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

Abstract

Introduction: Avabahuka is a disease that usually affects the Amsa  Sandhi (shoulder joint) & it is caused by the vitiated Vata Dosha. The term  "Avabahuka" is not mentioned in the Vata Nanatmaja Vyadhi, but Acharya  Sushruta and others have considered Avabahuka as a Vataja Vikara. Amsa Shosha,  Shira Aakunch, and Baahupraspanditaharam symptoms are present in Avabahuka..  On the basis of signs and symptoms, Avabahuka can 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 moving right  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 Pinda Sweda, Nasya with 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 Panchakarma procedure and some exercises, the full range of shoulder  movement is present.  Conclusion: By using Panchakarma procedures such as Patra Potli Pinda Sweda and 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.