L5-S1 Disc Bulge - Patient Case Study

Patient: 34 Years Female

Patient Baseline

Mrs. Girija Sharma, a middle-aged female, was suffering from severe low-back pain since 2014, gradually worsening over the years. Despite consulting multiple doctors and undergoing an MRI, she received only temporary relief from painkillers. MRI revealed posterior disc bulge at L5–S1 with loss of lumbar lordosis due to muscular spasm. By the time she visited Sukhayu Ayurved, Jaipur, her condition had deteriorated to the point that she could barely walk and had to drag her right foot because of nerve compression. Diagnosis: Lumbar disc prolapse (L5–S1) with right-sided sciatica — categorized in Ayurveda under Kati-Shoola and Ghridrasi associated with Majja Dhatu Kshaya and Vata Prakopa.

Panchakarma Protocols

  • Kati Basti: Retention of medicated warm oil over the lumbosacral region to nourish Majja Dhatu and relieve nerve compression.
  • Pizhichil (Kayaseka): Continuous pouring of warm medicated oil to relax muscles and improve circulation.
  • Nadi Swedana: Focused steam therapy for relieving muscular spasm and stiffness.
  • Choorna Pinda Swedana: Herbal bolus fomentation to strengthen the paraspinal muscles and reduce inflammation.
  • Kashaya Basti and Anuvasana Basti (alternate schedule): Systemic Vata Shamana and deep tissue nourishment.
  • Oral Rasayana & Shamana Support: Physician-supervised internal medications for disc rehydration and neuro-muscular repair (details withheld to prevent self-prescription).

Improvements Observed

  • Within 3 days: Sensation began to return in the right leg, indicating early reversal of nerve compression.
  • By the end of 2 weeks: Able to walk without limping; back pain reduced by 70 %; stiffness markedly decreased.
  • By 1 month: Pain-free normal gait restored; no dragging or numbness in legs.
  • Follow-up MRI (after 8 months): Improved lumbar alignment and reduction in paraspinal muscle spasm.

Treatment Outcome

This case demonstrates that L5–S1 slip disc can be effectively managed without surgery through a well-planned Ayurvedic approach that focuses on Majja Dhatu nourishment, Vata pacification, and postural rehabilitation. Mrs. Girija Sharma achieved complete pain relief, restored mobility, and regained her normal lifestyle—without any invasive procedure—under the comprehensive care protocol at Sukhayu Ayurved, Jaipur.