Low back pain (Kati Shoola) is a prevalent global health concern, particularly in aging populations. Conventional management—including pharmacological analgesics and physical therapy—often provides only transient relief, especially in cases linked to lumbar spondylosis. Agnikarma, a classical Ayurvedic parasurgical intervention involving the controlled application of heat, has been traditionally used to manage chronic pain conditions. This case study examines the therapeutic efficacy of Agnikarma in a refractory case of Katigata Shoola resistant to standard treatments. Post-treatment outcomes demonstrated substantial improvements in pain relief, mobility, and functional independence. These findings underscore the potential of Agnikarma as a valuable adjunct in integrative pain management, warranting further clinical research.