Management of De Quervain’s Tenosynovitis Through Marma Stimulation –A Case Series

De quervain’s tenosynovitis, an overuse injury involving the abductor pollicis longus and extensor pollicis brevis tendons, presents with pain, tenderness, and restricted wrist movements. Ayurveda relates this condition to snayugata vata, and marma chikitsa provides a holistic, non-invasive treatment option. In this case series, four patients diagnosed with de quervain’s tenosynovitis and Marma stimulation at talahridaya, kshipra, kurcha, manibandha, and indrabasti points, administered once daily for seven days and followed up to 14 days. Four patients were clinically diagnosed based on pain and finkelstein’s test. The combined use of Marma therapy with internal medicines—punarnavadi kashayam, amruthotharam kashayam, and gokshura punarnavadi gulika—offered holistic relief by balancing vata-kapha, reducing inflammation, and strengthening connective tissues. By day 14, VAS pain scores had reduced markedly from 7–9 to 1–3, while tenderness improved from Grade 2–3 to Grade 0–2, with notable restoration of wrist mobility and a negative finkelstein’s test observed in one patient. Acute cases responded more rapidly, whereas chronic presentations, in a diabetic patient showed gradual improvement. These results indicate that marma stimulation is effective in alleviating pain and improving function in de quervain’s tenosynovitis, offering a safe, cost- effective, and integrative therapeutic alternative that also corrects underlying vata imbalance.