Effective Management of Frozen Shoulder: A Case Report

Abstract

Frozen shoulder affects shoulder joints. Ayurveda links it to Vata-vitiated Avabhahuk. Frozen shoulders occur when aggravatedVata dries out its binding elements and constricts shoulder veins. This disorder restricts shoulder movement due to Sira constriction.Since aggravating variables cause all motor functions and joint ranges of motion, treating a frozen shoulder should focus on pacifying Vataand Kapha. The main aim of the presentcase is to assess the role of comprehensive management of a frozen shoulder in a geriatricfemale patient by using Panchakarma (purification therapy) and Shamana (palliative) in Ayurveda. And the objective is to reduce theduration of treatment and cure the medical condition with the greatest possible benefit. It is a single case study of a seventyyears oldfemale patient who has represented herself with complaints such as Pain and Stiffness in her right shoulder joint with its restrictedmovement, inability to lift a completely right hand in an upward direction, difficulty while walking due to pain in both knee joints for fourmonths. The comprehensive regime using was prescribed for purification therapy treatment (local massage with Dashmoola Oil, PatraPinda Sudation, Nasal instillation with Anutail (oil), Janu Basti (knee joint retention enema) with Sahcharadi oil, and medicated enemaregimefor 16 days. Simultaneously palliative treatment (Syrup Armex, Sinhanad Guggul, Aamvatari rasa, and Syrup Vatamritam for a consecutivemonth. After one month of follow-up, there was significant relief in clinical features of the disease, along with gross improvement in therange of motion of the affected shoulder joint. The afore-said regime based on comprehensive management in Ayurveda inducesencouraging results in a patient with frozen shoulders within a short duration. Hence it's essential due to increasing cases in day-to-daylife. So, it was concluded that the present results were due to the analgesic, anti-inflammatory & nourishing properties of Ayurvedainterventions. All the above-said treatment protocol is effective in the frozen shoulder without causing any adverse event.