Ayurveda gives prime importance to Rachana Sharir for understanding the structural basis of physiological and pathological processes. Pada Kurcha is an important anatomical entity described in classical Ayurvedic texts, predominantly composed of Snayu and Dhamani, and is located in the region of the foot. Long-term standing professions impose continuous mechanical stress on the foot, especially over the plantar structures, which may lead to degenerative and inflammatory changes. In modern anatomy, the plantar aponeurosis closely resembles the Ayurvedic concept of Pada Kurcha in terms of structure, function, and clinical significance. The present observational study was undertaken to assess anatomical and structural changes occurring in Pada Kurcha among individuals involved in long-term standing professions. A comprehensive literary review of Ayurvedic and modern texts was conducted, followed by cadaveric dissection and clinical observation of 100 subjects engaged in prolonged standing. Ultrasonographic evaluation was used to assess thickness, integrity, and echogenicity of the plantar fascia. The findings revealed a significant association between prolonged standing and structural alterations in the plantar aponeurosis, including increased thickness, hypoechoic changes, and partial tears. These changes can be correlated with the Ayurvedic description of Kurcha Dushti, leading to pain, stiffness, and functional impairment. The study establishes a conceptual and anatomical bridge between Pada Kurcha and plantar aponeurosis, highlighting the occupational risk factors and emphasizing preventive strategies.
2Dr. Manisha Dhole 1*Dr. Shatrughan Netke (Wed,) studied this question.