Abstract
Most shoulder pain is related to muscle or tendon strain. Chronic pain is often triggered by prior injuries, especially if original injury was severe or was not allowed to heal completely. Shoulder injury can cause weakness, tenderness and loss of full joint mobility. More common and less traumatic causes include lifting, reaching and pulling move- ments that strain the muscles and tendons or sprain ligaments surrounding the shoulder joint. Injury may or may not be realized during the activity. Various conditions like shoulder joint impingement, frozen shoulder, and rotator cuff tendinitis have resembling symptoms under the umbrella of disease Avabahuka described in Ayurveda. Leech application was carried out in first stage where there is reduced vascular supply. Here a case report of a female aged 31years old, who had an acute on chronic rotator cuff strain from strenuous activity underwent three sittings of Jaloukavacarana. Keywords: Rotator cuff tendon injury, Avabahuka, Jaloukavacarana.
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