A study to compare the efficacy of Kashyapokta Kala Basti and Vagbhatokta Kala Basti in the management of Vataja Gridhrasi or Sciatica.

Phase 3

Not yet recruiting

Conditions: Nerve root and plexus compressionsin diseases classified elsewhere. Ayurveda Condition: GRUDHRASIÂ (KEVALAVATA),

Registration Number: CTRI/2023/08/056604

Lead Sponsor: Dr Sreejith R

Brief Summary: In the present era, there is considerable increase indisorders related to the locomotory system which has affected both social and professionallife of human, impairing the quality of living. *â€˜Gridhrasiâ€™* is one amongsuch disorders described in Ayurvedic classics. It is a *Ruja Pradhana Vatavyadhi*andthe name *â€˜Gridhrasiâ€™* itself indicates the impaired gaitof the patient i.e., *â€œGridhravathâ€*. In *Gridhrasi*, there is intenseshooting pain characteristically radiating from *Sphik* (gluteal region)to *Prishtha Bhaga of* *Kati* (lumbo-sacral region), *Uru*, *Janu*,*Jangha* and *Pada* in the same sequential order. The symptoms of *Gridhrasi*are *Ruk*, *Toda*, *Spandana* and *Stambha.* Inmodern view the above condition is described as pain or paresthesia which isexperienced along the course and distribution of the sciatic nerve or an associatedlumbosacral nerve root**.**It is well knowneven among the laymen as â€œSciaticaâ€. Lifetime incidence of sciatica reportedbetween 10% to 40% with an annual incidence of 1% to 5% of the population. The prevalenceof sciatica varies considerably ranging from1.6% in the general population to43% in the working population.

The change in lifestyle includingbusy professional and social life, improper sitting posture in offices,factories, overexertion, jerking movements during travelling and sportsâ€“ arefew factors creating undue pressure to the spine. Also, other factors like irregular & improper food habits,suppression of natural urges, lack of proper sleep or sleeping during day timeand over exerting day to day work has led to an increased incidence of lowbackache and sciatica. Likewise, progressive disorders affecting the pelvis andnearer structures are also precipitating this condition. In this way, thisdisease is now becoming a significant threat to the working population.

In reference to sciatica treatment, contemporarymedical science has only symptomatic management with analgesics andanti-inflammatory drugs which causes serious side effects on prolonged usage.In some cases, if nerve compression is more, then steroid injections,peri-radicular infiltration and surgical interventions like laminectomy,discectomy are indicated but these procedures are expensive with their ownlimitations. All these factors show a gravity of the disease and have compelledto go for a better remedial search or alternate choice of treatment which canbe achieved through Ayurveda.

In Ayurveda, *Basti Chikitsa* isconsidered as the most effective form of treatment in the management of variousailments especially in diseases occurring due to *Vata* *Dosha* due to its multi- dimensionalaction. *Acharya Charaka* and *Acharya Vagbhata* have described *Basti*as *Ardha Chikitsa* which itself is self-explanatory about itsimportance.It is also considered as one among theimportant treatment procedures in *Gridhrasi**.***

There are different patterns of *Basti* explained in our classicslike *Yoga* *Basti*, *Kala Basti* and *Karma* *Basti* , but *Acharya* *Kashyapa* has mentioned special patternfor *Kala Basti* where,12 *Anuvasana* *Basti*â€™s and 3 *Niruha Bastiâ€™s* are mentionedwhich would be more beneficial in *Vataja Rogas* including *Gridhrasi.*

Considering the above factors, an attempt has been made to clinicallyevaluate the comparative efficacy of *Kashyapokta Kala Basti* and *Vagbhatokta**Kala Basti* in *Vataja* *Gridhrasi (Sciatica)*

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 30

Inclusion Criteria

Subjects between the age group of 21.
60 years irrespective of gender, religion, occupation and socioeconomic status. -Subjects fit for Basti Karma. -Subjects presenting with clinical signs and symptoms of Vataja Gridhrasi. -Subjects who are willing to give a written consent for the treatment.

Exclusion Criteria

Subjects below 21 years and above 60 years of age.
Subjects unfit for Basti Karma.
Subjects presenting with signs and symptoms of Vata-Kaphaja Gridhrasi.
Systemic diseases which interfere with the course of treatment will be excluded.
Subjects with spinal deformity, severe traumatic injury, tuberculosis of the spine, benign or malignant tumors of spine.
Pregnant and lactating women.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
SLR Test, VAS scale for pain assessment, Oswestery low back disability index	0th day,15th day,45th day

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (1): Sri Sri College Of Ayurvedic Science And Research Hospital, Bangalore.
🇮🇳
Bangalore, KARNATAKA, India
Sri Sri College Of Ayurvedic Science And Research Hospital, Bangalore.
🇮🇳Bangalore, KARNATAKA, India
Dr Sreejith R
Principal investigator
9895715110
sreerejit@gmail.com