Dr.Shashikant Patwardhan Low back pain is one of the most common pain disorders today .It is a chronic condition defined by a persistent dull or sharp pain per the lower back. It may be also associated with burning, stiffness, numbness or tingling with the pain shooting down the buttocks and the legs. When we stand, the lower back functions to hold most of the weight of the body. When we bend, extend or rotate at the waist, the lower back is involved in the movement. Low back ache is often precipitated by moving, lifting objects or twisting of the waist. Severe pain in the low back can be quite debilitating to patients. Pain in the lower back restricts activity and reduces work capacity and quality of enjoyment of ordinary living and turns daily life into a misery. Survey indicates that 70 per cent of the people suffer from debased back pain at some time in their lives. The highest rate of back pain occurs among the 45 to 64 year age group. The incidence of low back pain is greater among women. In 90 per cent of the patients, low back pain resolves within six weeks, i.e. self limited. In another 5 per cent the pain resolves by 12 weeks. Less than 5 per cent of back paid account for true nerve root pain. Causes One of the usual causes for the backache is poor posture habit. Balanced posture decreases stress on your rearmost by keeping the muscles, bones and other supporting parts in their natural position. Any change from normal spinal curve can stress or pull muscles. This leads to increased muscle contraction, which causes pain. Low rearmost pain can result due to health problems like osteoporosis, scoliosis, spinal stenosis. Sprain or strain of muscles or ligaments in the area can also obvious in low back pain. else possible causes include fibromyalgia and benign or malignant tumours. A fall or blow to the back can strain or tear tissues around the spine, or even break a bone guiding to back pain. Lack of exercise or incorrect exercise can also lead to low rearmost pain. Too much weight or overweight also is a cause of low back pain. Treatment Conservative treatment is the most likely course of action for most patients. Treatment options include rest, Traction, Short wave diathermy, non-steroidal anti-inflammatory medications, weight control, steroid injections in step by step order. If a patients does not get relief after 8 to 12 weeks of conservative therapy surgical intervention is considered. The most usual surgical procedure is a discectomy, which involves removing the brushed gel-like material in the disc. This procedure returns the disc to a more normal shape, relieving the pressure on the nerve. the neurosurgeon can also perform a foraminotomy, which is a procedure designed to expand the opening the nerve travels through. Drugs and knives don’t always work because from 60% to 90% of disease is not the result of functional injury, but rather of the mind-body response to stress Ayurvedic Perspective Ayurveda holds that low back pain is a result of vitiation of cardinal of the three principal 'doshas'. 'Kateegraham'/'Prishtasoola' or low back pain is an indication of Vata aggravation and bone and muscle weakness. Ayurvedic Treatment Treatment in Ayurveda is to bring the vitiated 'dosha' back to the state of equilibrium and thereby to the state of health. For treating low back pain, internal as well as foreign treatments are done. Herbal preparations like 'Asthavargam' are administered internally. Daily purgation is recommended to restore the vitiated 'dosha' to the state of normalcy. Ayurvedic Panchakarma treatments like Abhyanga (oil massage), Basti (meditated enema) are very much helpful in relieving backache and correcting abnormalities. Drugs like Yogarajaguggulu, Lakshadiguggulu, Triphala Guggulu, Maanarayana tailam are useful in this condition. Yoga and Yogasana The source of the pain is due most often to pushing oneself beyond carnal or emotional capacity. The spine needs stability and, therefore, the mind must first be steady. So, the first step is to learn to relax the mind and focus on the specific areas of back pain. With practice, you can redirect the body's energy and affect the pain. Among the Yogasanas ,when there is pain, start with simple back-bends, such as Locust, Cat, and Sunbird. To keep the spine aligned practice Hero Pose. Caution- Before difficult any of these postures, consult with a yoga teacher or therapist to determine the unsurpassed postures for your condition. About The Author Dr.Shashikant Patwardhan is practicing as 'Ayurvedic Consultant' for last 25 years at the city -Sangli , Maharashtra -India. He has done his graduation in Ayurvedic Medicine and Surgery [B.A.M&S] and post high Fellowship of Faculty of Ayurvedic Medicine [F.F.A.M.] From Tilak Ayurved Mahavidyalaya, Pune University , India, during the years 1970-1976. He is a chief editor and Ayurvedic Consultant of a 'Comprehensive website on Ayurveda - http://www.ayurveda-foryou.com. He is an author of galore books on Ayurveda and is first to publish them in ebook format. He has written ebooks like - Ayurvedic Cure of Diabetes , Home Remedies in Ayurveda, Treat Common Diseases with Ayurveda & Yoga , Ayurvedic Principles Revealed. He regularly writes articles on various topics in Ayurveda in Ayurvedic health magazines and alternative medicine sites. editor@ayurveda-foryou.com