An open clinical trial to evaluate the therapeutic efficacy of Varma Kanji (Internal) and Lagu Vishamutti Thylam (External) with Varmam therapy in the management of Thandagavatham (Lumbar Spondylosis)

**INTRODUCTION :**Lumbar spondylosis is a chronic, noninflammatory disease caused by degeneration of lumbar disc and/or facet joints. It is common and worsens with age. In lumbar spondylosis, there is narrowing of the space between the vertebrae, causing a variety of health problems ranging from back pain to neurological issues. Pain or tingling symptoms that extend outward to the hip or down the leg can result from compression or inflammation of nerves, a condition referred to as lumbar radiculopathy. Nowadays, Low back pain is common among people who have sedentary lifestyle, obese, having job related risk factors that require heavy weight lifting, travelling to distant places or maintaining a poor sitting posture. The pooled point, annual, and lifetime prevalence of LBP in India was 48% (95% CI 40-56%); 51% (95% CI 45-58%), and 66%(95%CI 56-75%), respectively. The pooled prevalence rates were highest among females, therural population, and among elementary workers. The point, annual, and lifetime prevalence rates of LBP in the Indian population is higher compared to global and other ethnic populations. MATERIALS AND METHODS : A total of 30 patients within the age limit of 18 - 60 years willing to participate in the study by signing the consent form will be enrolled in the study. Both male and female patients will be enrolled. RESULTS AND DISCUSSION : Reduction of clinical symptoms of lumbar spondylosis through Aberdeen low back pain scale and the results will be statistically analysed.