Agnikarma and Dashamoola Kwatha in the Management of De Quervain’s Tenosynovitis – Case Series

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BSTRACT

De Quervain’s tenosynovitis is a common painful orthopedic entity that involves a thickening of retinaculum sheaths of tendons, which covers the first dorsal compartment of the forearm. This study is to explore noninvasive Ayurvedic management for De Quervain’s disease. In this series of cases, Ayurveda management of four diagnosed cases of Quervain’s disease (Snayugata Vata) was found to be effective. All patients were treated with four sittings of Agnikarma by Shalaka (~thermal cauterization) at the interval of 7 days. Dashmoola Kwatha 20 ml orally twice a day empty stomach for 1 month was prescribed to each patient. Results showed significant improvement in pain relief and functional movement of the thumb was achieved in all four patients. The quality of work of all four patients was not affected after 18 months of treatment, and they are now living symptom-free and without any recurrence. Based on this case series, it can be said that parasurgical management along with adjuvant Ayurvedic drugs showed a promising role in the management of De Quervain’s disease.