A COMPARATIVE STUDY TO EVALUATE THE EFFECT OF MARMA STIMULATION WITH DISTAL SODIUM CHANNEL BLOCK (DSCB) IN THE MANAGEMENTOF GRIDHRASI W.S.R. TO SCIATICA

Sciatica, a debilitating condition characterized by pain radiating along the sciatic nerve, is a prevalent issue af-fecting a significant portion of the population. The condition is often associated with herniation of lumbar inter-vertebral discs and results in pain and paresthesia along the sciatic nerve distribution. It commonly exacerbates with physical activity such as heavy work, bending, and twisting. The incidence of sciatica ranges from 13% to 40%. In Ayurveda, sciatica is understood as Gridhrasi, a condition described under Vatavyadhis, categorized into Samanyaja and Nanatmaja types. Among the 80 types of Nanatmaja Vataja Vyadhis, Gridhrasi is noted for causing severe pain, often radiating from the buttocks down to the foot, similar to sciatic nerve distribution. While modern medicine offers conservative treatments such as rest, anti-inflammatory medications, physiothera-py, and, in severe cases, surgery, these approaches are not always effective and carry risks such as recurrence and loss of work capability. There is a growing need for safer and more effective alternative therapies. This study aims to evaluate and compare the effects of two non-invasive treatments, Marma Therapy and Distal Sodi-um Channel Block (DSCB), for the management of Gridhrasi (Sciatica). Marma Therapy, a quick and cost-effective technique, has shown promise in treating musculoskeletal disorders, while DSCB is an emerging treat-ment that offers potential in pain management. The goal of this study is to provide a safer, more economical al-ternative to conventional treatments, addressing the high prevalence of sciatica and offering a solution with min-imal complications.