Main cause of Back pain and Arthritis in Ayurveda is due to Vata-dosha. In Ayurveda it is said that half treatment for Vata-dosha in Basti treatment Abhyaangum and swedan is also needed. Patra Pottali and Pindasweda, katibasti, Manyabasti , Janubasti , Jalukavacharan these all treatments are also very useful for pain Management.