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Agnikarma as a Minimally Invasive Procedure in Vatakantaka (Calcaneal Spur) Management: A Single Case Study


Authors : Dr. Shobha Kumari; Dr. Sumit Kumar; Dr. Ravi Anand; Dr. Rakesh Raushan

Volume/Issue : Volume 11 - 2026, Issue 4 - April

Google Scholar : https://tinyurl.com/42sj4m95

Scribd : https://tinyurl.com/y6ujxaa6

DOI : https://doi.org/10.38124/ijisrt/26apr1075

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Abstract : Vatakantaka (calcaneal spur) is a common musculoskeletal condition characterized by severe heel pain and functional disability, classified under Vata Vyadhi in Ayurveda. It results from aggravation and localization of Vata dosha in the Khuduka Pradesh (heel region) or Gulpha Sandhi, often due to improper foot placement, excessive walking, or movement on uneven surfaces, producing a characteristic thorn-like pain. From a modern perspective, repeated mechanical stress on the calcaneus leads to calcium deposition and the formation of a bony spur, causing pain during standing and walking. Individuals with prolonged standing habits are particularly susceptible. In Ayurvedic literature, Sushruta has described management of Vatakantaka through Agnikarma (therapeutic cauterization). Agnikarma, a significant parasurgical procedure, involves the application of controlled heat using instruments like Panchadhatu Shalaka, possessing Ushna, Teekshna, and Sukshma properties that help pacify vitiated Vata, reduce inflammation, and relieve musculoskeletal pain and spasm. It is regarded as Sadyafaldayi Chikitsa, providing immediate and effective relief. A case of a 55-year-old female patient with calcaneal spur treated solely with five sittings of Agnikarma demonstrated significant clinical improvement, with partial pain relief after the first sitting and complete resolution after the fifth, without the use of oral medication. The therapy works by counteracting Vata and Kapha dosha and restoring functional balance. As emphasized by Sushruta, Agnikarma offers superior and long-lasting results, reducing the likelihood of recurrence, and thus serves as an effective treatment modality for Vatakantaka.

Keywords : Agnikarma, Calcaneal Spur, Panchadhatu Shalaka, Vatakantaka, Sadyafaldayi Chikitsa.

References :

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Vatakantaka (calcaneal spur) is a common musculoskeletal condition characterized by severe heel pain and functional disability, classified under Vata Vyadhi in Ayurveda. It results from aggravation and localization of Vata dosha in the Khuduka Pradesh (heel region) or Gulpha Sandhi, often due to improper foot placement, excessive walking, or movement on uneven surfaces, producing a characteristic thorn-like pain. From a modern perspective, repeated mechanical stress on the calcaneus leads to calcium deposition and the formation of a bony spur, causing pain during standing and walking. Individuals with prolonged standing habits are particularly susceptible. In Ayurvedic literature, Sushruta has described management of Vatakantaka through Agnikarma (therapeutic cauterization). Agnikarma, a significant parasurgical procedure, involves the application of controlled heat using instruments like Panchadhatu Shalaka, possessing Ushna, Teekshna, and Sukshma properties that help pacify vitiated Vata, reduce inflammation, and relieve musculoskeletal pain and spasm. It is regarded as Sadyafaldayi Chikitsa, providing immediate and effective relief. A case of a 55-year-old female patient with calcaneal spur treated solely with five sittings of Agnikarma demonstrated significant clinical improvement, with partial pain relief after the first sitting and complete resolution after the fifth, without the use of oral medication. The therapy works by counteracting Vata and Kapha dosha and restoring functional balance. As emphasized by Sushruta, Agnikarma offers superior and long-lasting results, reducing the likelihood of recurrence, and thus serves as an effective treatment modality for Vatakantaka.

Keywords : Agnikarma, Calcaneal Spur, Panchadhatu Shalaka, Vatakantaka, Sadyafaldayi Chikitsa.

Paper Submission Last Date
31 - May - 2026

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