Kukundara is one of the Vaikalyakara Marma, two in number, present on both sides of the spine, related to the dorsolateral aspect of the pelvic bone and structurally categorized as Sandhi Marma. According to the Susruta Samhita, an injury to the Kukundara marma results in loss of movement and loss of sensation, which requires further emphasis on anatomical, functional and clinical reasons supported by current science. Regarding its location and identification, there are many disagreements among authors in the interpretation of a particular structure. Therefore, there is a need to identify the specific anatomical structure, its location and regional involvement to determine the structural composition of the Kukundar Marma and evaluate its involvement in the injury. The study was a retrospective clinical observational study of thirty patients to confirm the localization and impact of Kukundar Marma injuries. The data subjected to statistical evaluation showed that in this study, 46.7% were male and 53.3% were female, while the age group was 31-50, 50% Among the causes of injury, 70% were traumas in the lumbosacral region. The reference zone of pain was more in the leg area 42.3%, Chestahani found in 90% of cases. Gait was abnormal in 90%. The examination was positive in 53.3%. The exact localization of the Kukundara Marma on the side of the spine and the outer part of the buttock region was mainly related to the neurovascular structure that was present in close connection with the lower part of the sacroiliac joint. Therefore, a study was conducted to establish a diagnostic criterion for the evaluation of signs and symptoms of Kukundara marma injury.