DOI: 10.1177/03601293261460169 ISSN: 0360-1293

Role of Marma Therapy in the Management of Post-Dural Puncture Headache (PDPH): A Case Series

Sampada N. Ghatbandhe, Pooja P. Shrivastav, Magesh Kirubakaran
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Background

Post-dural puncture headache (PDPH) is a common complication of lumbar puncture and spinal anesthesia caused by cerebrospinal fluid leakage. Conventional treatments offer symptomatic relief but have limitations. Marma therapy, an Ayurvedic non-pharmacological intervention, may provide an alternative approach.

Objective

To assess the role of Marma therapy in the management of PDPH through a case series.

Methods

This case series included five patients with PDPH treated at the Department of Shalya Tantra, Mahatma Gandhi Ayurvedic College Hospital and Research Centre, Wardha. A standardized Marma therapy protocol targeting cranial and cervical Marma points was administered. Headache severity and associated symptoms were evaluated using the visual analog scale (VAS).

Results

All patients showed a marked reduction in headache intensity and improvement in associated symptoms such as nausea and photophobia following Marma therapy.

Conclusion

Marma therapy may serve as a safe, noninvasive supportive modality in the management of PDPH. Further controlled studies are required to confirm its clinical efficacy.

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