MUSCULOSKELETAL AILMENT WITH SPECIAL FOCUS ON SNAYU MARMA: A REVIEW

A musculoskeletal disorder is an injury that affects the human body's movement or musculoskeletal system, including muscles, tendons, ligaments, nerves etc. Ayurveda understands the ailment in detail like etiological factors, marma-chikitsa, a traditional therapy for managing vital points and specific panchakarma to manage ailments effectively without any side effects. Acharyas said 107 marmas are classified into five varieties based on their structure, location, and effect of an injury. Anatomically marma is the junction point of mamsa, sira, snayu, asthi & sandhi; they are named as their dominancy. Marma is a special concept described in Sushruta Samhitas, knowing this, one can be a good physician and surgeon. Snayu is a vital structure that helps maintain joints' stability during movement, and all joints are bind together by snayu. Snayu is like the tendon, ligament, nerve, and muscle tissue. There is 27 snayu marma covered under ten names and scattered all over the body. They are Aani (4), vitap (2), kakshadhar (2), kurcha (4), kurchashir (4), vasti (1), and kshipra (4), amsa (2), vidhur (2), utkshepa (2). Injury to snayu marmas will cause shortening, debility of the body part, inability to perform their action, severe pain, causes more harm to the body than harm to these marma like asthi, sandhi, peshi, sira. It is necessary to have detailed knowledge of snayu marma and its structure to rule out causative pathophysiology behind the formation of such deformities and minimize their occurrence in future.