Integrated approach of Pain management in Avabahuka (Frozen Shoulder)-A Case Study

Abstract

Introduction:Avabahukais a disease that usually affects theAmsa Sandhi(shoulder joint) & it is caused by thevitiated Vata Dosha. The term "Avabahuka"is not mentioned in theVata Nanatmaja Vyadhi, but Acharya Sushrutaand others have consideredAvabahukaas aVataja Vikara. Amsa Shosha, Shira Aakunch, and Baahupraspanditaharamsymptoms are present in Avabahuka.. On the basis of signs and symptoms, Avabahukacan be co-related to frozen shoulder. Restrictions of glenohumeral movement are characteristic of this disease. Both passive and active shoulder movements are painfully restricted by frozen shoulder. Material & method: A female patient aged 38 years known case of Diabetes mellitus since 3 years reported with complaint of pain and difficulty in movingright upper limb. For the last 2 years, she was unable to move right upper limb due to pain and stiffness. Investigation: CBC, blood glucose, plain x-ray of the right shoulder joint etc. Treatments such as Abhyanga with Mahanarayana Tail, Patra Potli PindaSweda, Nasyawith Anu Tail. Other treatment-Pendulum, shoulder wheel, and pulley exercises are examples of motion-stimulating exercises. Observation and Result: The patient had significant relief in pain and stiffness. After using Panchakarmaprocedure and some exercises, the full range of shoulder movement is present. Conclusion: By using Panchakarma procedures such as Patra Potli PindaSwedaand Anu Tail Nasya, the patient does her daily routine work without any restrictions. The VAS (Visual Analogue Scale) pain score is used for the assessment of pain.