A COMPREHENSIVE STUDY OF KAKSHADHARA MARMA WITH SPECIAL REFERENCE TO WINGED SCAPULA

The Marma sharira has a special importance in Sharira Sthana. There are 107 Marma present in the human body, surrounded by Mamsa, Sira, Snayu, and Asthiand Sandhi. The KakshadharaMarma is a SnayuMarma, located in between the axilla and thorax on both sides. Injury to Kakshadhara Marma leads to Pakshaghata. The area surrounding Kakshadhara Marma consists of the brachial plexus and its branches and the presence of the Axillary artery. Winging of scapula caused by injury of long thoracic nerve mainly, sometimes dorsal scapular nerve and spinal accessory nerve. The Most common muscles involved are Serratus anterior and Rhomboidus, but occasionally trapezius muscle is involved. The winged scapula presents with drooping of the shoulder, weakness in the neck, shoulders, and arm muscles, associated with painand discomfort in the neck region, shoulders, and back.