Frozen Shoulder (Adhesive Capsulitis) Literary Review and a Prospective Case Study with Panchakarma Therapy
Swapnil S. Singhai
Journal Title:International Journal of Ayurveda and Pharmaceutical Chemistry
Frozen shoulder is a clinical syndrome of pain and severely decreased joint motion caused by thickening and contraction of the joint capsule. The peak incidence is between middle aged and is higher in women than men. In Ayurved, the symptoms, etiopathogenesis resembles with Apabahuka. It is a disease characterized by morbid vata dosha localizing around the shoulder joint and thereby causing loss or dryness of shleshaka kapha as well as constricts the siras at this site leads to loss of movements of the arm. Ayurvedic classics explain the treatment as Navan Nasya, Snehapana, Swedana and Shamanaushadhi. The purpose of this case study is to review the literature of frozen shoulder and to determine that the Panchakarma therapy is an effective and safe treatment option that can enhance the speed and degree of recovery, minimal risk and high patient acceptance in preference to other methods of treatment of frozen shoulder. Treatment includes Skandha Basti with Mahavishagarbha Taila for 20 minutes followed by Patrapottali Pinda Swedan and a Nasya of Mashadi Taila in dose of 8 drops for seven days. Along with this oral medication of Parijata Guggulu tablets in the dose of 1 gm three times a day was given for one month. Despite the limitations of this case study, it demonstrates that the panchakarma therapy may be an effective option in the treatment of frozen shoulder.