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

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. 2nd ed., ch. 28, Ver. 18, Varanasi: Chowkhamba Orientalia; 2014. p. 462.
  2. 2nd ed., ch. 28, Ver. 59, Varanasi: Chaukhamba Orientalia; 2014. p. 467.
  3. 2nd ed., ch. 1, Ver. 82, Varanasi: Chaukhamba Orientalia; 1991. p. 17.
  4. 1st ed., ch. 22, Ver. 64, Varanasi: Chaukhamba Surabharati Prakashan; 1986. p. 443.
  5. 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. Essentials of Orthopaedics and Applied Physiotherapy. New Delhi: Elsevier; 2011. p. 356.
  7. Essential Orthopaedics. New Delhi: Mehta Publishers; 2007. p. 258.
  8. Frozen shoulder a long-term prospective study. Ann Rheum Dis 1984;43(3):361–364. DOI: 10.1136/ard.43.3.361.
  9. 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. 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. The shoulder. In: Butler JP, ed. Manual Examination and Treatment of the Spine and Extremities. Baltimore: Williams & Wilkins; 1988.
  12. 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. The diabetic frozen shoulder: arthroscopic release. Arthroscopy 1997;13(1):1–8. DOI: 10.1016/S0749-8063(97)90203-6.
  14. 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. Interventions for shoulder pain. Cochrane Database Syst Rev 2000(2):CD001156.
  16. 2nd ed., ch. 28, Ver. 79–80, Varanasi: Chaukhamba Orientalia, Edition; 2014. p. 468.
  17. , ch. 21, Ver. 44, Varanasi: Chaukambha Sanskrit Pratishthan; 2015. p. 809.
  18. ch. 20, Ver. 38, Varanasi: Chaukambha Sanskrit Pratishthan; 2015. p. 250.
  19. Phytochemical investigations and anatomical study of three species of Sida. Biolife 2014;2(2):622–629.
  20. 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. 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. 2nd ed., ch. 14, Ver. 24, Varanasi: Chaukhamba Orientalia, Edition; 2014. p. 96.
  23. 2nd ed., ch. 22, Ver. 11, Varanasi: Chaukhamba Orientalia, Edition; 2014. p. 150.
  24. 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. Nighantu Adarsha, Nirgundyadi Varga, vol. 2, Vadodara: Gujarat Pustakalaya Sahayaka Sahakari Mandali; 1999. p. 803.
  26. 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. 2nd ed., ch. 9, Ver. 88, Varanasi: Chaukhambha Orientalia; 2011. p. 722.
  28. 1st ed., ch. 29, Ver. 3, Varanasi: Chowkhamba Krishnadas Academy; 2006. p. 223.
  29. 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. 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. 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. ch. 7, Ver. 56–69, Varanasi: Chaukhambha Sanskrit Samsthan; 2002. p.203.
  33. The effectiveness of Commiphora mukul for osteoarthritis of the knee: an outcomes study. Altern Ther Health Med 2003;9(3):74–79.
  34. ch. 24 Vatadhyadhikara, Varanasi: Chaukhamba Sanskrit Sansthana, pp. 332–337.
PDF Share