Introduction: Low back pain has prevalence of 6.2% in general population to 92% in construction workers in India. Current health system is not so much updated to rule out this entity early which tend to cause much more devasting medical conditions and economical expenses. This outcome generates an opportunity for Ayurveda to manage it with conservative treatment. Aims and objectives: To Compile the reference of KatisandhigataVata (Definition, Nidana, Lakshana and Chikitsa) mentioned in various classical texts and to evaluate the treatment modalities useful for the management. Discussion: Sandhi is a union of Asthi which is Ashrya of VataDosh so as its vitiation progress, its RuksaGuna also increases which lead to Dhatukshaya and Snehanash reduction. So Asthi and Sandhi related Vikaras also show progression. All the classics mentioned the use of Snehana and UpanahaKarma which will control RuksaGuna of Vatadosha. Result: Remedies mentioned in Ayurveda classics may boost up the options to manage it with less efforts, maximum benefits, and least side effects.