A male patient aged 41yrs visited OPD with chief complaints of low back pain, increased stiffness and associatedwith constipation since 3yrs. Past history revealed congenital deformity of short right leg and flat feet. The patienthad low back pain since 18 years for which surgery was advised, aggravated since 3 yrs. Radiological assay (MRI)
revealed postero central disc protrusion at L4-L5, diffuse disc bulge at L2-S1 level causing compression on anterior thecal sac. The case diagnosed as katigraha (Lumbar spondylosis) and treated with anulomana (normalising the movement of vata), Tiktaksheera basti (type of therapeutic enema), external Sthanika Abhyanga (local oleation) and
Patrapinda sweda (type of sudation therapies). These measures resulted in significant relief of 75% in pain, stiffness and numbness even on prolong sitting. Patient had follow-up of 3 months and presented with further improvement in the condition.

Keywords: Kati graham; Tikta ksheera basti; Disc protrusion; Disc bulge; Lumbar spondylosis