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Kati Basti is an ayurvedic treatment that is useful for lower back pain and especially beneficial in sciatica and various spinal problems.
The word is derived from the Sanskrit ‘kati’ meaning lower back, and ‘basti’ meaning a reservoir or retainer. This practice is called kati basti and consists of pooling warm medicated oil on the lower back by creating a dam of black gram dough to keep the oil in place. The oil seeps deep into the muscle tissue of the affected area to induce a soothing effect on both the muscles and the nerves, making Kati Basti a very effective Ayurvedic treatment for sciatica, lumbago, herniated discs and degenerative conditions of the spine.
Kati Basti, particularly focusing on localized oleation (Bahya Snehan) and fomentation (Swedana). It is specifically applied over the Kati Pradesha (lower back/lumbosacral region) using a dough ring that holds warm medicated oil for a fixed period. Although Kati Basti is not explicitly described in classical Ayurvedic texts, the term is applied because medicated oil is retained on the body surface for therapeutic action, similar in purpose to internal Bastis, which are used to pacify vitiated Doshas and nourish tissues.
In Ayurveda, Kati Basti is aimed at pacifying vitiated Vata Dosha, especially in conditions of musculoskeletal dysfunction such as Gridhrasi (sciatica) and Kati Shoola (low back pain). The warm, medicated oil counters the Rooksha (dryness), Laghu (lightness), and Sheeta (coldness) qualities of aggravated Vata. It also addresses Kapha Kshaya by imparting the qualities of Ushna (heat) and sookshma (penetrating).
This therapy is thought to strengthen tissues by nourishing the muscles, nerves, and joints. In Ayurveda, this helps bring back balance and movement to the lower back.
Clinical observations and small studies suggest that Kati Basti can help relieve various types of back pain. In one study of patients who developed low back pain after spinal anaesthesia, noticeable improvement in pain, stiffness, tenderness, and overall movement was observed after completing a course of Kati Basti.
Other studies comparing Kati Basti with similar Ayurvedic therapies found that it provided good relief for sciatica, especially by reducing pain and stiffness. Research combining Kati Basti with yoga also showed a clear reduction in pain and difficulty in daily activities among people with long-term low back pain.
Ayurvedic case reports reveal improvement in symptoms such as pain radiating to the legs, numbness, and stiffness when Kati Basti is used along with other therapies. While most of these findings come from small studies and case reports, the overall results are encouraging and indicate that Kati Basti may offer meaningful relief in back pain and sciatica when used appropriately.
The Kati Basti procedure starts with the patient lying flat on his stomach. A mould kneaded with black gram dough is constructed over the lumbosacral region. 150-200 ml of medicated oil with anti-inflammatory analgesic herbs is gently warmed and is poured into this natural pool of oil, which should be kept at a constant temperature. The oil is left in place for 30 to 45 minutes and is absorbed into the deeper tissue layers. The massage is also finished with a gentle massage of your back (Abhyanga) and a heated pad if you request one. A session will usually last
Kati Basti is recommended by Ayurveda for lower spine & sciatic nerve problems. Important signs are:
Kati Basti offers multiple healing benefits:
At Mirasa Ayurveda, we don’t just treat conditions—we restore balance and well-being. From pain relief to stress management, our patients have experienced life-changing results through natural Ayurvedic care.
"I had been dealing with sleepless nights and constant anxiety. After just a few Shirodhara sessions at Mirasa Ayurveda, my mind feels calmer and I finally sleep peacefully again."
“The pain in my joints used to slow me down every day. Potli massage therapy at Mirasa Ayurveda brought back my mobility and comfort—it’s like warmth and healing in one.”
“My lower back pain was unbearable, especially after long work hours. Kativasti gave me instant relief and long-term comfort. Highly recommend it!”
Kati Basti is a traditional Ayurvedic therapy designed specifically for the lower back. It involves pooling warm medicated oil over the lumbar spine using a dough dam made from black gram. The oil penetrates deeply into the muscles and nerves, offering effective relief from sciatica, lower back pain, disc prolapse, and degenerative spinal conditions.
Kati Basti is ideal for individuals suffering from chronic or acute lower back pain, sciatica, slipped disc, muscle spasms, or postural strain due to sedentary lifestyles. It’s also recommended for elderly patients with spinal degeneration and women with postnatal spinal stress.
A typical treatment plan includes sessions over 1 to 2 weeks, depending on the severity of the condition. Each session includes warming oil application and other important steps to complete the session.
Yes, Kati Basti should be avoided in cases of acute infections, open wounds in the back area, recent spinal surgeries, severe osteoporosis, or during pregnancy (stages need to be discussed ). A professional Ayurvedic consultation is recommended before starting the therapy.
