Volume 1 - Issue 4, November - December 2025

Katigraha, a common low back disorder described under Vāta Vyādhi in Ayurveda, presents with pain, stiffness, and restricted spinal mobility. Sedentary lifestyle, faulty posture, and Vāta aggravating factors contribute to its increasing incidence. Objective is to evaluate the effectiveness of an Ayurvedic treatment protocol comprising internal medications and external therapies in the management of Katigraha. A single case study was conducted on a 42-year-old male office worker presenting with chronic low back pain for three months. Ayurvedic assessment confirmed Vāta–Kapha involvement with graha, ruk, and sthambha as key symptoms. The patient underwent a 15-day treatment plan including Eranda Saptaka Kashaya, Trayodashanga Guggulu, Triphala Choorna, Danthimooladi Kashaya, along with Kati Abhyanga, Nadi Sweda, and Kati Vasti. Significant improvement was observed in VAS pain score (from 8 to 3), SLR values (right 40°→50°, left 43°→55°), Oswestry Disability Index (severe → minimal disability), and Low Back Outcome Score (from 30 to 52). Functional mobility and daily activity tolerance markedly improved. The integrated Ayurvedic regimen demonstrated effectiveness in reducing pain, improving spinal flexibility, and enhancing functional status in Katigraha. A structured combination of internal and external therapies may serve as a promising non-invasive approach for chronic low back conditions. Further controlled studies with larger samples are recommended.