Role of Basti in Lumbar Disc Disorders with special reference to Gridhrasi

Lumbar Disc Disorders (LDDs) are significant cause of disability worldwide with a high prevalence among individuals engaged in sedentary or physically demanding occupations. Among these, Lumbar Disc Herniation (LDH) is closely related to Gridhrasi, a condition described in Ayurveda with symptoms resembling sciatica. Gridhrasi is primarily associated with aggravated Vata Dosha, leading to radiating pain, stiffness, and neurological deficits. The findings of the current study shows that the prevalence of having disc degeneration (either HN, AF or ND) in the age group 15-30 in asymptomatic individuals of Indian ethnicity was 56%. Ayurveda offers a comprehensive approach to managing LDD with Basti (medicated enema) being a key therapeutic intervention. Basti, especially Kati Basti, Anuvasana Basti, and Kashaya Basti, helps pacify aggravated Vata, reduce inflammation, & promote nerve regeneration. This paper explores the role of Basti in the management of Lumbar Disc Disorders with special reference to Gridhrasi, examining its efficacy through classical texts and contemporary research. Integrating Ayurvedic treatments like Basti with modern rehabilitative strategies may offer a holistic and sustainable solution for LDD patients. The pharmacological properties of key Basti yoga’s such as Erandamooladi, Niruha Basti, Dhanwantaram Mrudhupaka, Sahacharaadi Mrudhupaka, Vaitharana Basti, Dashamooladi Basti, Ksheerabala, etc., were analysed for their neuroprotective and anti-inflammatory effects. Clinical evidence supports the efficacy of therapies like Karma Basti and Yoga Basti in reducing pain and inflammation, improving nerve conduction, stabilizing spinal structure, regenerating nerves. Basti therapy serves as safe and effective intervention, offers potential alternative or adjunct to conventional treatments with long term effect.