ABSTRACT:
Background: Sciatica (Irq’al-Nasa), a condition characterized by radiating pain along the sciatic nerve, can significantly impact quality of life. This case report explores the efficacy of Fasd (venesection), a traditional Unani therapeutic intervention, in managing sciatica, in conjunction with complementary Unani treatments. Case Presentation: A 45-year-old male office worker presented with severe, radiating pain from the lower back to the right leg, accompanied by tingling and numbness, persisting for four months. Diagnostic evaluations included a Visual Analogue Scale (VAS) score of 8/10 for pain and an Oswestry Disability Index (ODI) score of 48%, indicating significant disability. Therapeutic Intervention: The patient underwent 3 weekly sessions of Fasd, alongside regular Roghan-e-Zaitoon (olive oil) massage and a regimen of Itrifal Tamar Hindi. The Fasd sessions targeted the Safravi (bilious) humor imbalance contributing to nerve inflammation and compression. Outcome: Significant improvements were observed post-treatment. The VAS score decreased from 8/10 to 2/10, and the ODI score improved from 48% to 3%, indicating relief in pain and functional recovery. The Straight Leg Raise (SLR) test improved, reflecting reduced nerve compression. No adverse effects were reported during the treatment. Conclusion: The application of Fasd, combined with supportive Unani therapies, proved to be an effective approach for managing sciatica. The treatment led to considerable pain relief and functional improvement, highlighting the potential of traditional Unani methods in contemporary clinical practice. Further studies are recommended to validate these findings and assess the broader applicability of Fasd for sciatica.