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Background: Kakshadhara Marma is a Snayu Marma grouped under Vaikalyakara located between Kaksha and Vaksha. An injury to the Kakshadhara Marma results in Pakshaghata and Kunitwam. Study of Kakshadhara Marma in respect to painful conditions of shoulder joint related to detailed location and content is not available. Hence, this study was planned to study the importance of Kakshadhara Marma in respect to painful conditions of shoulder joint. Materials and Methods: Ayurvedic texts as well as the data bases search engines, journal, related to Marma were searched and presented in systematic manner. Result: Various painful shoulder joint disorders such as painful shoulder, injury of the scapula, clavicle, sternoclavicular sprains, dislocation, fracture, etc. were discussed. Kakshadhara Marma is categorised as Snayu Marma, if any type of injury occurs over the Kaksha Sandhi then there are maximum chances of ligament injury and main symptoms appears that are pain and paralysis of the arm may be possible. Conclusion: Kakshadhara Marma can be compared with brachial plexus. Injury may lead to paralysis of upper extremity, considered under Vaikalyakara Marma.

Keywords: Injury, Kakshadhara Marma, shoulder joint disorders, Snayu, Vaikalyakara