Analysis of structural changes observed in the region of Kukundara Marma in patients suffering from Low back ache

Kukundara Marma is a Prushtagata Sandhi Marma. Injury to it leads to sensory and motor deficit in the lower limb. It is located in Jaghanabahirbhaga on both sides of Prashtavamsha indicates the low lumbar region. Joints in between the lower lumbar vertebras and lumbosacral joint are the structures present in the Kukundara Marma region. Lumbosacral trunk is related in this area which gives contribution to sacral plexus. Back pain is symptom where there will be involvement of muscle, ligaments, bones, joints, and nerves. The most common causes include Mechanical, Destructive, Inflammatory, other causes. With the help of Xray and MRI it was noted that out of 100 patients suffering from low back ache and sensory and motor deficit of lower limb 32 patients had Lumbar canal stenosis and 19 patients had Disc herniation