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INTRODUCTION:  Low back pain (kati shoola) is one of the most common musculoskeletal problems in modern society. The majority general causes of lumbago are musculo-ligamentous sprains and strains, which take place mostly at the lumbo-sacral region resulting to a variety of injuries. As per Ayurveda Lumbo-sacral sprain/strain can be correlated to kati shoola. Kati shoola has not been described as a separate disease entity in any classics and it described as a symptom in various diseases especially in Vata Vyadhi. 

OBJECTIVES: Aim of present study are to scrutinize the available literature for related conditions kati shoola in Ayurveda & Lumbo-sacral Sprain/strain in contemporary science. DATA SOURCES :  Available Ayurvedic  literature and contemporary science text books and journals. REVIEW METHODS:  We review problem with the available literature for related conditions kati shoola in Ayurveda & Lumbo-sacral Sprain/strain in contemporary science, Regarding to anatomy, physiology , pathology and treatment modalities according to texts.CONCLUSION:  Acute Lumbo-sacral strains are basically the tears, either incomplete or entire, of the muscle-tendon component, while lumbo-sacral sprains are the overstretching or tearing of ligaments of lower back. Patients with Vata Pittaja prakirti are more likely to suffer from Acute lumbo-sacral Sprain/Strain.

KEY WORDS:  kati shoola, Lumbo-sacral Sprains and Strains, low back pain, spasm