Backache/ Katishool

Table of Contents

1. Introduction

A pain, especially in the lumbar region of the back, usually caused by the strain of a muscle or ligament. Low back pain is common. The main cause for low back pain is a strain of the muscles , or other soft structures (e.g. Ligaments and tendons ) connected to the backbones . Sometimes it is the cushion between the bones ( intervertebral disc ) which is strained, and which bulges out ( herniates ) and presses on the nearby nerves (as in sciatica).  Low Back Pain is affecting the lower part of back. It is described as:

Acute if it has lasted less than 6 weeks.

Sub – acute if it has lasted l 6 – 12 weeks.

Chronic if it has lasted more than 12 weeks.

2. Defining Backache (katishoola)

Ayurveda refers this condition as kati shoola. Kati refers to “low back ” (Hip) and Shoola refers to “Pain”. Kati Shoola is a disease which is mainly caused by vitiation of Vata Dosha. Some ancient texts also describe Kati Shoola as a symptom of some disorders such as Kati Graha, Trika Graha, Prushta Graha, Kati Vayu, Trika Shoola, Prushta Shoola, Vataja Shoola, Trika Vedana, and Grudrasi Vata.

3. Causes of Backache

  • Sprains & Strains.
  • Traumatic Injury.
  • Fracture.
  • Herniated Disc.
  • Sciatica.
  • Lumbar Spinal Stenosis.
  • Osteoarthritis.
  • Scoliosis.

4. Sign And Symptoms

Back pain can range from a muscle aching to a shooting, burning or stabbing sensation. Also, the pain can radiate down a leg. Bending, twisting, lifting, standing or walking can make it worse .

5. Diagnosis Methods

One or more of these tests might help pinpoint the cause of the back pain:

  • X-ray. These images show arthritis or broken bones. These images alone won’t show problems with the spinal cord, muscles, nerves or disks.
  • MRI or CT scans. These scans generate images that can reveal herniated disks or problems with bones, muscles, tissue, tendons, nerves, ligaments and blood vessels.
  • Blood tests. These can help determine whether an infection or other condition might be causing pain.
  • Nerve studies. Electromyography (EMG) measures the electrical impulses produced by the nerves and how the muscles respond to them. This test can confirm pressure on the nerves caused by herniated disks or narrowing of the spinal canal (spinal stenosis).
    6. Lifestyle and Modifications for ReliefImproving one’s physical condition and learning and practicing how to use the body might help prevent back pain.To keep the back healthy and strong:
    • Exercise. Regular low-impact aerobic activities — those that don’t strain or jolt the back — can increase strength and endurance in the back and allow the muscles to work better. Walking, bicycling and swimming are good choices. Talk with your health care provider about which activities to try.
    • Build muscle strength and flexibility. Abdominal and back muscle exercises, which strengthen the core, help condition these muscles so that they work together to support the back.
    • Maintain a healthy weight. Being overweight strains back muscles.
    • Quit smoking. Smoking increases the risk of low back pain. The risk increases with the number of cigarettes smoked per day, so quitting should help reduce this risk.
    Avoid movements that twist or strain the back. To use the body properly:
    • Stand smart. Don’t slouch. Maintain a neutral pelvic position. When standing for long periods, place one foot on a low footstool to take some of the load off the lower back. Alternate feet. Good posture can reduce the stress on back muscles.
    • Sit smart. Choose a seat with good lower back support, armrests and a swivel base. Placing a pillow or rolled towel in the small of the back can maintain its normal curve. Keep knees and hips level. Change position frequently, at least every half-hour.
    • Lift smart. Avoid heavy lifting, if possible. If you must lift something heavy, let your legs do the work. Keep your back straight — no twisting — and bend only at the knees. Hold the load close to your body. Find a lifting partner if the object is heavy or awkward.
      7. Treatment / Medications  :

PANCHAKARMA :  

  •  Snehana
  • Swedana
  • Kati Basti
  • Matra Basti
  • Yog Basti
  • Virechana

SHAMAN CHIKITSA : 

  • Shallaki
  • Triodashang Guggulu
  • Yograj Guggulu
  • Rasnadi Guggulu
  • Mahavat Vidhwansan Rasa
  • Kukkutwandtwak Bhasma
  • Maharasnadi Kwath
  • Dashmool Kwath
  • Ashwagandha Churna

MODERN MANAGEMENT:

  • NSAIDS (Non steroidal anti inflammatory drugs)
  • Calcium
  • Multivitamins and Multimineral drugs

8. FAQs about Backache/Katishool

What causes Backache?

Backache can be triggered by various factors, including  fatty foods, obesity, pregnancy, prolonged working, heavy weight lifting, long term disease  and certain medications.

Can Backache lead to serious complications?

In some cases, untreated Backache can lead to complications like Loss of sensation, inability to walk, Pot’s Spine. Timely intervention is essential.

Can lifestyle changes alone manage Backache?

In many cases, adopting lifestyle changes can effectively manage backache. However, severe cases may require a combination of lifestyle modifications and medications.

Is Backache a lifelong condition?

For some individuals, Backache may be a chronic condition that requires ongoing management. Others may experience relief with lifestyle changes and treatment.

Are there foods that can worsen Backache?

Certain foods, such as citrus fruits,  spicy foods, can exacerbate Backache symptoms. Identifying and avoiding trigger foods is crucial.

12. Conclusion

In conclusion, Backache requires a comprehensive understanding of its causes and effective management strategies.

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