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"Establishing the Pain Management Effect of Marma Tantra in Janu Sandhigatavata vis-à-vis Knee Osteoarthritis: An Observational Study

Mahesh kumar, Shashidhar V. Emmi

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Journal of Global Medical Education and Research 3(1):p 23-37, January-June 2026. | DOI: N/A

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Maheshkumar, Shashidhar V. Emmi. Establishing the Pain Management Effect of Marma Tantra in Janu Sandhigatavata vis-à-vis Knee Osteoarthritis: An Observational Study. Jr of Glob Med Edu and Res. 2026;3(1): 23-37.

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Received : April 09, 2026         Accepted : May 15, 2026          Published : June 30, 2026

Abstract

Background: Janu Sandhigatavata, a Vata-predominant degenerative disorder of the knee joint described in Ayurvedic classical texts, corresponds closely to knee Osteoarthritis (OA) in contemporary medicine. Knee OA is the second commonest musculoskeletal problem worldwide, with a prevalence of 22–39% in India, predominantly affecting the elderly female population.16 Objective: To evaluate the efficacy of Marma Tantra — an ancient Ayurvedic therapeutic technique targeting vital energy points — in pain management and functional improvement in patients with Janu Sandhigatavata/Knee Osteoarthritis. Materials and Methods: An observational pre-test, post-test study was conducted on 20 patients (mean age 53.3 ± 6.95 years) fulfilling the diagnostic criteria for Janu Sandhigatavata at DGM Ayurvedic Hospital, Gadag. Marmatantra was administered over 7 sessions (1 week), combining Snehan with Ashwagandha taila, Mardan karma, Peedana karma, and Janu Marma stimulation. Outcome measures included Janu Sandhi Shoola (pain grading), Sandhi Shotha (swelling), Sandhi Atopa (crepitation), Sparsha Asahatva (tenderness), Walking Time, Visual Analogue Scale (VAS), WOMAC Scale, and Kellgren-Lawrence radiographic grading. Results: All parameters showed statistically highly significant improvement (p < 0.00001) after one week of Marma Tantra. Mean VAS score reduced from 2.7 ± 1.1 to 0.5 ± 1.4 (p < 0.00001). Mean WOMAC score reduced from 3.9 ± 10.8 to 2.1 ± 9.3 (p < 0.00001). Mean knee flexion improved from 100.5° ± 15.4° to 120.3° ± 10.1° (p < 0.01). Sandhi Shotha showed significance at p = 0.0075. Conclusion: Marma Tantra demonstrates significant efficacy in pain management, reduction of stiffness, and improvement of functional mobility in Janu Sandhigatavata/Knee OA. It represents a promising, non-invasive, cost-effective complementary approach warranting larger randomised controlled trials.

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Data Sharing Statement

There are no additional data available. All raw data and code are available upon request

Funding

This research received no funding

Author Contributions

Whether all authors contributed significantly to the work and approve its publication

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

The authors report no conflicts of interest in this work.

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Cite this article

Maheshkumar, Shashidhar V. Emmi. Establishing the Pain Management Effect of Marma Tantra in Janu Sandhigatavata vis-à-vis Knee Osteoarthritis: An Observational Study. Jr of Glob Med Edu and Res. 2026;3(1): 23-37.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Received Accepted Published
April 09, 2026 May 15, 2026 June 30, 2026
DOI: N/A

Keywords

Marma TantraMarma VignanaJanu SandhiJanu SandhigatavatVataSandhishoolaSandhishothaOsteoarthritisVASWOMACMardanPeedanaJanu Marma

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Timeline

Received April 09, 2026
Accepted May 15, 2026
Published June 30, 2026

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

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