Pain that starts in the lower back or buttock and travels down one leg.
What it looks like: A shooting or burning line of pain down the back of one leg; Worse on sitting, coughing or sneezing; Numbness or pins and needles in the calf or foot; A leg that feels heavy or gives slightly on stairs.
Sciatica is described in the classical texts as Gridhrasi — literally the gait of a vulture, for the way the affected leg is carried. It is read as Vata moving downward along the channel, sometimes with Kapha involvement where there is heaviness and swelling rather than sharp pain.
Kati Vasti over the lumbar origin comes first, followed by Pizhichil along the affected leg to carry the oleation the length of the channel. Where the presentation is chronic, the doctor may plan a Vasti course — Matra Vasti or Kashaya Vasti — because classical practice treats medicated enema as the primary answer for entrenched Vata, not as an add-on.
Typical course: 14 to 21 days, with the Vasti component planned as a defined schedule.
When to see a doctor first, not us: Numbness around the saddle area, difficulty passing urine, weakness in both legs, or pain following major trauma — go to an emergency department. These are surgical signs, not therapy signs.
Assessed at Sri Vinayaga Ayurvibe, a government-certified Ayurveda hospital at Nookampalayam, Perumbakkam, Chennai 600131 — reachable from Sholinganallur, Medavakkam, OMR, Velachery, Pallikaranai and Tambaram. Open every day, 10 AM to 8 PM.
Sri Vinayaga Ayurvibe — 12/597, Main Road, Nethaji Nagar Main Rd, Nookampalayam, Perumbakkam, Chennai 600131. Phone: +91 81229 39197.