Title

Clinical amelioration of severe low back pain in lumbar spondylosis using selective siddha therapeutics - A case report

Authors

Selvaraj Jothilingam*, Krishnaaveni Damodaran, Shakthi Paargavi Ambalavanan, R. Gayatri, Srinivasan Venkatachalam, Ramamurthy Murugan, Elansekaran Selladurai & Christian Gnanaraj Johnson

Affiliation

Department of Noi Naadal, National Institute of Siddha, Tambaram Sanatorium, Tamil Nadu, India; *Corresponding author

Email

Selvaraj Jothilingam - E-mail: dr.selvarajsiddha98@gmail.com; Phone: +91 8056952370
Krishnaaveni Damodaran - E-mail: drkrishveni87@gmail.com
Shakthi Paargavi Ambalavanan - E-mail: spaargavi@gmail.com
R. Gayatri - E-mail: dr.gayatri.nis@gmail.com
Srinivasan Venkatachalam - E-mail: seenunis47@gmail.com
Ramamurthy Murugan - E-mail: ramsnis@gmail.com
Elansekaran Selladurai - E-mail: sekarnis78@gmail.com
Christian Gnanaraj Johnson - E-mail: christianvijila@gmail.com

Article Type

Views

Date

Received May 1, 2026; Revised May 31, 2026; Accepted May 31, 2026, Published May 31, 2026

Abstract

Thandagavatham is one of the 80 types of Vatha diseases mentioned in Siddha literature and it is comparable to Lumbar spondylosis, a degenerative disorder of the lumbar spine in western medicine. The conventional treatment often fails in providing long term relief from pain despite the high cost of treatment. Therefore, it is of interest to report the successful treatment of Thandagavatham using a combined selected Siddha Internal and external therapy regimen providing a long-lasting relief in a shorter duration. A 42-year-old male presented to Ayothidoss Pandithar Hospital with severe lower back pain for 7 months and was diagnosed with Thandagavatham through Siddha and modern diagnostic parameters. The patient was administered 26 days of Siddha inpatient treatments including Inpatient Department (IPD) medicines, Therapeutic enemata, Oil Damming, Medicated grain fomentation and Poultice therapies followed by 38 days of internal medications in Out Patient Department (OPD). The Modified Oswestry Low Back Pain Index decreased from 70% at baseline to 7% after treatment and the Visual Analog Scale score reduced from 5/10 to 1/10 by the end of the treatment period. The patient remained symptom free even after an 8-month drugless follow-up period, suggesting that Siddha external therapies combined with internal medicines may shorten the treatment duration and provide long-term relief.

Keywords

Siddha, Lumbar spondylosis, Peechu, Puravalayam, Navarakizhi ottradam, Thandagavatham

Citation

Jothilingam et al. Bioinformation 22(5): 2920-2926 (2026)

Edited by

P Kangueane

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.