A Single Case Study on Amlikadi Lepa in the Management of Ankle Sprain (Gulpha Sandhija Abhighataja Shotha)

Abstract

Injury is defined as any physical harm or damage to the body resulting from accidents, falls, sudden twisting, or other physical activities. Among various types of injuries, musculoskeletal injuries are the most common, affecting muscles, ligaments, bones, cartilage, and related supporting structures. Ankle sprain is one of the most frequently observed conditions in clinical settings. It occurs not only in athletes and dancers but also during routine daily activities due to improper foot placement or abrupt twisting movements. According to Ayurveda, the ankle joint (Gulpha Marma) is included among the twenty Sandhi Marma (vital points associated with joints) and the eight Rujakara Marma, which are particularly sensitive and produce intense pain when injured. Trauma to this region often leads to significant pain, swelling, and restricted movement. Such injuries are classified under Agantuja Vyadhi (externally induced disorders) and are correlated with Abhighataja Shotha or Agantuja Shotha (traumatic swelling). Ayurvedic management emphasizes Alepa (application of medicated paste) as the primary treatment for Shotha (inflammation). A 22-year-old male patient presented with complaints of pain, swelling, and limited movement in the left ankle following a sudden twisting injury one day prior. He was diagnosed with ankle sprain (Gulpha Sandhija Abhighataja Shotha) and treated with Amlikadi Lepa along with Bandhana (bandaging) for 15 days. Post-treatment, the patient showed marked improvement, with significant reduction in pain and swelling and restoration of ankle mobility.