From shoulder aches and pains to chronic repetitive strain conditions such as sciatica, back pain has affected many of us through numerous causative factors. Back pain or ‘kati shoola’ as it is known in Ayurveda is a common condition where the one or more dosha becomes imbalanced, and of these, vata (air + space element) would be commonly responsible.

Back pain could be of varying types and caused by various factors Incorrect posture, external or sports injury, trauma or RSI will result in a degeneration of tissues (bone, muscle and connective tissue) with a rise of vata resulting in intense pain.

The increase of dry, rough and cold qualities of vata is another cause of emaciation and degeneration of bone and connective tissue leading to osteoporosis as the space element in the pores become increased in size, as vata needs to travel resulting in pain of a cutting or numb nature or as pins and needles.

Blockages in the channels of the body (veins, arteries, lymph etc) increases vata and not allowing vata to flow naturally and is forced to other spacial areas, creating again pain. The involvement of Pitta and kapha dosha are often cause complexities.

Doshic imbalance ranges from increased vata caused by stress, old age, lack of quality sleep, over-exercising, excessive intake of foods such as chickpeas, sprouts, tea coffee, alcohol, exposure to cold climates, drinks. Increased pitta dosha due to over exposure to the sun, hot and spicy, non-veg and acidic foods. Kapha increase due to day sleep, lack of exercise, intake of sweet cold foods such as yoghurt, ice-cream, fruit juices, dairy. These causative factors coupled with influencing factors of age, climate, occupation, digestive capacity can lead to doshic imbalance.

The first line of treatment would firstly be to remove the causative factors. Then physical Ayurvedic treatments to alleviate the back pain would carefully administered depended of type of pain. For example, lower back and neck pain can be effectively treated by kati basti (a pool of warm medicated oil). Pinda Sweda (hot herbal poultice) used with medicated oils to alleviate the vata out of the tissues. A simple abhyanga with specially selected medicated oils can help to alleviate back pain. In deep seated conditions vata would be eliminated through the administration of enemas, since the seat of vata resides in the colon.

Useful internal herbs to balance the dosha and condition would also be used as well as suggested back-bending yoga postures such as bhujangasana, khandarasana, surya namaskar all used with yogic breathing to heal through prana.