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Written by Dr Ashwini Konnur,
Lumbar Spondylosis is yet another age-related degenerative condition that affects the lumbar vertebrae or the lower spine. In case of lumbar spondylosis, the space between the discs in the lumbar spine becomes narrowed, resulting in a variety of health issues ranging from low back pain to neurological conditions. This usually occurs after the age of 40, as the spine undergoes changes with progression of age, and many of these changes contribute to degeneration of the vertebrae. Lumbar spondylosis usually occurs at the last two vertebrae of lumbar spine (L4 and L5) and first vertebra of sacral spine (S1).
Aging, genetic abnormality such as weak bones, previous injury to spine, accident, heavy weight lifting, physical exertion, over exercise, excessive forward bending, prolonged sitting especially in front of computer, too much two wheeler driving, abnormal sleep posture and inappropriate bed usage for sleeping are some of the causes of lumbar spondylosis.
Associated conditions that are included in lumbosacral spondylosis are disc herniation, bulging discs, osteoarthritis and bone spur. All these are spinal abnormalities that are a risk factor that extend into the spinal canal exerting pressure on the spinal nerves. Sciatic nerve is most often compressed at the meeting of the L5 and S1 vertebrae leading to Sciatica.
Common symptoms of Lumbar spondylosis include:
Lumbar spondylosis is diagnosed by a doctor by physical examination, X-ray, CT scan or MRI. Bed rest, Belts/ braces, NSAIDs, Spinal injections, Physiotherapy, narcotics, surgical intervention are the treatment provided by the modern medical system. Though the modern treatment has its own advantages there are many limitations that follow. Prolonged usage of NSAIDs causes gastric irritations, kidney and liver toxins; usage of belts for a longer duration weakens the spinal muscles and worsens the pain. Spinal injections have steroidal side effects and they just reduce the pain and don’t provide a permanent solution and coming to surgical intervention it’s not only expensive but there are many risk involved and in a few cases pain gets even worse.
According to Ayurveda, Lumbar Spondylosis can be correlated to Kati Vata which is a type Sandhigata Vata and back pain can be related to Kati Shula or Prishta Shula or Kati Graha. Ayurveda considers aggravation of Vata dosha to be responsible for pain and degeneration of the lumbar spine. Excessive exposure to cold atmosphere, intake of cold, dry, stale food, late night sleeping, intake of too much grams, potatoes, peas are some of the factors that aggravate vata dosha and intern worsen the lumbar pain.
Treatment in Ayurveda is given to balance the Vata Dosha. Herbal medicines and Panchakarma and Upakarmas (External therapies) adopted help to relax the muscles, relieve inflammation to the nerves and its surrounding tissues. The damage to the nerves is healed and muscles and nerves are strengthened. Ayurveda treatment basically provides nourishment to the muscles and nerves and thus rejuvenates the degenerated vertebral disc. Apart from internal and external treatments diet and lifestyle modifications are also advised and some yoga postures are also taught for a better relief.
Yogaraja guggulu, Maha Yogaraja guggulu, Trayodashang guggulu, Simhanada guggulu, Lakshadi guggulu, ksheerabala 101, Dhanwantharam 101, Dhanvantaram tablet, Rasna saptaka kashayam, Maharasnadi kashayam, Dhanwantharam kashayam, Sahacharadi kashayam, Astavarga kashayam, Dashamoola kashayam, Ashwagandharishta, Balarishta, etc. are some of the medicines that are prescribed. Oils that may be used are Narayana taila, Murivenna taila, Kottamchukkadi taila, Karpuradi taila, Ksheerabala taila, Dhanvantara taila.
Always remember not to neglect any kind of pain during Yoga. Always consult an expert and get the correct diagnosis.
This article is written only to provide you detailed information and it’s not for self-medication purpose.
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