Journal of Research in Ayurvedic Sciences

Register      Login

VOLUME 4 , ISSUE 4 ( October-December, 2020 ) > List of Articles

CASE REPORT

Management of Avabahuka (Frozen Shoulder) with Ayurveda Therapeutic Regimen: A Case Study

Savita Sharma, Pradnya J Bhagat, R Govind Reddy

Keywords : Ayurvedic modalities, Frozen shoulder, Nasya, Patrapinda Sweda,Avabahuka

Citation Information : Sharma S, Bhagat PJ, Reddy RG. Management of Avabahuka (Frozen Shoulder) with Ayurveda Therapeutic Regimen: A Case Study. J Res Ayurvedic Sci 2020; 4 (4):158-163.

DOI: 10.5005/jras-10064-0100

License: CC BY-NC 4.0

Published Online: 11-02-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Avabahuka (frozen shoulder) is a type of Vata Vyadhi caused by vitiated Vata Dosha with Anubhandha of Kapha Dosha. The symptoms of Avabahuka can be corelated with the symptoms of adhesive capsulitis, which is commonly known as frozen shoulder. Being a disease of shoulder joint, which has the greatest range of motion, it seriously affects the routine day to day activities. A 47-year-old female presented to the OPD of Regional Ayurveda Research Institute for Mother and Child Health (RARIMCH), Nagpur, Maharashtra, with pain and restricted movement in the right shoulder since 6 months, having undergone conventional treatment without any significant improvement. As Amsa-Sandhi (shoulder joint) is a seat of Kapha Dosha and considering Vata-Kapha Dushti in Avabahuka, the Vata-Kapha pacifying management was planned for the present case. Comprehensive Ayurvedic modalities, consisting of Balataila Snehana, Sarvanga Bashpa Swedana, Patrapinda Sweda, and Anutaila Nasya along with Mahayograja Guggulu and Maharasnadi Kwatha, were administered for 2 months. The range of movements improved gradually from 50° to 100° for abduction, 70° to 110° for flexion, and 15° to 50° for extension. VAS score for pain in the right shoulder was 7 before treatment, which came down to 4 after first course of treatment regimen and gradually to 3 after completion of the treatment.


PDF Share
  1. Charak Samhita of Agnivesha, Chikitsa Sthana, In: Sharma PV, ed. 2nd ed., ch. 28, Ver. 18, Varanasi: Chowkhamba Orientalia; 2014. p. 462.
  2. Charaka Samhita of Agnivesha, Chikitsa Sthana, In: Sharma PV, ed. 2nd ed., ch. 28, Ver. 59, Varanasi: Chaukhamba Orientalia; 2014. p. 467.
  3. Sushruta Samhita of Sushruta, Nidana Sthana, In: Sharma PV, ed. 2nd ed., ch. 1, Ver. 82, Varanasi: Chaukhamba Orientalia; 1991. p. 17.
  4. Madhava Nidana of Madhavkara, Nidan Sthana, In: Upadhyay Y, ed. 1st ed., ch. 22, Ver. 64, Varanasi: Chaukhamba Surabharati Prakashan; 1986. p. 443.
  5. Pillai S, Krishnakumar K, Soman D, et al. Concept of Apabahuka in the lights of modern science: a review. Int J Res Ayurveda Pharm 2017;8(Suppl 3):39–42. DOI: 10.7897/2277-4343.083166.
  6. Joshi J, Kotwal P. Essentials of Orthopaedics and Applied Physiotherapy. New Delhi: Elsevier; 2011. p. 356.
  7. Maheshwari J. Essential Orthopaedics. New Delhi: Mehta Publishers; 2007. p. 258.
  8. Binder AI, Buljen DY, Hazleman BL, et al. Frozen shoulder a long-term prospective study. Ann Rheum Dis 1984;43(3):361–364. DOI: 10.1136/ard.43.3.361.
  9. Carette S, Moffet H, Tardif J. Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial. Arthritis Rheum 2003;48(3):829–838. DOI: 10.1002/art.10954.
  10. Bulgen DY, Binder AI, Hazleman BL, et al. Frozen shoulder: prospective clinical study with an evaluation of three treatment regimens. Ann Rheum Dis 1984;43(3):353–360. DOI: 10.1136/ard.43.3.353.
  11. Wadsworth CT. The shoulder. In: Butler JP, ed. Manual Examination and Treatment of the Spine and Extremities. Baltimore: Williams & Wilkins; 1988.
  12. Rizk TE, Gavant ML, Pinals RS. Treatment of adhesive capsulitis (frozen shoulder) with arthrographic capsular distension and rupture. Arch Phys Med Rehabil 1994;75(7):803–807. DOI: 10.1016/0003-9993(94)90140-6.
  13. Oglivie-Harris DJ, Myerthall S. The diabetic frozen shoulder: arthroscopic release. Arthroscopy 1997;13(1):1–8. DOI: 10.1016/S0749-8063(97)90203-6.
  14. Pollock RG, Duralde X, Flatow EL, et al. The use of arthroscopy in the treatment of resistant frozen shoulder. lin Orthop Relat Res 1994(304):30–36. DOI: 10.1097/00003086-199407000-00007.
  15. Green S, Buchbinder R, Glazier R, et al. Interventions for shoulder pain. Cochrane Database Syst Rev 2000(2):CD001156.
  16. Charaka Samhita of Agnivesha, Chikitsa Sthana, In: Sharma PV, ed. 2nd ed., ch. 28, Ver. 79–80, Varanasi: Chaukhamba Orientalia, Edition; 2014. p. 468.
  17. Astanga Hridayam of Srimad Vagbhata, Chikitsa Sthana, In: Tripathi B, ed., ch. 21, Ver. 44, Varanasi: Chaukambha Sanskrit Pratishthan; 2015. p. 809.
  18. Astanga Hridayam of Srimad Vagbhata, Sutrasthana, In: Tripathi B, ed. ch. 20, Ver. 38, Varanasi: Chaukambha Sanskrit Pratishthan; 2015. p. 250.
  19. Richa SS, Sharma ML. Phytochemical investigations and anatomical study of three species of Sida. Biolife 2014;2(2):622–629.
  20. Kanth VR, Diwan PV. Analgesic, anti-inflammatory and hypoglycemic activities of Sida cordifolia. Phytother Res 1999;13(1):75–77. DOI: 10.1002/(SICI)1099-1573(199902)13:1<75::AID-PTR387>3.0.CO;2-F.
  21. Franzotti EM, Santos CV, Rodrigues HM, et al. Anti-inflammatory, analgesic activity and acute toxicity of Sida cordifolia L. (Malva-Branca). J Ethnopharmacol 2000;72(1-2):273–277. DOI: 10.1016/S0378-8741(00)00205-1.
  22. Charaka Samhita of Agnivesha, Sutra Sthana, In: Sharma PV, ed. 2nd ed., ch. 14, Ver. 24, Varanasi: Chaukhamba Orientalia, Edition; 2014. p. 96.
  23. Charaka Samhita of Agnivesha, Sutra Sthana, In: Sharma PV, ed. 2nd ed., ch. 22, Ver. 11, Varanasi: Chaukhamba Orientalia, Edition; 2014. p. 150.
  24. Sharma PC, Yelne MB, Dennis TJ, et al. Database on medicinal plants used in Ayurveda, vol. 3, Delhi: Central Council of Research in Ayurveda and Siddha, Dept. of AYUSH, Ministry of H and FW, Govt. of India; 2001. p. 451.
  25. Bapalal V. Nighantu Adarsha, Nirgundyadi Varga, vol. 2, Vadodara: Gujarat Pustakalaya Sahayaka Sahakari Mandali; 1999. p. 803.
  26. Joshi A, Mehata C, Dave A. Effect of Nirgundi Patra pinda Sweda and Ashwagandhadi Guggulu in Sandhigata Vata. AYU 2011;32(2):207–212. DOI: 10.4103/0974-8520.92588.
  27. Charaka Samhita of Agnivesha, Siddhi Sthana, In: Acharya YT, ed. 2nd ed., ch. 9, Ver. 88, Varanasi: Chaukhambha Orientalia; 2011. p. 722.
  28. Ashtanga Sangraha of Vriddha Vagbhata, Sutra Sthana, In: Sharma SP, ed. 1st ed., ch. 29, Ver. 3, Varanasi: Chowkhamba Krishnadas Academy; 2006. p. 223.
  29. Vador N, Vador B, Rajgor N. Antioxidant and anti-arthritic potential of Ayurvedic formulations: Maharasnadi quath extract and Stifain tablet. Indian J Pharm Pharmacol 2020;7(1):43–47. DOI: 10.18231/j.ijpp.2020.009.
  30. Shrivastawa V, Varma N, Tandon JS, et al. Anti-inflammatory activity of Pluchea lanceolata: isolation of an active principle. Int J Crude Drug Res 1990;28(2):135–137. DOI: 10.3109/13880209009082796.
  31. Thabrew MI, Dharmasiri MG, Senaratne L. Anti-inflammatory and analgesic activity in the polyherbal formulation Maharasnadi Quatha. J Ethnopharmacol 2003;85(2-3):261–267. DOI: 10.1016/S0378-8741(03)00016-3.
  32. Sharangadhara Samhita of Sharangadharacharya, Madhyama Khanda, In: Tripathi B, ed. ch. 7, Ver. 56–69, Varanasi: Chaukhambha Sanskrit Samsthan; 2002. p.203.
  33. Singh BB, Mishra LC, Vinjamury SP, et al. The effectiveness of Commiphora mukul for osteoarthritis of the knee: an outcomes study. Altern Ther Health Med 2003;9(3):74–79.
  34. Bhavprakash of Bhavamishra, Uttarardha, In: Pandeya SH, ed. ch. 24 Vatadhyadhikara, Varanasi: Chaukhamba Sanskrit Sansthana, pp. 332–337.
PDF Share