Management of Lumbar Degenerative Spondylolisthesis by Siddha Marma (Energy) and Thokkanam therapy: A Case Report

Background: Lumbar Degenerative Spondylolisthesis (LDS) is a condition involving spinal instability characterized by the forward displacement of one vertebra over another, causing lower back pain, radiating pain, nerve compression, and restricted mobility in the lumbosacral area. In Siddha, LDS resembles a condition ‘Vathasthambam’ where clinical symptoms appear to be same. For managing such conditions, Siddha Marma (energy) therapy and Thokkanam therapy, have provided good results without use of any medications. Marma therapy is an ancient healing technique which focuses on stimulating specific energy points (marma points) to restore balance, alleviate pain, and enhance the body's natural healing mechanisms. Thokkanam is an external manipulation therapy similar to manual therapy employing hand pressure technique to reduce inflammation, and ease pain. Here, we discuss a case of a 65 years old female who had low back pain with radiating pain in her left leg and was diagnosed with lumbar spondylolisthesis. She was managed well by Siddha marma (energy) and thokkanam therapy in 23 days showing significant change in range of motion of pelvic region with spinal alignment, reduced pain and discomfort while all activities. At the end of the treatment and follow-up after 3 months, the patient was relieved of the symptoms and her quality of life also improved. Conclusion: Siddha Marma (energy) and Thokkanam therapy offers a promising adjunct or an option to existing complementary treatment modalities with special reference to Spondylolisthesis.