Published Paper Details:

Tennis elbow, also known as lateral epicondylitis and in ayurveda its can corelate with snayugat vaata, is a painful musculoskeletal disorder characterized by pain and tenderness over the lateral epicondyle due to repetitive strain and micro trauma of the extensor tendon origin. In Ayurveda, the clinical presentation of tennis elbow can be correlated with Snayugata Vata, where aggravated Vata Dosha localizes in the Snayu (tendons/ligaments) around the Kurpara Sandhi (elbow joint), producing pain, stiffness, tenderness, and restricted movements. Conventional management including analgesics, corticosteroid injections, and physiotherapy often provides static relief and may be associated with recurrence or adverse effects. Hence, there is a need for safe and effective alternative management. This single case study was conducted to evaluate the efficacy of Jalaukavacharana in the management of Snayugata Vata (tennis elbow). A Patient having below complaints treated movements was treated with Jalaukavacharana at weekly intervals along with appropriate Ayurvedic supportive medicines. Assessment was carried out on the basis of subjective and objective parameters including pain score, tenderness, range of motion, and functional ability before and after treatment. After completion of therapy, significant improvement was observed in pain, tenderness, grip strength, and range of motion, with marked reduction in difficulty during daily activities. The therapeutic effect be attributed to the anti-inflammatory, analgesic, anticoagulant, and microcirculatory enhancing properties of bioactive substances present in leech saliva such as hirudin and calin. From an Ayurvedic perspective, Jalaukavacharana helps in removal of vitiated Rakta and pacification of aggravated Vata ,Pitta Dosha at the affected site.