Abstract

REVIEW OF AVABAHUKA W.S.R TO FROZEN SHUOLDER (ADHESIVE CAPSULITIS)

Dr. Ruchi Juyal*, Dr. Ketan Mahajan, Dr. Atul Kumar Agrawal, Dr. Tejendra Singh

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Abstract

Avabahuka is a disease of Amsa Sandhi (shoulder joint) and it has been defined under eighty type of Vata Vyadhi by Acharya Sushruta. Shoulder joint which has greater range of motion is of vital importance to the activities of daily routine and work. Most of the disease may not be life threatening but hamper day to day life and human productivity. Avabahuka is one among them. Clinical presentation and pathogenesis of Avabahuka is almost similar to frozen shoulder. Frozen shoulder also known as pre-arthritis or adhesive capsulitis is one of the commonest musculoskeletal disorders or a significant loss of range of motion. According to Acharya Sushruta, when Vata gets vitiated at Amsa Sandhi, it causes wasting of the Amsa Bandhana and Sira Aakunchana. Such condition is called as Avabahuka. As the shoulder joint is a type of Snayu Marma, it is easily vitiated by Vata. If vitiated Vata goes to the Snayu, it causes restricted movements and pain. If trauma occurs at Amsa Sandhi i.e. shoulder joint, restriction of movements occur, it causes delayed discomfort and pain. The most common treatment for frozen shoulder is mobility exercise and anti- inflammatory drugs. As there is no promising treatment available in modern system of medicine, patient come to Ayurveda with a great hope. Panchakarma procedure has also found effective and safe treatments in the management of the disease.

Keywords: Avabahuka (Frozen shoulder), Adhesive capsulitis, Amsa Sandhi, Vata Dosha, Kapha Dosha.