Case Study Of Avabahuka

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Frozen shoulder is a clinical syndrome of pain and severely decreased joint motion caused by thick-ening and contraction of the joint capsule. The peak incidence is between middle aged people. In Ayurved, the symptoms, etiopathogenesis resembles with Avabahuka. 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 Shaman Aushadhi. The purpose of this case study is to review the literature of frozen shoulder and to deter-mine that the Cupping therapy is an effective and safe treatment option …show more content…
Avabahuka is coined in Sushruta samhita for the first time. In nidan sthana the samprapti and rupa of Avabahuka are elaborated. Raktamokshana and Ruksha sweda are cited as treatment of choice for Avabahuka. In Charak samhita Bahushirsagata vata is mentioned in the chikitsa sthan. Astanga Hridaya and Astanga sangraha elaborated the full account of the illness Avabahuka. The cause of is not separately enlisted; it may be bahya hetu – causing injury to the vital parts of the shoulder joint and abhyantara hetu – indulging in the etiological factors that aggravate vata leading to the vitiation of vata, which in turn leads to pain and loss of movements of the arm. Kapha plays a vital role in case of margavarodha Avabahuka. The pathogenesis leads to the development of kaphavruta vatajanya Avabahuka. Impairment of bahupraspanda is one of the cardinal features in Avabahuka and this affects activities of the shoulder joint. Ayurvedic classics explain the treatment as Navan Nasya, Snehapana Swedana and Shamanaushadhi. Sushruta advises Vatavyadhi chikitsa except Siravyadha and Brumhana nasya is indicated by Vagbhata for …show more content…
HIV & HBSAg : -ve
Blood Sugar level: FBS(Fasting blood sugar) 84 gms/dl PP (post parandial)108 gms /dl.
X ray Shoulder joint (AP & Lateral view) - glenohumeral joint space reduced, no osteo-poroti changes seen.

PROCEDURE

Under all aseptic precautions 3 Cups placed over the Right shoulder joint. After creating suction, cups removed. Superficial scrapping performed with No. 11 surgical blade over skin and again cups kept on site for 10 minutes.

After 10min. cups removed and dressing done.

THERAPY INTERVENTION

The patient received seven sessions of cupping therapy intervention. Treatment includes cupping for 15 minutes at regular interval of seven days.

OUTCOME
There was significant improvement in overall functional status after one month treatment with cupping therapy. There was no need to take any analgesic medicine during the treatment. At seven days of therapy, there was 21% improvement in shoulder function and this relative improvement was sustained at the one month assessment i.e. 54%. The therapy showed improvement in shoulder pain, joint stiffness and the activity of daily living. There was no side effect observed during the treatment as well as after the completion of

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