Background: Hemiparesis following neurological injury frequently results in impaired mobility, gait disturbances, muscle weakness, pain, and reduced quality of life. Although conventional rehabilitation remains the standard of care, many patients continue to experience residual functional limitations. Chakrasiddh Spine Expert Therapy (CSET) is an integrative Siddha-based rehabilitation approach combining therapeutic manual pressure, Siddha Varmam therapy, spinal alignment correction, neuromuscular release, corrective exercises, and energy balancing to promote functional recovery.

Case Presentation: A 57-year male patient presented with chronic right-sided hemiparesis associated with gait impairment, intermittent giddiness, urinary incontinence, bilateral lower-limb pain, restricted movement of the right upper and lower limbs, pedal edema, bilateral hip tenderness, ankle arthralgia, paresthesia, and reduced grip strength. The patient underwent an intensive 25-day CSET rehabilitation program followed by a second 10-day booster treatment after a three-month interval.

Results: Following the first treatment phase, improvements were observed in gait stability, sit-to-stand transfers, grip strength, lower-limb mobility, pain intensity, edema reduction, and functional independence. After the second treatment phase, cumulative improvements exceeded 50% across most clinical parameters, and scales with marked enhancement in walking ability, reduction in lower-limb pain, improved balance, and better bladder control.

Conclusion: This case suggests that CSET may serve as a beneficial adjunctive rehabilitation strategy for patients with chronic neurological disability by improving musculoskeletal function, mobility, pain, and overall quality of life.