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CTRI Number  CTRI/2026/03/105298 [Registered on: 03/03/2026] Trial Registered Prospectively
Last Modified On: 02/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical study to compare the effect of Marma Chikitsa and Ultrasound Therapy in Tennis Elbow 
Scientific Title of Study   A Randomized Clinical Study to Evaluate the Efficacy of Marma Chikitsa and Ultrasound Therapy in the Management of Tennis Elbow 
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 Nidhiranjan Singh 
Designation  PG Scholar 
Affiliation  National Institute of Ayurveda, Jaipur 
Address  Department of Marmalogy and Sports Medicine National Institute of Ayurveda Jaipur Rajasthan

Jaipur
RAJASTHAN
302002
India 
Phone  9400946776  
Fax    
Email  nidhiranjan37@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Prof Dr P Hemantha Kumar 
Designation  Pro VC and HOD  
Affiliation  National Institute of Ayurveda, Jaipur 
Address  Department of Marmalogy and Sports Medicine National Institute of Ayurveda Jaipur Rajasthan

Jaipur
RAJASTHAN
302002
India 
Phone  9414056362  
Fax    
Email  profphknia@gmail.com  
 
Details of Contact Person
Public Query  
Name  Prof Dr P Hemantha Kumar 
Designation  Pro VC and HOD  
Affiliation  National Institute of Ayurveda, Jaipur 
Address  Department of Marmalogy and Sports Medicine National Institute of Ayurveda Jaipur Rajasthan

Jaipur
RAJASTHAN
302002
India 
Phone  9414056362  
Fax    
Email  profphknia@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Ayurveda Jaipur Rajasthan 
 
Primary Sponsor  
Name  National Institute of Ayurveda 
Address  National Institute of Ayurveda Jaipur Rajasthan 302002 
Type of Sponsor  Government 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 Nidhiranjan Singh  National Institute of Ayurveda Hospital  OPD no 8 Sushruta Bhawan Department of Marmalogy and Sports Medicine Academic Block first floor National Institute of Ayurveda Jaipur Rajasthan
Jaipur
RAJASTHAN 		 9400946776

nidhiranjan37@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, National Institute of Ayurveda Jaipur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M771||Lateral epicondylitis. Ayurveda Condition: SNAYUGATAVATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-marmacikitsA, मर्मचिकित्सा (Procedure Reference: -, Procedure details: o Each Marma point is stimulated in synchrony with the rhythm of respiration, typically amounting to approximately 18 cycles. o The Marma points are stimulated by gentle pressing & releasing, repeated approximately 15–20 times per session. o The treatment is administered once daily for a total of 15 days. )
2Intervention ArmProcedure-Ultrasound Therapy (Procedure Reference: -, Procedure details: 10 minutes once in a day for 15 days)
3Intervention ArmProcedure-marmacikitsA, मर्मचिकित्सा and Ultrasound therapy (Procedure Reference: -, Procedure details: combination of Marma Chikitsa & Ultrasound Therapy will be done once daily for 15 days.)
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1 Patient of age 25 - 60 year of either gender.
2 Patients presenting with the clinical features of Tennis Elbow.
3 Positive Cozen’s test.
4 Positive Mill’s maneuver test.
5 Ability to respond the questionnaire independently. 
 
ExclusionCriteria 
Details  1 Patients having open surgical procedure of Tennis Elbow.
2 Recent fracture of Radial head.
3 Patient having anatomical defect and congenital structural defect of elbow joint
4 Patients having degenerative joint disorders
5 Patients on long term steroids for any disease.
6 Insane, mentally unstable, unconscious or semiconscious patients.
7 Presence of any local infection, sinuses or skin disease on the proposed site of intervention.
8 Patients with diagnosed case of peripheral vascular disease or peripheral neuropathy. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Changes in the PRTEE (Patient Rated Tennis Elbow Evaluation) Scale  15 days 
 
Secondary Outcome  
Outcome  TimePoints 
Changes in VAS score, Radiation of Pain & Soft Tissue Tenderness Grading Scale
Comparison of the effect of both treatment modalities for management of Tennis Elbow 		 15 days 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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   Phase 2 
Date of First Enrollment (India)   15/03/2026 
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="0"
Months="6"
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [nidhiranjan37@gmail.com].

  6. For how long will this data be available start date provided 31-10-2026 and end date provided 31-10-2031?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary  

o   Tennis Elbow (Lateral Epicondylitis) is commonly treated with conservative methods, but current treatments show inconsistent effectiveness in pain relief and functional recovery.

o   Marma Chikitsa is an Ayurvedic, non invasive therapy focused on stimulating vital energy points, promoting Prana flow, and restoring Dosha balance, but lacks robust scientific evidence for its efficacy in tennis elbow.

o   Ultrasound therapy uses high frequency sound waves to enhance tissue healing and reduce pain but has shown variable results across studies.

o   There is a need to compare these two approaches to evaluate their relative effectiveness, determine complementary benefits, and explore their potential as part of an integrative treatment strategy for tennis elbow.

o   A head to head comparison will provide insight into the mechanisms, safety, and clinical outcomes of both therapies, supporting the development of more evidence based treatment protocols for tennis elbow management.

 
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