Orthiva — a personalised programme for sciatica and nerve-related back pain
Physician-led Ayurvedic care for the radiating leg pain, tingling and numbness of sciatica. It begins with an Orthiva Assessment to find what is compressing or irritating the nerve — then a programme built around your spine.
16,000+ patients · 4.9 Google · 18 years of clinical practice · Sector 51, Gurgaon
Common symptoms
Sciatica is the pain of an irritated sciatic nerve — usually felt down one leg. Most people notice a mix of these, often triggered by sitting, bending or coughing.
Who it affects
Sciatica is a symptom of nerve irritation in the lower spine — and it can be improved once the cause is understood. It tends to affect:
Why it happens
Sciatica is not a disease in itself — it is the leg pain that results when the sciatic nerve is compressed or irritated in the lower spine. Finding what is pressing on the nerve is the first step.
The most common cause — a disc in the lower spine presses on a nerve root, which the body feels as pain travelling down the leg.
Age-related narrowing of the spaces the nerves pass through (or spondylosis) can crowd and irritate the nerve, especially with certain movements.
Tight or overloaded muscles deep in the buttock and back can add to the irritation, keeping the nerve sensitised and the pain going.
The options
There are several ways to approach sciatica. Each has a role, and the right mix depends on what is irritating the nerve. Orthiva is one path — and part of the Assessment is helping you understand where it fits alongside the others.
Specific stretches, gentle activity and changes to how you sit and lift take pressure off the nerve. These help many people and are a foundation of almost any plan.
Pain-relieving, anti-inflammatory or nerve-pain medication can settle symptoms, especially in an acute flare. They are useful for relief, and are prescribed and monitored by your doctor.
Structured exercise, nerve-mobilising movements and manual therapy ease the irritation and rebuild support. Physiotherapy is valuable and often works well alongside other care.
When a nerve is severely compressed, or there is progressive weakness, surgery can be the right choice. Because it is a major step, many people prefer to explore non-surgical care first — and your doctor will tell you honestly if surgery is what your case needs.
A physician-led Ayurvedic programme that begins by identifying what is irritating the nerve, then combines classical therapy, medicines and lifestyle guidance to calm the pain and restore movement — personalised to your spine, and recommended only after an assessment.
How we approach treatment
A few principles guide how chronic joint and spine conditions are approached — general ideas, not a specific plan. Your own plan is always decided after an assessment.
Chronic pain rarely has a single cause. Structure, inflammation, muscle support, load and lifestyle often act together — so care usually addresses several at once.
For most chronic conditions, the right guided movement helps more than prolonged rest. What is right, and when, is judged for your case.
Improvement tends to come in stages — settling symptoms, rebuilding strength and range, then protecting the gains. It is gradual, not immediate.
Daily load, activity, weight, sleep and diet all affect a joint or spine. Small, sustainable changes often make a real difference over time.
There is no one-size-fits-all plan. What helps you depends on your cause, severity and goals — which is exactly why the assessment comes first.
Why Orthiva
Orthiva is not against any other form of care. It simply starts in a different place — with the cause of your pain, not just the pain itself.
Every programme begins with an Orthiva Assessment that looks for what is actually driving your pain — not just where it hurts.
You are assessed and treated by our qualified Ayurveda doctors, who examine you, read your reports and stay with your case.
Nothing is a fixed package. What your programme includes is decided for your condition, your history and your goals.
For many chronic joint and spine conditions, a structured programme can improve pain and movement without surgery.
Classical Ayurvedic therapy, chosen with an eye on the published clinical research and measured against recognised scores.
Progress is reviewed through the programme, and the plan is adjusted to how your body responds.
Assessment first
The same sciatica can have very different causes. So Orthiva never starts with a treatment — it starts with understanding. A programme is recommended only after a physician-led assessment of what is driving your pain.
By the end of your assessment you will understand:
A clear explanation of what is driving your pain.
The factors — physical and lifestyle — behind the problem.
An honest view of whether this is the right path for your case.
A grounded picture of what recovery could involve — no over-promising.
The Orthiva Assessment is the starting point — a structured, physician-led evaluation of your condition, and whether an Orthiva programme is right for you.
The recommended programme
If an Orthiva programme suits your case, your doctor recommends one after your assessment. For sciatica, that is usually the:
A physician-led, personalised programme for back and neck conditions — designed to reduce pain, calm nerve irritation and restore movement.
Chronic back pain · Sciatica · Slip disc · Cervical spondylosis
Programmes are recommended after your Orthiva Assessment, never chosen from a menu. What a programme includes is decided by your doctor, for your condition — there is no fixed package.
Evidence-informed care
The therapies and formulations used for the spine in an Orthiva programme have been studied in peer-reviewed clinical research — including randomized controlled trials — using the same measures modern medicine uses for the back: the Oswestry Disability Index (ODI) and the Visual Analog Scale (VAS) for pain.
Clearing up confusion
Some widely-held beliefs about pain and recovery can point people the wrong way. Here is a calmer, more accurate view — general education, not advice for your specific case.
ActuallyNot always. Pain is a signal that something needs attention, but its intensity does not always match the amount of harm. Chronic pain can persist even when tissues are settling — which is why the cause matters more than the loudness of the alarm.
ActuallyFor many chronic joint and spine conditions, prolonged rest can stiffen and weaken the area. The right, guided movement is often part of recovery. When rest is genuinely needed, and for how long, is a clinical judgement — not a default.
ActuallyImaging is useful, but findings do not always match symptoms — many people with normal scans have pain, and many with changes on a scan have none. Scans inform the picture; they rarely tell the whole story on their own.
ActuallyChronic conditions usually improve gradually, in stages, not overnight. Anyone promising an instant fix is over-promising. Honest care sets realistic expectations and reviews progress over time.
ActuallyFor many chronic conditions, a structured, physician-led, non-surgical programme can meaningfully reduce pain and improve movement. Where surgery is the better option, honest care says so — the two are not the only choices.
Your Orthiva doctors
Your assessment and programme are led by our qualified Ayurveda physicians — Dr. Era Ayurveda operates as a team, so care never depends on a single doctor.
Founder & Senior Ayurvedic Physician
18 years of clinical practice
Senior Ayurvedic physician with 18 years of clinical practice, treating chronic joint and spine conditions through classical Ayurveda. Under her clinical direction, the team has treated over 16,000 patients — with a consistent focus on restoring movement and function.
Senior Ayurvedic Physician
8 years of practice · Kerala-trained
Ayurvedic physician with 8 years of clinical practice, including 6 years in Kerala — the home of classical Ayurveda. Trained at Government Ayurveda College, Kannur, with a clinical focus that includes joint and orthopaedic conditions.
An honest fit
Orthiva is built for chronic, ongoing conditions. It is not the right starting point for everyone — and we would rather say so, and point you toward the right care.
Explore more
Questions & Answers
Most sciatica improves without surgery. A structured, physician-led programme can calm the nerve irritation and restore movement in many cases — which is why non-surgical care is usually explored first. Whether it suits your case is what the Orthiva Assessment is for, and where surgery is the better option our doctors will tell you honestly.
Back pain is felt in the back itself; sciatica is pain that travels from the lower back down the leg, because a nerve is being irritated. The two often occur together, and the assessment looks at both the back and the nerve.
Rarely — but seek urgent medical care if you lose control of your bladder or bowel, develop numbness around the groin or inner thighs, or notice rapidly worsening weakness in the leg or foot. These are signs that need immediate attention, not an assessment.
It varies with the cause and how long the nerve has been irritated. Many people notice a change over the first few weeks, but timelines differ from person to person — progress is measured through the programme, and we make no guarantees of a specific result.
Yes. Orthiva is physician-led — you are assessed and treated by one of our doctors, who examines you, reviews your reports and explains what they find.
Yes. Please do not stop any prescribed medication on your own. Any change to your medication is a decision for you and your treating doctor.
No. Whether any particular therapy is appropriate is decided only after your assessment, and only if it suits your case. The assessment comes first; recommendations follow from it.
If you have an MRI, X-ray or recent blood reports, please bring them — they help our doctors understand your condition. If you do not, your doctor will advise whether any imaging is needed after examining you.
This page is educational and does not provide a diagnosis, a treatment plan, or medical advice for your individual case. It does not replace a consultation with a qualified doctor. A programme is only ever recommended after a physician-led Orthiva Assessment. Please do not stop or change any prescribed medication on your own, and seek prompt in-person care for any urgent symptom.
Book an Orthiva Assessment for a clear, physician-led picture of what is irritating your sciatic nerve — and whether an Orthiva programme is right for you.
Disclaimer: Treatments are doctor-prescribed and outcome-tracked. Results vary by individual. Any change to existing medication occurs only under doctor supervision.