Scientific Understanding of Kati Basti and its Application in Sciatica (Gridhrasi)

Kati Basti is an Ayurvedic treatment approach that includes several acts such as Bahyasnehana (external oleation), and Swedana Chikitsa (fomentation therapy). Katibasti is not mentioned in any of the classical sources. Even though it is not injected into the body, it is nevertheless referred to as Basti because medicated and lubricated substances are applied to certain parts of the body for a set period. In Kati (back) and Adhah shakagata vikaras, Katibasti is beneficial (disorders of the lower part of the body). This type of external Basti is very beneficial for muscle spasms, lower back tightness, and bone tissue strengthening in the back area. Backache is the common term used for trending diseases of today's lifestyle due to the engagement of people in improper postures, one of them is sciatica. Sciatica (Gridhrasi) is a word for low back pain that travels down the inside of the leg, through the hip, to the back of the thigh, and down the inside of the leg. In general, 5-10% of people with low back pain have sciatica, but the lifetime prevalence of low back pain is believed to be between 49 and 70 percent. Modern science's treatment of sciatica is unsatisfactory, involving the use of analgesics for pain alleviation and surgical techniques that are frequently associated with side effects. Gridhrasi or sciatica is treated with a variety of methods described in Ayurveda. Kati Basti is a one-of-a-kind therapeutic technique due to its simple, non-invasive, and effective approach. The present review focus of Kati basti, its scientific understanding, its mode of action along its application in sciatica.

Prevalence Of Low Back Pain In Armed Forces

OBJECTIVE:To estimate the incidence and risk factors for developing low back ache in active duty military population considering age, sex, rank, and duration of military service. METHODS:A cross-sectional data was collected and compiled which included all the admissions at various service hospitals in the last seven years (2012 to 2018). The data base of all the armed forces hospital admissions was compiled to estimate the prevalence of low backache and evaluate possible causative factors of low backache in armed forces. RESULTS:There were total of 35560 armed forces personnel admissions in service hospitals from 2012 to 2018. The prevalence of low backache was higher in the infantry followed by artillery and then the supporting arms. The most prevalent age group was from 25 -35 years with 10 -15 years of service. CONCLUSIONS:The relatively high incidence of low backache among general duty soldiers were related to age of the personnel, the trade (occupation), the duration of service. General duty soldier is working under extreme psychological stress, harsh terrain, often without adequate rest and With a constant threat to life. The poor back posture, improper use and lack of spine care exacerbates the back ache .The vigorous stress and strain of military activities like assault course, lifting heavy weights and frequent night training also contributes to the low backache.

Efficacy of pregabalin versus nortriptyline in the treatment of chronic low backache with radiculopathy: an open label observational study

Background: The efficacy and safety of Pregabalin and Nortriptyline have been proved individually in low backache with radicular pain. However, there are limited number of studies comparing the efficacy of Pregabalin and Nortriptyline in Chronic Low Backache (CLBA) with radicular pain. Hence the present study was designed to determine the efficacy as well as tolerability of Pregabalin in comparison with that of Nortriptyline for reduction of pain in CLBA. The present study was an open label prospective observational study.Methods: Patients with CLBA, 15-60 years of age without specific cause and significant neurological deficit were included in the study. Severity of pain was assessed by Visual Analogue Scale (VAS). Patients were followed up at 2 and 4 weeks and their VAS scores and side effects were noted.Results: Both Pregabalin and Nortriptyline were effective in reducing pain, from baseline to 2 weeks and up to 4 weeks of treatment in chronic low backache with radicular pain, but there was no statistically significant difference between the two treatment groups. The incidences of side effects were less in the Nortriptyline treatment group as compared to Pregabalin.Conclusions: From the results of the present study it can be concluded that both Pregabalin and Nortriptyline were equally effective in the treatment of chronic low backache with radicular pain, but the incidence of adverse effects were more with Pregabalin as compared to Nortriptyline.

A Comparative Study To Diffrentiate The Back Extensor Endurance Between Smokers And Non-Smokers With And Without Low Back Pain Using Sorenson Test

Background: The two major public health concerns that have enormous socio-economic as well as public health impact are smoking and LBP. Aim: To compare the effects of smoking on back extensor endurance. Methodology: 200, 100 smokers and 100 non-smokers, all males were taken within the age group of 30-50 years, and who have been smoking for the last 10 years or more. People with mechanical LBP and spinal pathology were excluded. These 200 subjects were included and divided into two groups. A(n=100 smokers)B (n=100 non-smokers).With adequate explanation and demonstration Seronson test was carried out to see the back extensor endurance time in two groups of subject. Data was obtained and smoking- index was correlated subsequently. BMI,VAS, SORENSON TEST. Were the outcome measures used. Results: 67 smokers and 31 non-smokers had low backache. The Sorenson time was significantly reduced in smokers with a mean endurance time of 44.89 and 96.39 in non-smokers. BMI is negatively related to Sorenson time and prolonged cough is a risk factor for low backache and also a dose- response relationship is found between the number of cigarettes / day and pain intensity. Conclusion: The back extensor endurance is reduced in smokers irrespective of backache. Increased BMI and cough is also associated with disabling low backache. Smoking index is positively related to back pain.

The Effect Of Mulligan’s Bent Leg Raise [BLR] Versus Instrument Assisted Soft Tissue Mobilization [M2T] In Subjects With Hamstring Tightness In Non - Specific Low Backache: A Randomized Clinical Trial

Background: Nonspecific low backache is a pain, muscle tension, or stiffness localized between the costal margin and inferior gluteal folds, without sciatica. Only 10% of the cases have a specific cause. One of the risk factors is poor hamstring flexibility. Mulligan’s BLR and IASTM have shown to improve hamstring flexibility. No studies have compared both. Therefore the study was undertaken. Methods: 48 subjects, mean age 34.27 ± 5.30 were recruited. Group A (24 - 15 male and 9 female) received TENS, Mulligan’s BLR and conventional exercises. Group B (24 - 12 male and 12 female) received TENS, M2T for Hamstrings and conventional exercises. Outcome measures were taken pre-treatment session 1 and post-treatment session 6. Results: Pre and post mean the difference in group A [BLR] was 5.96 ± 0.95 for NPRS, 19.38 ±7.28 for Right AKET, 20.54 ± 6.78 for Left AKET, 2.07 ± 6.49 for Lumbar lordosis and 28.38 ± 9.73 for QBPDS. Pre and post mean the difference in group B [M2T] was 5.71 ± 1.20 for NPRS, 17.00 ± 6.94 for Right AKET, 15.75 ± 6.50 for Left AKET, 1.20 ± 4.76 for Lumbar lordosis and 26.42 ± 11.38 for QBPDS. The intragroup comparison was statistically significant, p = 0.0001 for all outcome measures. Intergroup comparison was statistically significant, p < 0.05 for Left AKET (p=0.0161). Conclusion: Interventions given were equally effective in reducing pain, improving hamstring flexibility, and reducing disability within the group but not between the groups except left AKET.

Evaluation of low backache in young adults with MRI

Background: Law back helps maintaining structural support and provide movements. Pain in low back can be result of condition affecting bony lumber sine, disc between vertebrae, ligament, spinal cord,nerves and muscle. Materials and methods: Patient coming to radiology department with chief complaint of low back pain were included. Consent was taken from each patient who came with low back pain. PHILIPS ACHIEVA1.5 Tesla used. Results: Out of 40 patient studied 20 were males and 20 were females. The age range was from 23- 40 years. Degenerative changes at L4-L5 level was most common cause of low back pain. Conclusion: MRI is the modality of choice for diagnosing condition causing low back pain.

Atypical iliac unicameral bone cyst – An incidental finding in MRI.

is no expansion of the bone with unicameral bone cysts but in our present case there was expansion making it atypical presentation. We present a 22-year male who underwent MRI for Lumbosacral spine for his vague low backache symptoms. There was incidental finding of bony lesion in left iliac bone which turned out to be simple bone cyst. The study of Lumbosacral spine was unremarkable.

A rare cause of kyphosis with low backache - “Scheuermann’s disease”: “Osteochondritis deformans juvenilis dorsi.

An uncommon case of Scheuermann‟s disease (Apprentice‟s spine) is being reported for two simple reasons- firstly, to show that it is a self-limiting disease which needs only proper observation, extension exercises & extension spinal brace and secondly, it becomes a diagnostic riddle when osteolytic lesion is seen in epiphyseal plates of adjacent vertebral bodies in an adolescent. Radiology and Imaging are needed for the early and accurate diagnosis and to differentiate it from other causes of kyphosis. Hence, it stressed the need to publish this condition not only for its rarity but also for its diagnostic puzzle to differentiate it from other conditions. Here we report a case of an adolescent male of 17 years with poor posture/slouching, fatigue, mild pain in lower thoracic area of spine (low backache), stiffness and loss of flexibility with radiological and MRI findings.

A study of sacrum with five pairs of sacral foramina in western India.

Background: The sacrum is a large, triangular fused five sacral vertebrae and forms the postero-superior wall of the bony pelvis. Numerous anatomical variations of the sacrum have been reported including complete bilateral sacralization of the fifth lumbar vertebra or complete bilateral sacralization of first coccygeal vertebra in different race generates sacrum with five pairs of sacral foramina. There has never been reported among Gujarati population in Western India. These variations may be found in the living during radiological investigations for pain and neurological symptoms of patients or may be found during post mortem examination or during dissection of human body and osteology class for undergraduate students. Aims & Objective: The study was designed to know the prevalence of sacrum with five pairs of sacral foramina among Gujarati population in Western India as there is paucity of available literature. Considering the variation, we conduct this study as a prelude to any type of experimental work in biomechanics, for diagnostic and therapeutic purposes in low back pain, sciatica, coccydynia, spinal surgery and for interventional procedures like spinal anaesthesia and lumbar puncture. Material and Methods: Observational study was carried out on 302 dry human sacra from Department of Anatomy, B.J. Medical college Ahmedabad, Government Dental college Ahmedabad, Medical college Vadodara and Government Medical College, Surat in Gujarat. Morphological study was done on the sacrum. The sacra consisting of six vertebral segments were selected. The specimens were then carefully examined and recorded. Results: 302 dry human sacra were studied. Sacra with five pairs of sacral foramina were recorded. We founded 51 specimens of sacrum with five pairs of sacral foramina representing Bilateral complete sacralization of fifth lumbar vertebra (24 sacra) and bilateral complete sacralization of first coccygeal vertebra (27 sacra). Conclusion: The prevalence of a sacrum with five pairs of sacral foramina varies in general population is not reported separately. The present study shows that the incidence of sacrum with five pairs of sacral foramina among Gujarati population in Western India is 16.9%. Prevalence of sacrum with five pairs of sacral foramina is 7.9% and 8.9% due to sacralization of fifth lumbar vertebra and sacralization of first coccygeal vertebra, respectively. The knowledge of this anatomical variation is of paramount importance to spinal surgeons, obstetricians, radiologists, forensic experts, morphologists and clinical anatomists.

Prevalence of Major Rheumatic Disorders in Jammu

A study was undertaken to detennine the point prevalence rates of major rheumatic disorders in Jammu (J&K). WHO-ILAR COPCORD CCQ (World Health Organisation-International League Against Rhewnatism Community Oriented PrograImne for the Control of Rhewnatic Diseases Core Questionnaire) was used followed by clinical examination for the diagnostic purposes. About one-fourth of the population surveyed in this study had rheumatic complaints. LBA was the most frequently encountered rheumatic ailment.