Frozen shoulderNowadays the people who have diabetes ,stroke, lung and heart diseases often developed the pain and stiffness of one of the shoulder joint.it is generally known as "Frozen shoulder".the most common victims of this disorder are females of age group 40-60 yrs .
Frozen shoulder is medically known as adhesive capsulitis is a clinical condition where the surrounding tissues of shoulder (glenohumeral joint)becomes inflamed and stiff, causing severe pain and difficulty in movements of the joint.It is mainly caused due to trauma,or by autoimmune component of bodyattacking with healthy tissue of the body.lack of synovial fluid in the joints also causes this condition.synovitis, rupture of capsule, subacromial bursitis may also cause this condition .
Ayurveda says this is caused due to previous injury, over excercise, taking more quantities of food items which are dry , cold, salty, keeping awake at night, and indigestion the vata Doha gets vitiated absorbs the fluid in the joint, and also constricts the veins (siras) over the area, causing severe pain in the joint.this is condition is called " Apabahukam".
Treatment :As the disease is caused due to accumulation of toxins in the joints.the treatment should aim to eliminate all toxins and treat the pain and stiffness in joint.so shodhana (purification ) is done as initial process.there various procedures for expulsion of vitiated doshas(toxins).
Virechana- will be the better choice.
Nasya. - therapeutic nasal drops are administered, after the abhyanga of face and neck part is called nasyam is very good remedy for Apabahukam .
Basti -basti treatment is done for eliminitating the vitiated vata from the body.kalabasti and yogbasti are good for frozen shoulder.
The therapies like patrapinda swedan, grivabasti/manyabasti is helpfull in bringing down the pain, and Kerala therapies like elakizhi, pizichil, navarakizhi are also good treating this condition.
The above therapies with the shamana chikitsa will be better choice for treatment they're Inflammation in joint is reduced by ,yoga raj guggulu,triphala guggulu r maharanadi guggulu.The pain in the joint is reduced by mahavata vidhwansa rasa, vatagajankush ras,nirgundi, tagar, kurasani.The stiffness can be checked by trayodashang guggulu, ekangaveer ras , and herbs as shallaki, ashwagandha.
Prasaranyadi kashaya 20ml +40ml with lukewarm water , Tab trayodashang guggulu bid Elakizhi for 14days..is the one of the combination of treatment for frozen shoulder.
The person should be encouraged to eat unprocessed whole grains, fresh veggies,fruits.adopt healthy eating habits,include vitamin D in diet to strengthen the immune system it will minimise the risk of developing conditions that have an autoimmune component, including frozen shoulder.
Yoga postures help in strengthening the underlying musclesof shoulders,postures like bhujangasana Parvatasana, Gomukhasana ,Tadasana Some special techniques of stretching of muscles of shoulder joint is also been encouraged in this.phisiotherpy, and acupuncture are also helpful for the fast recovery along with the above medicines.