TO EVALUATE THE EFFECTIVENESS OF TREATMENT PROTOCOL AS PER ACHARYA SUSRUTA IN VATAKANTAKA

Vatakantaka is a Vatapradhana vyadhi , particularly caused by walking on uneven surfaces which produces pain in khudakapradesha(heel), Acharya Susrutha explained this disease in nidana sthana. A calcaneal spur, or commonly known as a heel spur, occurs when a bony outgrowth forms on the heel bone.It can be located at the back of the heel (dorsal heel spur) or under the sole (plantar heel spur) .It is a painful disorder of ankle patients present with severe pain at plantar region which will be severe with the first steps on rising in the morning or following inactivity during the day.

The main option in therapies, however aimed at symptomatic relief. Modern analgesics drugs are considered  as the first-line symptomatic treatment for calcaneal spur and and these medicines have undesirable effects. The use of panchakarma therapies becomes more popular to avoid the side effects of such drugs.

Snehapana with Guggulu tiktha ghritam with a dosage of 20ml for 14 days advised to take internally. Application of lukewarm Kottamchukkadi oil externally to the heel region .Upanaha of Kolakulutthadi churna as hot poultice to the heel region for a period of 7 days. Unmardana is done by Kolakuluttha churna over the heel with certain amount of pressure in opposite direction for 30 mins over a period of 7 days. Heel bandage is advised to tie daily. Agnikarma plays very important role giving instant relief from pain. It has been described as the most effective therapy in the management of all painful conditions especially for musculoskeletal disorders.

The main option in therapies, however, aimed at symptomatic relief. This study is designed as single arm study in patients with Snehapana and Agnikarma. After screening, Patients will be enrolled if they satisfy inclusion and exclusion criteria. The patients will be assessed clinically on Baseline  22nd , 32nd and 45th day  of treatment. This includes subjective assessment of  VAS score and duration of walking. The total duration of treatment be will be 45 days. Laboratory parameters for safety assessment will be conducted at baseline and on completion of the protocol therapy.