Abstract

A REVIEW ON COMPARATIVE CLINICAL STUDY OF VATAKANTAKA W.S.R PLANTAR FASCITIS

*Dr. Shanmukhappa V. Irannanavar, Dr. Sachin N. Patil and Dr. Rashmi V.

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Abstract

Agni Karma is an important Anushastra Karma (Parasurgical Procedure), elaborately described in Sushruta Samhita. Sushruta hails this procedure as the best and most important procedure. While elaborating the benefits of this procedure he mentions that the procedure is easy to perform, it cures many incurable diseases and there will be no recurrence of the disease. Agnikarma is indicated in many diseases including severe pain in asthi and Sandhi Pradesh. Agnikarma procedure relieves pain instantly. Vatakantaka is a VataPradhanaVyadhi particularly caused by walking on uneven surfaces or by AtiShrama, which produces Ruja in khadulapradesha (Paarshni or Padajangha sandhi). Except Charaka Acharya all Bhruhatrayi‟s and Laghutrayi‟s have accepted Vatakantaka as VataNanatmajaVyadhi. The treatment of Vatakantaka involves Raktamokshana, Erandatailapana and Agnikarma.The features of Vatakantaka have similarity with Plantar fasciitis. Plantar fasciitis is the inflammation of the plantar fascia due to repeated trauma to the tissue where it is attaches to the calcaneus. This conditions produce severe pain in the Heel while walking. The life of the sufferer becomes more miserable. The patient wants to get rid of pain by any means or methods. In today‟s modernized world the incidence of Vatakantaka i.e. Plantar fasciitis is common problem and it is increasing because of overweight and use of wearing high heeled & hard foot wears, improperly fitting footwear‟s, exposure to excessive cold, walking long distance, Engaging in strenuous exercise (especially jumping and running) and Standing for prolonged periods. Consumption of fastfood offers less nutrition to the muscle and bone. Men and women are equally affected. Thus it is seen as wide spreading disease condition during these days, found in the people from all walks of life. Plantar fascitis is estimated to affect 1 in 10 people at some point during their lifetime and most commonly affects between 20- 60 of age. In modern medicine, Plantar fasciitis is treated with NSAIDs, local corticosteroids and Surgery. Supportive treatment includes changing the life styles, like use of appropriate footwear and by adopting foot- care habits. Shoes with adequate arch support are also advised. Patient is asked to avoid sudden turns that put great stress on the ligaments, running on hard surface etc. Injections of corticosteroids will sometimes reduce pain dramatically but the effects will only be temporary. Prolonged use of NSAIDs has ill effects such as gastritis etc. There are some potential postoperative complications of surgery which include recurrent heel pain, permanent local numbness, painful nerve entrapment, wound dehiscence, infections and hypertrophic scar. To overcome these draw backs of Modern medicine. The present clinical study entitled. „A COMPARATIVE CLINICAL STUDY ON AGNIKARMA BY PANCHALOHA SHALAKA AND ELECTRIC CAUTERY IN THE MANAGEMENTOF VATAKANTAKA W.S.R PLANTAR FASCITIS‟ is undertaken.In the present study, patients suffering from Vatakantaka will be selected and Ayurvedic line of treatment is adopted. In VatakantakaBinduprakara of Agnikarma with PanchalohaShalaka for one group and electrical cautery for another group is undertaken for the study. Shatadhoutagritha externally applied at the site for both groups. Internally GandhakaRasayana 1 t.i.d. will be given daily to all patients as a shamanachikitsa. GandakaRasayana is known to be best antimicrobial and antiinfectantproperties. So it is useful in Vatakantaka. After the Agnikarma. Observation of the patients will be carried out based on parameters like pain, swelling,and tenderness.Considering all the above points the present clinical trial is chosen to evaluate the efficacy of Agnikarma with PanchalohaShalaka and Electric cautery along with GandhakaRasayana internally to evolve a simple, safe and cost effective treatment in the management of Vatakantaka.

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