Management of Frozen Shoulder in Diabetics through Panchakarma

Abstract

Diabetes is having a steep rise in prevalence and is on the way to take shape of a global epidemic, mostly associated with improper diet and lifestyle. Musculoskeletal problems are common in diabetics but are not so well- known as compared to other complications of the disease. Frozen Shoulder, one such musculoskeletal problem, is estimated to affect diabetic patients five times more as compared to non-diabetics, resulting in pain and limited range of movement and is compared to Apabahuka in Ayurveda. Conventional treatment modalities like analgesics, NSAIDs, steroids and surgery etc have certain limitations. Hence, alternatives are being searched from other systems of medicines. A 64 years old female patient, presented with pain and restricted movements of left shoulder joint; was treated with Udvartana followed by local Swedana with Jambeera pinda and Panchatikta panchaprasritika vasti for five five days. After completion of therapy, pain was subsided and satisfactory improvement was found in the shoulder joint movements. Panchakarma in the form of Basti regimen and external therapies is surely a result oriented therapy in the management of Diabetes and such complications like Frozen shoulder. Panchakarma in the form of external therapies and Vasti regimen is a result oriented therapy in the management of Frozen Shoulder and also effective in Diabetes.