Authors :
Dr. Arya Aravind; Dr. Subi N. H.; Dr. Deepa Jose
Volume/Issue :
Volume 10 - 2025, Issue 9 - September
Google Scholar :
https://tinyurl.com/2s4ywhwr
Scribd :
https://tinyurl.com/ykded5ru
DOI :
https://doi.org/10.38124/ijisrt/25sep1466
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Abstract :
De quervain’s tenosynovitis, an overuse injury involving the abductor pollicis longus and extensor pollicis brevis
tendons, presents with pain, tenderness, and restricted wrist movements. Ayurveda relates this condition to snayugata vata,
and marma chikitsa provides a holistic, non-invasive treatment option. In this case series, four patients diagnosed with de
quervain’s tenosynovitis and Marma stimulation at talahridaya, kshipra, kurcha, manibandha, and indrabasti points,
administered once daily for seven days and followed up to 14 days. Four patients were clinically diagnosed based on pain and
finkelstein’s test. The combined use of Marma therapy with internal medicines—punarnavadi kashayam, amruthotharam
kashayam, and gokshura punarnavadi gulika—offered holistic relief by balancing vata-kapha, reducing inflammation, and
strengthening connective tissues. By day 14, VAS pain scores had reduced markedly from 7–9 to 1–3, while tenderness
improved from Grade 2–3 to Grade 0–2, with notable restoration of wrist mobility and a negative finkelstein’s test observed
in one patient. Acute cases responded more rapidly, whereas chronic presentations, in a diabetic patient showed gradual
improvement. These results indicate that marma stimulation is effective in alleviating pain and improving function in de
quervain’s tenosynovitis, offering a safe, cost- effective, and integrative therapeutic alternative that also corrects underlying
vata imbalance.
Keywords :
Marma Stimulation, De Quervain’s Tenosynovitis, Snayugata Vata.
References :
- The De-Quervain tenosynovitis: literature review. Bakhach J, Chaya B, Bakhach E. Biomed J Sci Tech Res. 2018;8:1–3. [Google Scholar]
- Lad V,Durve A. Marma points of Ayurveda. Albuquerque New Maxico,USA, The Ayurvervedic press;2015
- Sushrut Samhita Vol 1,Reprint edition, Chaukhamba Sanskrit Sanstan, Varanasi, 2012.
De quervain’s tenosynovitis, an overuse injury involving the abductor pollicis longus and extensor pollicis brevis
tendons, presents with pain, tenderness, and restricted wrist movements. Ayurveda relates this condition to snayugata vata,
and marma chikitsa provides a holistic, non-invasive treatment option. In this case series, four patients diagnosed with de
quervain’s tenosynovitis and Marma stimulation at talahridaya, kshipra, kurcha, manibandha, and indrabasti points,
administered once daily for seven days and followed up to 14 days. Four patients were clinically diagnosed based on pain and
finkelstein’s test. The combined use of Marma therapy with internal medicines—punarnavadi kashayam, amruthotharam
kashayam, and gokshura punarnavadi gulika—offered holistic relief by balancing vata-kapha, reducing inflammation, and
strengthening connective tissues. By day 14, VAS pain scores had reduced markedly from 7–9 to 1–3, while tenderness
improved from Grade 2–3 to Grade 0–2, with notable restoration of wrist mobility and a negative finkelstein’s test observed
in one patient. Acute cases responded more rapidly, whereas chronic presentations, in a diabetic patient showed gradual
improvement. These results indicate that marma stimulation is effective in alleviating pain and improving function in de
quervain’s tenosynovitis, offering a safe, cost- effective, and integrative therapeutic alternative that also corrects underlying
vata imbalance.
Keywords :
Marma Stimulation, De Quervain’s Tenosynovitis, Snayugata Vata.
