Frozen shoulder is the adhesive capsulitis of shoulder characterized by stiffness and pain in the shoulder joint.
- SIGNS AND SYMPTOMS OF FROZEN SHOULDER
- CAUSES OF FROZEN SHOULDER
- PATHOPHYSIOLOGY OF FROZEN SHOULDER
- DIAGNOSIS OF FROZEN SHOULDER
- TREATMENTS FOR FROZEN SHOULDER
- PROGNOSIS OF FROZEN SHOULDER
- COMPLICATIONS OF FROZEN SHOULDER
- FROZEN SHOULDER AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF FROZEN SHOULDER
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF FROZEN SHOULDER
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF FROZEN SHOULDER
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF FROZEN SHOULDER
- AYURVEDIC PROGNOSIS OF FROZEN SHOULDER
- CHIKITSA- AYURVEDIC TREATMENT FOR FROZEN SHOULDER
- AYURVEDIC LOCAL TREATMENT FOR FROZEN SHOULDER
- AYURVEDIC SAMANA TREATMENT FOR FROZEN SHOULDER
- AYURVEDIC SHODHANA TREATMENT FOR FROZEN SHOULDER
- COMMONLY USED AYURVEDIC MEDICINES FOR FROZEN SHOULDER
- HOME REMEDIES FOR FROZEN SHOULDER
- DIET AND BEHAVIOUR FOR FROZEN SHOULDER
- YOGA FOR FROZEN SHOULDER
- RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF FROZEN SHOULDER
SIGNS AND SYMPTOMS OF FROZEN SHOULDER
- Pain in the shoulder
- Stiffness in the shoulder joint
CAUSES OF FROZEN SHOULDER
- Inflammation of joint capsule
- Injury of the joint capsule
- Rotator cuff injury
- Diabetes
- Thyroid dysfunction
- Stroke
- Stiffening of the joint after surgery
PATHOPHYSIOLOGY OF FROZEN SHOULDER
The shoulder joint is encapsulated by tendons, ligament and connective tissues. Due to the above-mentioned causes, the injury or inflammation occurs in the joint capsule leads to symptoms of frozen shoulder.
DIAGNOSIS OF FROZEN SHOULDER
- EXAMINATIONS
- Inspection
- Palpation
- Movements – Flexion, Extension, internal rotation, external rotation, adduction, abduction
- INVESTIGATIONS
- X – rays
- MRI
- CT scan
TREATMENTS FOR FROZEN SHOULDER
- A few cases may require surgery.
- Medications – Non-steroidal anti-inflammatory drug, Analgesic.
- Treatment of underlying pathology.
- Physiotherapy
- Joint manipulation
PROGNOSIS OF FROZEN SHOULDER
- Prognosis is based on the cause of the disease, duration and condition of the patient
COMPLICATIONS OF FROZEN SHOULDER
- Persistent stiffness of shoulder joint
FROZEN SHOULDER AND AYURVEDA
- In Ayurveda, frozen shoulder falls under Vatavyadhi or a Vata dosha imbalance disorder. Particularly it is correlated with apabahuka.
- According to Ayurveda, it may be considered as Vata vyadhi with mamsakshaya
- Vata vyadhi can be correlated to neurological or neuromuscular disorders. The causes and pathogenesis of diseases caused by vitiation of Vata dosha, in general, are the exclusive cause and pathogenesis ofpain, stiffness.
NIDANA- AYURVEDIC CAUSES OF FROZEN SHOULDER
- Excess consumption of ununctuous, cold food
- Excessive physical exercise.
- Suppression of natural urges.
- Trauma
- Injuries
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF FROZEN SHOULDER
- Dull intermittent pain in the shoulder joint on movement.
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF FROZEN SHOULDER
- Vata, pitta and kapha dosha move through all channels of circulation. Due to the subtle nature of vata it impels the remaining two doshas.
- The aggravated vata having provoked these two doshas, exacerbated and fills up the empty channels and moves greatly inside them or by getting enveloped by the other doshas.
- The aggravated vata resides in the shoulder joint and produces different kinds of aches and pains.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF FROZEN SHOULDER
- Toda – Pain on shoulder joint
- Sada – weakness
- Stiffness
AYURVEDIC PROGNOSIS OF FROZEN SHOULDER
- Pain associated with traumatic injuries is difficult to cure – krichra sadhya
CHIKITSA- AYURVEDIC TREATMENT FOR FROZEN SHOULDER
Ayurvedic local treatment for frozen shoulder
- Svedam – local fermentation
- Pain-relieving lepa application
AYURVEDIC SAMANA TREATMENT FOR FROZEN SHOULDER
- Dasamoolarishtam
- Maharasnadi kashayam
- Gandha tailam along with milk
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
AYURVEDIC SHODHANA TREATMENT FOR FROZEN SHOULDER
- NASYA-Ksheerabala, anutaila, laghumasha taila
COMMONLY USED AYURVEDIC MEDICINES FOR FROZEN SHOULDER
Internal administration
- Maharasnadi kashayam
- Prasaranyadi Kashayam
- Dhanwantharam Kashayam
- Dhanadanayanadi kashayam
- Dhanwantharam ghrita
- Gandha tailam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
External application
- Snehadhara – with balaswagandha tailam and ksheerabala tailam
- Shashtika Sali panda sweda
- Abhyangam – with karpasasthyadi tailam
HOME REMEDIES FOR FROZEN SHOULDER
- Heat application on the affected area by a towel dipped with hot water
- Massage the painful area for 15 minutes ( NOT too much pressure )
DIET AND BEHAVIOUR FOR FROZEN SHOULDER
- Avoid food items which produce vata dosha imbalance like cold and dry food, hard to digest. Because vata imbalance aggravates the symptoms.
- Consume easily digestible food items, cow’s milk
- Avoid heavy exercises which further aggravate the conditions.
- Oil massage on affected area advised. Which alleviates vata dosha
- Take proper rest.
YOGA FOR FROZEN SHOULDER
- Nadi Shuddi Pranayam – calms the mind and gets relief from aches and pains
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
· Tadasana
· virabhadrasana
- Anjali mudra
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF FROZEN SHOULDER
1. A study on Apabahuka (frozen shoulder) and its management by Laghumasha taila nasya
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3202264/
2. Management of avabahuka (frozen shoulder) with abhyanga swedana, pratimarsha nasya and ayurveda medicines: a case study
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Writer:
Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.
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