Best Way to Manage Sciatica Pain in Ayurveda

Gridhrasi or sciatica is a severely painful situation in which pain radiates to the lower legs (one side or both). It may start from the lower back down or from down to the upper lower back. The course generally occupies from origin to supply or distribution area of the sciatica nerve due to its compressive or irritative factor.   In Ayurveda pain is explained with the terms Toda, Spandana, Graha, Stambha, and Vedana from Kati-Pradesh to Padanguli (foot). Gridhra term stands for vulture that pierces its beak withdraw it forcibly and results in a severe jerk-like action similarly action occurs with the nerve so named as Gridhrasi in Ayurveda or another possible reason is gait appearance like vulture due to tilting of the body towards affected part

Causative factor/Nidana –

Aharaja/ Dietary:

  • Ruksha/dryness Guna by its Shoshana/dry up property is reducing the lubricative property in the body which manifests as stiffness in Kandra/tendons and joints of legs.
  • Excessive intake of Sheeta/Cold Ahara leads to Stambhan in SrotasSnayuKandara, etc. which results in restricted movements of joints in lower extremities.
  • Intake Laghu/light Guna is done Lekhana karma leads to Osteoporosis in bony tissues.
  •  Excessive ingestion of KatuTikta, and Kashaya rasa provokes Vata doshaAtialpa, Atilaghu Ahara, and Abhojana can lead to loss of BalavarnaupachayaOja, etc. It causes harm to Sharirmanabuddhiindriya and affects the Sara of all dhatus.


  • Atijagarana/ night awakening
  • Diwaswapa/ day
  • Ativayavaya/ excessive indulgence in sexual activity
  • Excessive walking, swimming, exercise, etc.
  • Atyasana/ excessive food intake.
  •  Suppression of natural urges
  • Riding or falling off from fast-moving object

Manasika/mental cause:

  • Excessive stress
  • Over anxiety
  • Excessive depression
  • unstable mentality or desires.

Kala: Often seasonal variation may also act as a causative factor.


  • Pain starts at sphika and then radiates to Kati, prishthaUrujanujangha, and pada in order.
  • Toda/ pricking pain
  • Stambha / feeling of tightness in legs- restricted joint movements
  • Spandana/Pulsating, trembling sensation
  • Sakthikshepa Nigraha/ restricted movement of the joints affected limb
  • Kati-Uru Jaanu Madhye Bahuvedana
  • Tandra (drowsiness)
  • Gaurav (Heaviness)
  • Aruchi, (Anorexia)
  • Mukhapraseka
  • Dehasyapravakrata, (Gaitdisturbance)

Types of Gridhrasi:

Based on signs and symptoms it is majorly of two types of Gridhrasi:

  • Vataja- Dehasyapravakrata (gait disturbance) and Suptata(numbness)
  • VataKaphaja Gridhrasi: Tandra, Gaurav, Arochaka, Mukhapraseka and Bhaktadwesha.


Upashaya is the suitable use of drugs, diet, and behavior, which are contrary to etiology or disease or produce effects contrary to them, while Anupshaya aggravates the disease. Satmya, Pathya, and Upshaya have the same meaning.

Ahara:   Godhuma, Masha, Purashaali, Vartak, Patol, Rasona, Taila, Ghrita, Kshira, Tila, Draksha, Dadima, etc. Mudga, Kalaya, Brihatshaali, Yava, Rajmasha, Kodrava, Kshara, bitter, astringent taste, etc
Vihara: Abhyanga, Swedana, Tarpana, NirVata sthana, Atapa sevana, Nasya, Ushnapravarana, Basti etc Chinta, Bhaya, Shoka, Krodha, Vagavidharana, Chankramana, Annasana, Ativyavaya, Jagrana.
Do’s and Don’t in Sciatica

Ayurveda Samprapti Ghataks/ elements of pathogenesis

Nidana : Vataprakopaka nidana
Dosha Vata – Apana and Vyana vayu, Kapha
Dushya Rasa,Rakta,Mamsa,Meda,Asthi,Majja, Sira,Kandara,Snayu
Agni Jatharagni and Dhatvagni
Ama Jatharagnimandyajanita & Dhatvagnijanita
Udbhavasthana Pakwashaya
Samcharasthana Rasayani of Apanakshetras
Adhisthana Kandaras of Parshni, Pratyanguli and Sphika, Kati, Uru,Janu, Jangha, Pada
Srotas Rasa, rakta, mamsa, meda, asthi, majja
Srotodushti Sanga and Margavarodha
Rogamarga Madhyam
Vyakti Sphika, kati, prishtha, uru, janu, jangha, pada
Bheda Vataj and VataKaphaj
Swabhav Chirkari
Pathogenesis elements of Sciatica

SADHYA-ASADHYATA/ Prognosis: Generally, as per Ayurved its prognosis is similar to Vata Vyadhies, very difficult to cure. However, it also depends on many factors like Bala of Nidana Rogi Bala, the strength of dosha Prokopa, the sthana of the disease, severity of signs and symptoms, duration of the disease, RogamargaDhatudushti, etc.

CHIKITSA (Treatment)

  • Principle of treatment/ Chikitsa SiddhantaThe first and the foremost principle to be adopted in the treatment of every disease is Nidana Parivarjana (to avoid the nidana of the disease).
  • Vishishta Chikitsa for Gridhrasi:-The effective and specific treatment of Gridhrasi cannot be single-lined as it is a multifactorial disease, as the pathology involves multiple varying factors. Vitiated Vata and association of Kapha dosha stemming out from the pakwashaya, afflicting the asthi dhatu vitiating snayu and Kandara affecting in the asthi produces the illness. Therefore, the procedures are mainly aimed at the rectification of the imbalances of Vata dosha as well as Kapha dosha if associated forms the sheet anchor of treatment of Gridhrasi.
  • Treatment therapies-
  1. SnehanaSnehana or oleation therapy- Used externally (abhyanga, avagaha,parisheka, etc. and internally.
  2. Swedana In the forms of swedana procedures, avagaha swedapizhiccilnadisweda, Patra pinda swedapinda sweda, and upanaha sweda may be used which reduces the stiffness.
  3. Vamana: Medicine-induced vomiting to cure the internals of the body to break the chain of pathogenesis.
  4. Virechana Sneha Virechana of Mridu nature is another Medicine induced purgation therapy to cure the internals of the body to break the chain of pathogenesis.  helps in controlling Shula in Gridhrasi.
  5. Basti: Best treatment modality of Vyana Vata-induced disorder is Basti Chikitsa.
    1. Niruha Basti: Best choice for Niruha basti is Erandamuladi Niruha and Dashamuladi
    2. Anuvasana basti: Use of vatahara tailas like bala tailamulaka taila, ksheerabala tailaprasarani taila  are considerd as Anuvasana basti
  6. Raktamokshana– Siravyedha Siravyedha four angula above and four angula below at the site of the knee joint.
  7. AgnikarmaAgnikarma at  Antara Kandara Gulpha or  Pada Kanishka anguli (little toe of the affected leg).
  8. Shamana Chikitsa/ conservative treatment: Following Chikitsa can be included under shaman chikitsa
    1. Vedanashamaka chikitsa – To pacify the severity of pain.
    2. Vatahara chikitsa – Elimination of vitiated Vata Dosha.
    3. Kaphahara chikitsa – Pacification of vitiated Kapha Dosha.
    4. Deepana pachana chikitsa – To balance the Agni

Shamana aushadhi (Conservative medicine  ) used in Gridhrasi:

S.N. Churna Kalka and Lepa Kwatha, Kashaya and Arishta Taila and Ghrita   Vati, Guggulu and Rasyoga  
 1 Ajamodadi Churna Maha Nimba Kalka Panchamula Kashaya Chagalyadhya Ghrita Rasna Guggulu
 2 Abhayadi Churna Rasona Kalka Maha Rasnadi Kashaya Bala Taila Trayodashanga Guggulu
3  Krishnadi Churna Swalpa Rasona Pinda Shefalikapatra Kashaya Eranda Taila Yogaraja Guggulu
 4 Rasnadi Churna Gunja Phala Lepa Erandadi Kashaya Vajeegandhadi Taila Mahayogaraja Guggulu
 5 Dashmuladi Churna Vatahara Pradeha Dashmula Kashaya Saindhavadhya Taila Pathyadi Guggulu
 6     Balarishta Maashadi Taila Vatari Rasa
 7     Dashmularishta Vishagarbha Taila Vatagajankusha Rasa

Best Therapies to Treat Joint Pain/ Arthritis Solution In Ayurveda

What is Arthritis?

Arthritis is inflammation just like other tissues but this inflammation is related to joints. It can be avoided as bone joints as a basic inclusive part of any movement of the body. It’s a big myth that arthritis is an age-related disorder rather than that it can happen in the middle age group of working individuals of any sex, as most individuals are unaware of their joint care or health.

Arthritis is not merely an inflammation of one or more joints but it also causes wear and tears to peripheral cartilage leading to joint swelling, tenderness, and restricted joint movement. Cartilage is mainly protective, shock absorber and function as a friction reducer for joints and enhance proper and smooth movements of joints. Damage to cartilage leads to the rubbing of bones together which brings inflammatory changes to joints and causes tenderness, swelling, and restricted joint movements.

In such conditions, you need to consult a doctor. Initially, you may get relief from anti-inflammatories, analgesics, and muscle relaxants. But in the latter condition, it may as worse as a requirement of joint replacement surgery in certain cases.

Causes of Arthritis ( Sandhi Gata Vata Nidana)

  • Continues bearing of stress due to postural habits like occupational
  • Hormonal imbalances such as in pregnancy
  • Disease initiated like in Thyroid Typhoid or Dengue
  • Trauma
  • Bone fracture
  • Twisting or jerking of joint
  • Internal infection by bacteria or viruses
  • Age-related
  • Autoimmune disorders like RA

Sign and Symptoms

  • Joint pain
  • Swelling
  • Stiffness or restricted joint movement
  • Increased temperature in and around joint
  • Crepitation (‘Click’ sound on the movement of joint)
  • Gait Disturbance


As time passes, the injury heals level of inflammation is also gets reduced. Elimination of inflammation or causative factors moves toward healthy joint conditions and complaints disappear gradually. But this process usually takes somehow longer times if not treated properly. However, taking anti-inflammatory and analgesics may cause some other adverse effects also. So, in Ayurveda, there are some very effective, economical, and with very less or almost nil harmful effects. Below is the list of some of the available treatment modalities to treat Arthritis which in Ayurveda stands for Sandhi-Gata- Vata.

  • Decoction (Kwatha) like Dashmoola Kwath, Rasnasaptak Kwath, Punaranakasthak Kwath, Erand Moola Kwath, etc.
  • Guggulu like Vatahari Guggulu, Yogaraj Guggulu, Triyodasang Guggulu, Sinhanaad Guggulu etc.
  • Herbal Single drugs like Ashwagandha, Guduchi, Asthishrinkhala, Ajmoda, etc.
  • Herbo-mineral drugs like Vatavidhavanshak Rasa, Vatagajankush Rasa, Shanka Bhasma, etc.
  • Oil (Taila) Like-Narayana Taila, Mahanarayana Taila, Dashoola Taila, Malakanagni Taila, Murivena oil etc.



  • Marma-therapy
  • Eliminate causative factor
  • Yoga and relevant exercise.

Apart from above mention medications and therapies, there are multiple options available to treat your joint pain or Arthritis, the whole of them are not listable. To get more effective treatment please consult your or nearby Ayurveda doctors. Avoid self-medication as it may show harmful or adverse effects.

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