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MARMA CHIKITSA IN THE MANAGEMENT OF FROZEN SHOULDER (AVABAHUK)- A CASE STUDY
*Dr. Pradnya R. Kapse and Dr. Leena Ranjit Kunde
Frozen shoulder is also known as adhesive capsulitis. It is a condition associated with pain & stiffness of shoulder resulting in restricted movement of shoulder. The etiology is unknown. It generally has three stages, painful phase (Freezing phase), Frozen phase (Adhesive phase) and thawing phase (Recovery phase). In Ayurveda frozen shoulder can be compared to Avabahuk. The term Avabahuk was first coined by Acharya Sushruta where he has described Samprapti (Pathogenesis) and Rupa (Symptom) of Avabahuk. It is mentioned as one among the eighty types of vata nanamtaja vikaras by both Sharangadhara and Bhavamishra. In Madhava nidana had mentioned two conditions of disease Amsa shosha and Avabahuk. Amsa shosha can be considered as the preliminary stage of the disease where loss or dryness of Sleshmaka Kapha from Amsa sandhi occurs. In the next stage i.e., Avabahuk, symptoms like shoola during movement, restricted movement etc are manifested, due to the loss of shleshmaka Kapha. In this condition vata is localized in the shoulder region getting aggravated, dries up the bindings (ligament) of shoulders constricts the siras present there and causes Avabahuk. Modern medical science plays very less role in management of frozen shoulder. Marma chikitsa plays an important role in musculoskeletal disorders. Hence a case study was conducted to evaluate the effectiveness of Marma chikitsa in frozen shoulder.[Full Text Article]