Integrative Management of Tennis Elbow Using Marma Chikitsa: A Case Study with VAS and PRTEE Scale Assessment

Abstract

Background: Tennis elbow (lateral epicondylitis) is a common musculoskeletal condition, particularly prevalent among individuals aged 40–50, with higher incidence in females aged 42–46. It results from repetitive strain and overuse of the wrist extensors, leading to tendinosis at the lateral epicondyle of the humerus. Clinically, it presents with pain, reduced grip strength, and functional disability. In Ayurveda, this condition correlates with Snayugata Vata. Marma Chikitsa, a traditional Ayurvedic technique targeting vital energy points, has shown promise in managing Vata-dominant conditions.

Objective: To evaluate the efficacy of Marma Chikitsa in relieving pain and restoring function in a patient diagnosed with tennis elbow, using standard assessment tools like VAS (Visual Analog Scale) and PRTEE (Patient-Rated Tennis Elbow Evaluation).

Methods: A 38-year-old male software professional presented with right-sided lateral elbow pain for 3 months, confirmed as tennis elbow by clinical and MRI findings. He underwent Marma therapy targeting, Koorpara, and Aani Marmas, using gentle pressure and circular stimulation techniques. Mahanarayan Taila was applied for Abhyanga. Sessions were conducted once daily for 21 consecutive days. Evaluations were done at baseline and post-treatment using VAS, PRTEE score, and grip strength. MRI findings indicated mild-to-moderate tendinosis without bony abnormality.

Results:

The PRTEE score increased from 62/100 to 18/100, the VAS score decreased from 7/10 to 2/10, and the grip strength increased from weak to moderate. Within the first week, functional improvement was observed, and at the two-month follow-up, there had been no symptom recurrence.

Conclusion: In a tennis elbow example, Marma Chikitsa showed notable clinical improvement in discomfort, grip strength, and everyday function. Neuromodulation, improved local circulation, Vata pacification, and tendon repair are some possible explanations for its action. This instance demonstrates Marma therapy's promise as a non-invasive, safe, and economical treatment option for lateral epicondylitis.