The 24th chapter of Madhava Nidana deals with Urustambha i.e., Stiffness of the leg. The most common cause of muscle stiffness is a sprain or strain, which can affect both the muscles and ligaments. A strain is when the muscle fibers are stretched or torn. Strains are particularly common in the legs and lower back. A sprain is when the ligaments have been stretched, twisted, or torn.
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