Introduction: Vatakantaka is a painful condition of the heel caused by the vitiation of Vata and Kapha Doshas, which can be correlated with Plantar Fasciitis in modern science. Conventional treatments often provide temporary relief and may be associated with recurrence. Acharya Sushruta has described Agnikarma (therapeutic cauterization) for painful musculoskeletal disorders, particularly when conservative measures fail to provide satisfactory relief. Case Presentation: A 48-year-old male patient presented to the outpatient department with chronic severe left heel pain (VAS score 8/10) for the last six months, associated with marked morning stiffness and a positive Windlass test. Based on clinical findings and radiological assessment, it was diagnosed as Vatakantaka (Plantar Fasciitis). Intervention: The patient was managed with the Agnikarma procedure using a red-hot Panchaloha Shalaka in a Bindu (dot) pattern over the points of maximum tenderness. Four treatment sessions of Agnikarma were administered at an interval of seven days. Outcome: The Visual Analog Scale (VAS) score reduced from 8 to 0 over a period of 50 days. The Foot Function Index (FFI) score improved from 72 to 4, indicating marked improvement in pain and functional ability. Morning stiffness, tenderness, and gait disturbance resolved completely. The Windlass test became negative, and the patient resumed normal daily activities without discomfort. No adverse events or recurrence were reported during the follow-up period. Conclusion: Agnikarma showed considerable improvement in pain and functional ability in this patient. It may be used as a safe and cost-effective treatment option in selected patients.
Dr. Khushal Chouhan*1, Dr. Ganesh Belorkar2, Dr. Himanshu3 (Tue,) studied this question.
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