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A 44-year-old male patient presented with severe pain in lower back radiating to left leg till ankle joint since 1 month. He took some analgesics for pain management. As the condition persisted, he opted for Ayurvedic management and approached Dr Ravisankar Pervaje. Based on the investigation reports and clinical examination, the physician confirmed the biomedical diagnosis as Sciatica and Ayurvedic diagnosis as Vata kaphaja gridhrasi. The line of treatment followed was pitta shamana, vatanulomana, agni dipana and rakta vriddhi. After 3 days of treatment, the patient had a significant reduction in back pain and the posture improved. With 12 days of Ayurvedic treatment, the patient got complete relief from all the symptoms and the quality of life improved. VAS was recorded as 8 at baseline became 0 at endpoint. There was a significant improvement in SLR, and no pain while walking. This case report demonstrates the successful standalone ayurvedic management of a sciatica in a patient who did not get relief from pain in spite of taking pain killers.