Acharya Sushruta1 explained that when a person walk on the irregular or uneven surface, vata gets localized and aggrevated in khuda pradesha (Ankle joint) and produce pain in heel region known as Vatakantaka. this condition may develop as the vitiation of Vata with Anubandha of Kapha Dosha. Vata and Kapha Dosha have been considered as the important factors for causation of Shotha (inflammation) and Shoola (pain) in the heel. It can be compared to Plantar Fasciitis. Chronic Plantar fasciitis can occur due to walking on uneven roads with ill-fitting footwear which causes silent and repeated injury resulting into inflammation of plantar fascia which results in the painful heel, tenderness, early morning stiffness and restricted movements of heel and it hampers daily activity. Plantar fasciitis is managed with analgesic and anti-inflammatory, intra articular steroid injection and surgically by plantar fascia release as per requirement, but such type of treatment enhances hospital stay and may be expensive economically. Sushruta has mentioned agnikarma in management of Vatakantaka which can be done with less economical expenditure and minimum hospitalization. Agnikarma Chikitsa introduces heat in the affected area. This heat is Ushna, Tikshna, Laghu, Sukshma, Vyavayi and Vikasi Guna which is helpful to break the Kaphanubandha thus reducing Shotha and ultimately Vata Dosha gets neutralised so that Shoola (pain) is relieved. To manage such condition Agnikarma Chikitsa is creditable treatment. As explained In Samhita Eranda Taila and Agnikarma are line of Treatment for Vatakantaka.Eranda Taila as sadyo virechana and Agnikarma is used in this case study to assess its efficacy in relieving pain. 43 years old female complaints of right heel pain in first few steps in morning and pain relived after walking, and again pain developed after prolonged period of rest. Patient was treated Eranda taila paana and by Samyak Bindu Agnikarma at ankle region in 4 sittings at the interval of 7 days, which gives complete relief from pain.
Vatakantaka, Agnikarma, Khuda, Eranda Taila, Plantar Fasciitis, Heel pain, Ankle joint
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