Ayurvedic management of Golfer’s elbow using Marma therapy and Agnikarma: A Case Report
Khushdeep Kaur, Mahesh Pandurang Jadhav, Sanjay Chandrakant Babar, Amit Ashok Paliwal, Priyanka Dushyant Patil, Vinod Bharat HendawaleAbstract
INTRODUCTION:
Golfer’s elbow (GE) is an overuse disorder characterized by pain and tenderness around the medial epicondyle, often resulting from repetitive wrist and forearm activities. The clinical presentation may be correlated with
PATIENT’S INFORMATION:
A 48-year-old male IT professional presented with persistent pain and tenderness over the medial aspect of the right elbow, with stiffness and mild functional limitation during elbow movement. Symptoms were aggravated by repetitive activities involving the elbow and forearm. Baseline pain intensity was 7/10 on the numerical rating scale. Plain radiography showed soft-tissue swelling without evidence of fracture, although no clinically significant swelling was evident on physical examination. Polk’s, Reverse Cozen’s, and Wringing tests were positive, supporting the clinical diagnosis of GE, which was correlated with
THERAPEUTIC INTERVENTION:
RESULTS:
Following completion of the treatment, marked clinical improvement was observed. Pain intensity at the right medial elbow decreased from 7/10 to 1/10 on the visual analog scale, with complete resolution of tenderness and tingling. The previously positive Polk’s, Reverse Cozen’s, and Wringing tests became negative. Range of motion improved, with elbow flexion increasing from 140° to 145°, pronation from 76° to 80°, and supination from 83° to 85°. Muscle strength, assessed using the Medical Research Council scale, improved from Grade 4/5 to Grade 5/5. The patient also reported improved functional use of the affected upper limb and reduced discomfort during routine elbow and forearm activities. No adverse events were reported during the treatment period.
CONCLUSION: