Use of an Integrative Approach Including Marma Therapy with Janu Basti for the Management of Janu Sandhigata Vata (Osteoarthritis of Knee) - Case Study 2

Background: Janu Sandhigata Vata (a condition that closely resemble Osteoarthritis of Knee) is one of the most disabling musculoskeletal disorder. Its symptoms include Shoola (pain), Shotha (swelling), Stabdhata (stiffness), and Atopa (crepitus). Ayurvedic texts recommend repeated use of Snehana (oleation) and Swedana (sudation) for its management. Marma Therapy has also been found effective in various Vata disorders.Methodology: Therefore, in the present study Marma Therapy (on four Marma points of the legs, i.e. Kshipra, Gulpha, Indravasti and Janu) with Janu Basti (with Ksheerbala Taila) were administered to a 45 year old male patient (suffering from Janu Sandhigata Vata in the Right Knee) for 9 days, with one month followup wherein the patient self-administered Marma Therapy and massage at home.Results: There was significant improvement in the subjective parameters (Shoola, Shotha, Stabdhata, Atopa) and objective parameters (WOMAC Index, Range of Motion, Walking Time) analyzed during the study, illustrating the efficacy of the therapeutic intervention.Conclusion: The integrative approach Including Marma Therapy with Janu Basti showed encouraging results with regards to the management of symptoms associated with Janu Sandhigata Vata (Osteoarthritis of Knee), in short duration of time.