Ayurvedic Panchakarma Management of Avabahuka - A Case Report

Abstract

Background: Avabahuka is the disease of Amsa Sandhi (shoulder joint), which involves the neuromuscular system. The clinical features of Avabahuka are pain, stiffness, and restricted shoulder joint movement. In this study, Sahachar (Barleria prionitis Linn.) Taila was used for Snehana, and Patra Pottali (Ayurvedic Herbal Bolus) was used for Swedana containing leaves of medicinal plants. Aim and objective: To evaluate the efficacy of Snehana and Patra Pottali Swedana, along with Shamana Aushadhi in Avabahuka. Material and methods: A male patient, 40 years old, was diagnosed with an Avabahuka from a clinical point of view. There was a painful, restricted movement of the right shoulder joint radiating to the right elbow joint. X-ray of cervical region AP and lateral view shows mild straightening of cervical lordosis due to paraspinal muscle spasm and C5 – C6 disc space narrowing. He was treated with Panchakarma Snehana and Patra Pottali Swedana followed by Shamana Chikitsa for 7 days and follow-up after 14 days. Result: The patient was assessed with subjective and objective parameters. The scores of pain turned to reduced 3 to 1, stiffness 3 to 0, and range of movement; flexion 1300 to 1600, extension 500 to 600, abduction 1250 to 1450, adduction 350 to 550, internal rotation 700 to 850, and external rotation 800 to 900. Significant changes and improvements were observed in the clinical features of Avabahuka before and after treatment. Conclusion: The present study shows Ayurveda has better management for Avabahuka, which was observed by strategically combining the effects of Panchakarma and Shamana Chikitsa.