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A 63-year-old female patient was a known case of Diabetes mellitus for 2 years and Hypertension for 17 years, and was on regular allopathic medicines. For the past 4-5 years, she has been suffering from low backache associated with stiffness. She tried painkillers but got no relief. She was advised to undergo surgery. The patient now consulted Dr Partap Chauhan for better ayurvedic management.

Based on the clinical evaluation and X Ray findings, the biomedical diagnosis was made as Lumbar spondylosis, and the Ayurvedic diagnosis was made as Kati shoola. The line of treatment planned was Vata kapha shamana, ama pacana, sroto shodhana and rasayana. Within 1 month of ayurvedic treatment, there was a significant reduction in pain and stiffness. In 2 months, there was only minimal pain on walking short distances. With 4 months of Ayurvedic treatment, the patient got complete relief from symptoms and the quality of life improved. At rest, VAS was recorded 8 before treatment and 2 after treatment. During activity, VAS recorded 10 before treatment became 2 after treatment. This case report demonstrates the successful ayurvedic management of chronic low backache, in a patient who was advised surgery as a remedy for her symptoms.