ISSN: 2578-4838
Authors: Sindhuja BS, Sankar I and Tiwari S*
Objective: This case report illustrates the potential effect of Siddha manipulative therapy (Thokkanam) with varmam/marma chikitsa (energy medicine) on back pain and curve progression in a 15-year old female with adolescent idiopathic scoliosis. Clinical Features: A 15-year-old girl experienced right thoracic scoliosis from past 4 years. She received regular physical therapy, but the curvature of the thoracic spine still progressed. The Cobb angle was measured at 38° and on NPRS the pain was scaled as 8. Intervention and Outcome: This patient was treated with Siddha spinal manipulation (Thokkanam) for five weeks with five times per week for initial 2 weeks, which was gradually decreased in frequency along with 2 energy sessions at week 2nd and 4th. Follow-up after 6 months of consecutive treatment was conducted with radiographs and other examinations. The Cobb angle decreased by 25° and measured at 13° at follow-up. The pain measured at NPRS after intervention of therapy came down to 2 on any activity. There was improvement in the patient's ROM in left arm and lower backache. Her activities of playing badminton, writing and sleeping too showed a positive shift improving her quality of life. Conclusions: The patient responded well to manipulative and rehabilitation techniques. The case highlights the potential of Siddha therapy's holistic interventions in managing Scoliosis in reducing the degree of curvature of adolescent idiopathic scoliosis and giving a good quality of life.
Keywords: Scoliosis; Cobb Angle; Siddha Manipulative Therapy; Thokkanam; Marma Chikitsa