Brief Answer: need expanded information Detailed Answer: Dear XXXX Thanks for contacting Ayurveda with your health concern and following points need clarification from your side for better understanding and management of disease. 1. is pain due to unusual activity [sudden lifting of heavy weight or lack of exercise] or occupation related [poor posture, overweight]? 2. Any Examination [SLR test and EHL weakness] with Orthopedic Surgeon done, and did he ruled out any abnormal spine curvature or prolapsed intervertebral discs? [ [ were you evaluated by an Orthopedic Surgeon for any structural problem [ruptured or bulging disc] & what was his/her observation? [were any investigations carried out to rule nerve compression] 3. I usually recommend the following guidelines with my patients, when they complain of such symptoms: i. Hb%, X-ray LS spine [AP & Lateral] for Osteoarthritis, disc prolapse, TB spine, osteoporosis and same is expected from your side to kindly exclude the same. 4. please mention the [CAUSE] of the back pain since first step in Ayurveda Management is Treatment of the cause [निदान परिवर्जन] 5. I usually enquire about following Risk/aggravating factors from my patient(s) and same is requested from your side: i. Age - older adults are more susceptible [age is fine] ii. Anxiety, Depression? iii. Obesity/overweight [please mention about your weight] iv. any addiction [Smoking in particular] v. Strenuous physical exercise or physical work [poor posture] 6. any associated symptoms with back pain like: pain down the legs,urinary incontinence, fecal incontinence, numbness around the genitals, anus, buttocks 7. Do let me know about the medicines which your Doctor has given, so that any drug-drug interaction is avoided. 8. Do revert back for Ayurveda Treatment and Medicines, in the mean time start incorporating following Ayurveda Dietary Regime and lifestyle changes: i. Avoid: urad dal, curd, fish, jaggery, milk, incompatible and heavy food, suppression of natural urges, anxiety, grief, outdoor activities when sky is covered with clouds, and cold wind. ii. Take: maize, horse gram, karela, dried ginger, garlic, ajwain,saunf, XXXXXXX marich, saindhav lavan, hing, jeera, old ghee, lukewarm water, castor oil, light walking, sudation, warm clothes, garlic and ginger mixed butter milk [लस्सी]. iii. fry 250 ml ginger juice in 250 ml of til tail, when 250 ml remains [make sure oil doesn't get burn], filter it after cooling and massage. iv. boil 1 spoon dried ginger [सौंठ] in 4 cups of water till 1 cup remains, filter it and add 2 spoon castor oil and drink. PS. General Instructions i. Maintain straight back posture while sitting or standing. ii. avoid bending forwards and lifting weights. iii. sleep on hard mattress. iv. gentle massage v. back exercises: Leg raising in dorsal recumbent position, push ups, swimming. Spine Management: i. Relax the spine completely. ii. Do not lie face down. iii. Lie on your back with pillow under the knee. iv. Lie on the side with a pillow between the knees. v. Distract your mind from the pain, watch television, read light humorous stories, listen to soothing music. vi. Take 4 spoons of XXXXXXX juice 4 spoons of ginger juice 4 spoons of honey and take for 1 month. . Boil 100 gm black pepper powder in 300 ml til tail--- filter, cool and massage OR mix dried ginger in castor oil and massage. Dr. Munish Sood Consultant & Physician Naimittika Clinic.

---