Comparative assessment of therapeutic outcomes of Agnikarma (Tamra Shalaka) and Ishtika Sweda in patients with Vatakantaka (Calcaneal spur)

Vatakantaka, clinically comparable to calcaneal spur, is a common musculoskeletal condition characterized by heel pain and impaired mobility. It significantly affects daily activities and quality of life, especially in individuals with prolonged standing or mechanical stress [1,2]. Conventional management includes analgesics, orthotics, and physiotherapy; however, long-term relief remains inconsistent [3]. Agnikarma and Ishtika Sweda are classical Ayurvedic therapeutic modalities indicated in Vata-dominant painful conditions. Agnikarma utilizes controlled thermal cauterization, whereas Ishtika Sweda employs localized sudation using heated bricks [4,5]. This randomized comparative clinical study was conducted on 40 patients divided into two groups: Group A (Agnikarma) and Group B (Ishtika Sweda). Assessment parameters included pain intensity (VAS), tenderness, and functional mobility. Results demonstrated significant improvement in both groups; however, Agnikarma showed superior efficacy with faster and sustained pain relief (p < 0.001) compared to Ishtika Sweda (p < 0.01). The study concludes that both therapies are effective, with Agnikarma providing comparatively better therapeutic outcomes in Vatakantaka.