Role of Agnikarma Chikitsa in the Management of Traumatic Ankle Strain: A Single Case Report
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Abstract
Background: Traumatic ankle strain is a frequent musculoskeletal injury, commonly resulting from sudden twisting or overstretching of the ankle joint. Conventional treatments such as RICE (Rest, Ice, Compression, Elevation), physiotherapy, and analgesics are often effective in acute cases, but may offer limited relief in persistent or recurrent conditions. Ayurveda, the ancient Indian system of medicine, offers holistic and drug-free alternatives such as Agnikarma Chikitsa, a para-surgical procedure involving therapeutic cauterization, particularly effective in localized Vata-Kapha disorders. Objective: To assess the clinical effectiveness of Agnikarma Chikitsa in the management of a traumatic ankle strain in a young adult. Methods: A 28-year-old male presented with pain, tenderness, and restricted ankle movement after a sports-related injury. The condition was clinically diagnosed as a Grade I ankle strain, corresponding to Snayugata Vata in Ayurveda. Agnikarma was performed using a Panchadhatu Shalaka (five-metal rod) heated to red-hot and applied via the Bindu Dahana technique over the painful region. The procedure was conducted in three sessions at weekly intervals. Kumari Swarasa (fresh aloe vera pulp) was applied post-procedure to minimize thermal effects and aid tissue repair. Results: The patient experienced a significant reduction in pain and tenderness after the first session, with complete restoration of joint mobility by the third sitting. No adverse effects or recurrence were noted. Conclusion: Agnikarma Chikitsa proved to be a safe, effective, and affordable therapy for traumatic ankle strain, offering rapid symptom relief. It holds promise as a viable outpatient treatment for musculoskeletal injuries, both curative and preventive.
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