pool over neck) Prushtavamsa vasthy(This is a special procedure in which oil pool over the entire vertebral column),and local application of medicated pads(greevapichu/katipichu) and purificatory procedures like Virechanam(purgation), Nasyam(nasal therapy), Vasthy(enema). The logic behind the treatment is to reduce the inflammation, to prevent further degeneration of the vertebral body and to re-enforce the musculature and ligaments in and around the vertebral column.

According to Ayurveda,back and neck pain mainly occurs due to poor or unhealthy diet and bad posture, which in turn results in the lack of flexibility of the muscles, causing severe pain in the upper, middle or lower back. As the pain continues to aggravate, it tends to spread to both the sides of the waist as well as the hip. Although back pain can be associated with a number of reasons, spinal disc problems, ligament injuries, injuries from sprains, fractures, or accidents, and pelvic inflammatory diseases are considered to be the major causes


To put it precisely, back pain can mainly occur due to:

  • Sedentary lifestyle, stressful jobs, anxiety, depression, obesity, smoking, strenuous physical exercises, and physical works.
  • Spinal cord infections that cause fever and lethargy
  • Spinal cord tumours that compress the spine and nerve roots, thus causing excruciating pain.
  • Hereditary – Certain causes of back pain, including ankylosing spondylitis (a kind of arthritis that affects the spinal cord), are hereditarily transferred from one generation to the other.

If not completely, back pain can be effectively controlled to a certain extent with the following day-today activities : 

  • Regular exercises will help keep your back muscles strong and healthy.
  • Walking can keep your stomach as well as back muscles healthy.
  • Maintain a healthy weight.
  • Try to maintain healthy and safe postures.
  • Avoid heavy lifting whenever possible.

Ayurveda cites imbalance of Vatadosha as the main reason for back pain, which is called NitambhaShoola in traditional Ayurvedic texts. This can occur due to muscle and/or bone weaknesses, the reason why most of the Ayurvedic treatments for back pain focus on regaining the balance of Vatadosha.


A few of the common traditional Ayurvedic treatment patterns for back pain or lumbago includes :

  • Use of medicinal herbs
  • Ayurvedic diets
  • Upanaha or medicinal poultice
  • Dhanyamla dhara or pouring of fermented medicated liquid
  • Vasthi (medicinal enema)
  • Pizhichil
  • Abhyangamam
  • Kativasthi
  • Kizhi