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CTRI Number  CTRI/2025/01/079652 [Registered on: 28/01/2025] Trial Registered Prospectively
Last Modified On: 28/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   This clinical trial will be performed to understand the effect between Agnikarma and Wax bath therapy in the management of Janusandhi Shoola which include features like pain, stiffness, range of movement of knee joint (Janu Sandhi).  
Scientific Title of Study   A Randomized controlled clinical study to evaluate the efficacy between Agnikarma and Wax bath therapy in the management of Janusandhi Shoola. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Kunal Mukundrao Gujarkar 
Designation  PG Scholar 
Affiliation  PDEAs College of Ayurved and Research Centre 
Address  PDEAs College of Ayurved and Research Centre Third floor Shalyatantra department Sector no 25 Pradhikaran Nigdi Pune

Pune
MAHARASHTRA
411044
India 
Phone  8888006755  
Fax    
Email  kgujarkar5@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Madhavi Banarase 
Designation  Professor and HOD 
Affiliation  PDEAs College of Ayurved and Research Centre 
Address  PDEAs College of Ayurved and Research Centre Third Floor Shalyatantra department Sector no 25 Pradhikaran Nigdi Pune

Pune
MAHARASHTRA
411044
India 
Phone  9423207569  
Fax    
Email  dr.madhavibanarase209@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Madhavi Banarase 
Designation  Professor and HOD 
Affiliation  PDEAs College of Ayurved and Research Centre 
Address  PDEAs College of Ayurved and Research Centre Third Floor Shalyatantra department Sector no 25 Pradhikaran Nigdi Pune

Pune
MAHARASHTRA
411044
India 
Phone  9423207569  
Fax    
Email  dr.madhavibanarase209@gmail.com  
 
Source of Monetary or Material Support  
PDEAs College of Ayurved and Research Centre Sector no. 25 Pradhikaran Nigadi Pune Maharashtra India 411044 
 
Primary Sponsor  
Name  PDEAs college of ayurved and research centre 
Address  PDEAs College of Ayurved and Research Centre third floor shalyatantra department sector 25 Pradhikaran Nigadi Pune Maharashtra India 411044 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Kunal Gujarkar  Ayurved rugnalaya and sterling multispeciality hospital  Shalyatantra Department,OPD No. 123A,Sector no. 27,Pradhikaran, Nigadi 411044
Pune
MAHARASHTRA 
8888006755

kgujarkar5@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M179||Osteoarthritis of knee, unspecified. Ayurveda Condition: JANUBEDAH (KEVALAVATA),  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-agnikarma, अग्निकर्म (Procedure Reference: Sushrut Samhita, Procedure details: 1. One end of tamra shalaka is placed on marked point perpendicular to surface & other end will be heated with candle. 2. Same process is repeated on other marked painful points. 3. Procedure will be stopped when patient feels atmost heat. Follow up & therapy on 0, 7, 14, 21st day. Duration of the study = 21 days.)
2Intervention ArmProcedure-Wax bath therapy (Procedure Reference: Physiotherapy, Procedure details: Procedure details: 1.Patient made to sit or lie down on the bed. 2.Clean the affected knee joint. 3.Melt the paraffin wax. 4.Apply the melted paraffin wax with the help of spatula. 5.Let it dry. 6.Wipe the dried wax with tissue paper. Follow up and therapy on 0, 7, 14, 21st day. Duration of the study = 21 days.)
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients having age of 30 to 70 years irrespective of gender.Patients with Pain, Stiffness, Restricted movement of knee.Patients with Progressive loss of passive range of movement (PROM) and active range of movement (AROM) of knee joint. 
 
ExclusionCriteria 
Details  Patients with history or known case of Fracture, Ligaments tear, Dislocation of knee joint,Knee effusion,Septic arthritis,Tuberculous arthritis,Psoriatric arthritis,Pyoarthrosis,Hemarthrosis,Pregnancy,Uncontrolled DM. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To assessed the Pain & Range of movement by Agnikarma and Wax therapy in the management of janusandhi shoola.  21 days treatment with follow-up on 7th, 14th and 21st day 
 
Secondary Outcome  
Outcome  TimePoints 
NA  NA 
 
Target Sample Size   Total Sample Size="66"
Sample Size from India="66" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   08/02/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary    Now a days, peoples are facing many joint related disorders. Pain, stiffness and restricted movements of the lower limb joints is very common.
 Agnikarma is advocated in joint disorders because of its ushna guna and vatakapha subduing property of agni. It is well known instant pain relief modility in ayurveda; as well as Wax therapy is a painless, relaxing treatment. It provides soothing effect in chronic joint pain.
 There is need to assess the comparison between Agnikarma and Wax therapy in the management of Janusandhi shoola. Hence the topic has been selected for study.
 
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