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.