In today’s fast-paced era of modernization, we are seeing lifestyle shifts like excessive mobile and computer usage, prolonged sitting with poor posture, long periods of uninterrupted work, and extensive travel. These habits can put undue pressure on the spine and increase the risk of injury. Low back pain is a common health issue that affects millions of people worldwide. The recent prevalence rates of low back pain show point prevalence is approximately 48%, annual prevalence is approximately 51%, lifetime prevalence is approximately 66%. Katigraha is an important clinical, social, economic and public health problem affecting the population. It falls within the spectrum of Vataja Nanatmaja Vyadhis, characterized by pain and stiffness in the Kati Pradesha. Spine is a single entity which is made up of 33 vertebrae, 23 intervertebral discs, various muscles, ligaments and connective tissues. The intrinsic muscles such as erector spinae group of muscles and ligaments such as anterior and posterior longitudinal ligaments run throughout the length of spine. The spine’s integrity depends significantly on the strength, flexibility, and coordination of the back muscles. The local kati basti or kati pichu treatments target only a small portion of the spine, covering approximately 10-15% of the back region. Whereas the proposed prishta pichu therapy offers an aid in comprehensive strengthening of the spine by addressing the entire spine and back area. Although Prishta pichu is practised, there is no sufficient research has been done on this procedure. Thus, for current study, Prishta pichu is taken in kati graha cases to know its clinical efficacy.