A comparative clinical study on the efficacy of Siravyadha and Agnikarma in the management of Snayugata Vata affecting Kurpara Sandhi vis-à-vis Tennis Elbow

Abstract

Background: Snayugatavata (fibromyalgia) affecting Koorpara Sandhi (elbow joint) is one among pain predominant Vata Vyadhi. Tennis elbow is a musculoskeletal, degenerative disorder affecting elbow joint. Acharya Sushruta has mentioned Siravyadha (blood letting) for Snayurogas and Agnikarma (thermal cautery) as specific Chikitsa for Snayuroga.[1] As similar features are shared, the study has been taken up to see the efficacy of Siravyadha and Agnikarma affecting Koorparasandhi in comparison to tennis elbow. Objective: To study the clinical effect of Agnikarma (thermal cautery) in Snayugatavata affecting Kurparasandhi (elbow joint) vis-à-vis Tennis elbow. Method: The method used in the study is single blind clinical study with pre-test and post-test design. 40 patients suffering from Snayugatavata of either sex were selected and divided into two groups. Group A patients were subjected to Agnikarma at maximum point of tenderness and Group B patients were subjected to Siravyadha. Both modalities were done for only once and studied for 28 days. The data during the study was recorded and analysed statistically. Result: The study confirms Agnikarma and Siravyadha are effective in the treatment of Snayugatavata and later being the more effective in comparison statistically.