Back pain (Low Back Pain) is pain felt in the lower back that usually originates from the muscles, nerves, bones, joints or other structures in the spine. It is a common complaint. Most people will experience low back pain at least once during their lives. Back pain is one of the most common reasons people go to the doctor or miss work.
Men and women are equally affected. It occurs most often between ages 30 and 50, due in part to the aging process but also as a result of sedentary life styles with too little (sometimes punctuated by too much) exercise. The risk of experiencing low back pain from disc disease or spinal degeneration increases with age.
Symptoms of back pain may include:
Back pain often develops without a specific cause that your doctor can identify with a test or imaging study. Conditions commonly linked to back pain include:
The diagnosis of low back pain involves a review of the history of the illness and underlying medical conditions as well as a physical examination. It is essential that a complete story of the back pain be reviewed including injury history, aggravating and alleviating conditions, associated symptoms (fever, numbness, tingling, incontinence, etc.), as well as the duration and progression of symptoms.
Ayurveda refers this condition as ‘Kati shoola’. Kati refers to ‘low back’ (hip) and shoola refers ‘pain’. Kati vata or Prishta shoola or Kati graha or Trika shoola or Trika graha are other names or conditions mentioned in the classics. Vata is the predominant dosha causing these conditions and are categorized under Vataja nantmaja vyadhis.
The treatment for Back pain or Kati shoola will be planned according to the presentation of the dosha predominance and underlying cause. Treatment may include Panchakarma therapies for Shodhana, internal medicines, external applications and advise on diet and life style modification.