From Illness to Wellness:L5–S1 Sacralization – 70% Pain Relief in 10 Days

Patient Details

Age / Gender: 53 years / Male

Occupation: Government employee (desk work)

Duration of illness: ~25 years

Chief Complaints:

• Chronic low back pain and stiffness for 25 years
• Difficulty in forward bending and prolonged sitting
• Occasional radiating pain to buttocks region
• Morning stiffness and disturbed sleep due to pain

Clinical Findings (Before Treatment)

• Restricted lumbar flexion with compensatory hip bending
• Tenderness over lower paraspinal and lumbosacral region
• Postural asymmetry with mild pelvic tilt
• Pain reproduced during extension and prolonged sitting

VAS (Pain): 9/10

Range of Motion (ROM):

• Forward Flexion: 40° (painful and stiff)
• Extension: 10°
• Side Bending: 15° (restricted)

Diagnosis: L5–S1 Sacralization with Chronic Mechanical Low Back Pain

Investigations

• X-ray (Before): Sacralization of L5 vertebra, reduced lumbosacral angle.

Before X-ray

Treatment Plan (14 Days)

Therapy Used: Marma Chikitsa (Marma Therapy)

Sessions: 45–60 minutes daily

Modalities Applied:

• Targeted Marma stimulation – Kati, Prishta, Nabhi and Nitamba marma points
• Deep-tissue relaxation and neuromuscular release techniques
• Guided posture correction and core reactivation exercises
• Breath–movement synchronization to balance Vata

Internal Medicines: None (purely non-pharmacological)

Lifestyle Advice:

• Avoid sudden forward bending and lifting
• Practice gentle back stretches and hip mobility routines
• Use lumbar support while sitting
• Apply warm compress after sessions

Results (After 14 Days)

VAS Pain Score: Reduced from 9/10 → 2/10

Range of Motion (ROM):

• Forward Flexion: 80° (pain-free)
• Extension: 25°
• Side Bending: 30°

• Significant pain relief
• Improved lumbar mobility
• Restored posture and functional stability
• Better sleep and work tolerance

Bending Video Screenshot (After)

Discussion

This case demonstrates the effectiveness of Marma Chikitsa as a standalone, non-invasive therapy for chronic mechanical back pain associated with L5–S1 sacralization. Through precise stimulation of key marmas and corrective movement retraining, therapy improved circulation, tissue flexibility, and neuromuscular coordination without medications or basti procedures.

Conclusion

“Healing through Marma — where precision touch restores strength and freedom of movement.”

Early integration of Marma therapy in chronic spinal dysfunctions may prevent degenerative progression and promote long-term functional recovery.