THE EFFICACY OF MARMA THERAPY IN ALLEVIATING PAIN AND IMPROVING FUNCTIONALITY IN PATIENTS WITH TENNIS ELBOW: A PILOT STUDY

Abstract

The purpose of this pilot study is to investigate the effectiveness of Marma therapy, in alleviating pain and enhancing functional outcomes in patients diagnosed with tennis elbow (lateral epicondylitis).

Methods
Study Design: This study was designed as a randomized controlled pilot trial to evaluate the effects of Marma therapy on pain and functional outcomes in patients with tennis elbow. A total of 10 participants diagnosed with tennis elbow (lateral epicondylitis) based on clinical criteria were recruited. Inclusion criteria: Adults aged 18-65 years with symptoms persisting for at least 6 weeks, moderate to severe pain (VAS score ≥ 4). Exclusion criteria: Recent elbow injury, previous surgery on the affected elbow, corticosteroid injections in the past 3 months, and other systemic conditions affecting musculoskeletal function (e.g., rheumatoid arthritis) Interventions: Marma Therapy Group (MTG): Participants received Marma therapy targeting specific energy points associated with pain relief and muscle relaxation. Sessions were conducted twice a week for 6 weeks. Each session lasted approximately 30 minutes. Control Group (CG): Participants received standard care, which included rest, physiotherapy exercises, and non-steroidal anti-inflammatory drugs (NSAIDs) as needed.

Results
In this pilot study, 10 participants were analysed (5 in the Marma therapy group and 5 in the control group). The Marma therapy group exhibited an average 40% reduction in VAS pain scores from baseline to post-treatment, compared to a 15% reduction in the control group. Grip strength in the Marma therapy group improved by 25%, whereas the control group observed a 10% increase. DASH scores indicated a significant enhancement in functional ability in the Marma therapy group (30% improvement) versus the control group (12% improvement). These findings suggest Marma therapy's potential effectiveness in managing pain and improving function in tennis elbow.

Conclusion
Marma therapy shows promising potential in significantly reducing pain and improving functional outcomes in tennis elbow patients.