Kati Basti is a classical Ayurvedic therapy focused on nourishing, strengthening, and healing the lower back and lumbar spine.
A soft dough ring is placed over the lower back and filled with warm medicated oil, which is retained for a fixed duration.
This therapy helps relieve back pain, reduces stiffness, eases inflammation, and supports flexibility in the spine and surrounding muscle.
It works deep within the tissues, calms aggravated Vata dosha, improves spinal movement, and supports long-term lower back health.
Kati Basti is an Ayurvedic therapy that eases lower back discomfort by reducing stiffness, inflammation, and muscle tension. It is done in three steps, each helping provide deeper relief and better support.
Purvakarma
Purva Karma is the preparatory step before the main Kati Basti therapy. It readies the lower back and body for deep, effective treatment. The Ayurvedic doctor checks posture, pain, stiffness, and overall health.
Based on Vata involvement and the patient’s condition, the doctor chooses the right medicated oil and decides how long it should stay. After the plan is set, all materials are prepared. The herbal oil is gently warmed, and a black gram dough is shaped to hold the oil on the lower back.
The patient lies comfortably on the table, then the doctor applies a mild oil massage and gentle steam to relax muscles, improve circulation, and prepare the area for Kati Basti.
Pradhanakarma
Pradhana Karma is the main therapeutic part of Kati Basti. The dough boundary is placed over the lower back and sealed, then the warmed medicated oil is poured in to form a continuous pool over the lumbar region.
The oil stays on the lower back for 30–45 minutes, letting its warmth and herbal properties penetrate muscles, joints, and nerves. The patient remains relaxed while the oil eases pain, reduces stiffness, and nourishes the tissues for better mobility.
Paschatkarma
Paschat Karma is the final stage of Kati Basti, focusing on cleanup and recovery. The oil is carefully removed, the dough boundary taken off gently, and the lower back is cleaned with lukewarm water or a soft herbal cloth.
A mild massage may be done on the lower back to relax tissues and improve circulation. Gentle steam may also be applied, followed by 20–30 minutes of rest. Patients should avoid heavy activity, bending, or cold exposure to support the therapy’s benefits and long-term comfort.
Purvakarma
Purva Karma is the preparatory step before the main Kati Basti therapy. It readies the lower back and body for deep, effective treatment. The Ayurvedic doctor checks posture, pain, stiffness, and overall health.
Based on Vata involvement and the patient’s condition, the doctor chooses the right medicated oil and decides how long it should stay. After the plan is set, all materials are prepared. The herbal oil is gently warmed, and a black gram dough is shaped to hold the oil on the lower back.
The patient lies comfortably on the table, then the doctor applies a mild oil massage and gentle steam to relax muscles, improve circulation, and prepare the area for Kati Basti.
Pradhanakarma
Pradhana Karma is the main therapeutic part of Kati Basti. The dough boundary is placed over the lower back and sealed, then the warmed medicated oil is poured in to form a continuous pool over the lumbar region.
The oil stays on the lower back for 30–45 minutes, letting its warmth and herbal properties penetrate muscles, joints, and nerves. The patient remains relaxed while the oil eases pain, reduces stiffness, and nourishes the tissues for better mobility.
Paschatkarma
Paschat Karma is the final stage of Kati Basti, focusing on cleanup and recovery. The oil is carefully removed, the dough boundary taken off gently, and the lower back is cleaned with lukewarm water or a soft herbal cloth.
A mild massage may be done on the lower back to relax tissues and improve circulation. Gentle steam may also be applied, followed by 20–30 minutes of rest. Patients should avoid heavy activity, bending, or cold exposure to support the therapy’s benefits and long-term comfort.
Kati Basti is categorized based on the medicated oils used and the specific therapeutic goal of the treatment. The choice of oil depends on the patient’s lower back condition, dosha involvement, and overall body nature, allowing the therapy to deliver more targeted and effective relief.
This type uses warm medicated oils to lubricate and soften the tissues of the lower back. Oils such as sesame-based formulations, castor oil preparations, or medicated tailas are selected based on Vata dominance. It helps reduce dryness, stiffness, pain, and restricted spinal movement.
Brumhana Kati Basti focuses on strengthening and nourishing weakened muscles, ligaments, and spinal structures. Heavier and nutritive oils are used to support tissue regeneration. It is commonly recommended for degenerative spinal conditions, disc weakness, and chronic lower back fatigue.
Lekhana Kati Basti is less commonly used and aims to reduce heaviness or excess tissue accumulation in the lower back region. Oils with lighter and penetrating properties are selected to support reduction and metabolic balance. This approach may be considered in cases involving obesity-related back strain or stiffness due to tissue congestion.
This type uses warm medicated oils to lubricate and soften the tissues of the lower back. Oils such as sesame-based formulations, castor oil preparations, or medicated tailas are selected based on Vata dominance. It helps reduce dryness, stiffness, pain, and restricted spinal movement.
Brumhana Kati Basti focuses on strengthening and nourishing weakened muscles, ligaments, and spinal structures. Heavier and nutritive oils are used to support tissue regeneration. It is commonly recommended for degenerative spinal conditions, disc weakness, and chronic lower back fatigue.
Lekhana Kati Basti is less commonly used and aims to reduce heaviness or excess tissue accumulation in the lower back region. Oils with lighter and penetrating properties are selected to support reduction and metabolic balance. This approach may be considered in cases involving obesity-related back strain or stiffness due to tissue congestion.
Helps reduce pain, soreness, and inflammation in the lumbar region by soothing irritated muscles, joints, and nerves with warm medicated oils.
The retained warmth relaxes tight muscles and eases stiffness in the lower back, making daily movements more comfortable.
By calming aggravated Vata dosha, Kati Basti supports smoother spinal movement and reduces restriction caused by chronic back issues.
Deep oil penetration nourishes supporting tissues of the spine, helping improve strength, stability, and resilience of the lower back.
Improves blood flow in the lumbar area, aiding nutrient delivery and removal of metabolic waste from affected tissues.
Helps slow progression of degenerative changes such as disc wear and age-related weakness, making it useful for long-term non-surgical back care.
Helps calm aggravated Vata, which supports nervous system stability and reduces restlessness, anxiety, and excessive mental activity.
By easing chronic lower back pain and muscular tension, Kati Basti helps the body relax, encouraging deeper and more restorative sleep.
The warmth and nourishment of the therapy create a sense of relaxation and grounding, supporting emotional balance and inner calm.
Gentle heat and oil application over the lumbar region help relax nerves, improving mental clarity and overall emotional well-being.
Kati Basti originates from ancient Ayurvedic practices and has been used for centuries to manage lower back pain and spinal disorders.
The name comes from Sanskrit, where “Kati” refers to the lower back or lumbar region and “Basti” means to retain or hold medicated substances.
In early Ayurvedic literature, the term Basti was primarily associated with internal therapeutic procedures used in Panchakarma.
Over time, the concept of localized oil retention developed for targeted treatment of specific body areas such as the lower back.
Kati Basti is based on the Ayurvedic principles of Snehana (oleation) and Swedana (therapeutic heat).
These principles are explained in classical texts including the Charaka Samhita and Sushruta Samhita.
Traditionally, the therapy was used to pacify aggravated Vata dosha, which is considered the main cause of pain, stiffness, and degeneration in the lumbar region.
In modern practice, Kati Basti is performed as a well-structured clinical procedure and continues to be valued for long-term lower back care.
Kati Basti is used for both preventive and therapeutic purposes. It helps in