Published Paper Details:

Gridhrasi, one of the prominent Vata Vyadhi described in Ayurvedic classics, closely resembles sciatica in contemporary medicine due to its characteristic radiating pain extending from the lumbar region to the lower limb. The increasing prevalence of sedentary lifestyle, occupational stress, and degenerative spinal disorders has contributed to a significant rise in sciatica-related morbidity, adversely affecting functional ability and quality of life. Ayurveda offers a multidimensional therapeutic approach for Gridhrasi, among which Basti is considered the most effective intervention owing to its specific action on aggravated Vata Dosha.The present review aims to critically evaluate the clinical utility of Basti in the management of Gridhrasi through an integrative Ayurvedic perspective. Classical Ayurvedic literature, contemporary research articles, and available clinical studies related to Basti Chikitsa were analyzed to understand its therapeutic relevance, probable mechanisms, and clinical outcomes. The review highlights the role of various forms of Basti, including Niruha Basti and Anuvasana Basti, in alleviating pain, stiffness, restricted movement, and neurological symptoms associated with Gridhrasi. Additionally, the probable mechanisms of action are discussed in relation to Vata Shamana, anti-inflammatory effects, neuromuscular modulation, and systemic therapeutic influence.The available evidence suggests that Basti may provide substantial symptomatic relief and functional improvement in patients suffering from Gridhrasi when administered with appropriate therapeutic planning. However, further well-designed clinical trials and standardized treatment protocols are required to strengthen the evidence base and enhance the integration of Ayurvedic therapeutics into contemporary musculoskeletal care.