IJRAP International Journal of Research in Ayurveda and Pharmacy 2277-4343 Moksha Publishing House 10.7897/2277-4343.155157 MARMA CHIKITSA IN MANAGEMENT OF JANU SANDHIGATAVATA: A PILOT STUDY Rahul Ratan Uikey * Rita Marwaha Pankaj Gupta Nisha Bhalerao Swatantra Kumar Chourasia 11 -0001 67 71 Background: Janu Sandhigatavata is the most common articular disorder. It is a type of Vata vyadhi characterized by sandhi shotha (swelling), sphutan (crepitation), sandhi shool (joint pain), akunchana prasarana janyo vedana (pain on flexion and extension of the joints). It mainly occurs in vriddhavastha (old age) because all dhatus undergo kshaya, thus leading to Vataprakopa. The disease is in madhyama rogamarga, which involves the Marma, making it kashtasadhya vyadhi. Methodology: In this study, six patients aged between 35-60 years who complained of Osteoarthritis were selected randomly. Marma chikitsa was administered to all six patients on janu marma, indravasti marma, gulpha marma and kshipra marma for 21 days. Result: Significant improvement was observed in all the subjective parameters (sandhi shoola, sandhi shotha, graha, asahatvam, sphutan, akunchana prasarana janyo vedana) and objective parameters (range of motion, VAS scale, walking time) analyzed during the study. The mean values for all parameters consistently decreased throughout the study period. Conclusion: The present study illustrates the significant efficacy of marma chikitsa in the management of Janu Sandhigatavata (Knee osteoarthritis) Janu Sandhigatavata Knee osteoarthritis Marma Chikitsa Pilot study