Efficacy of Marma Chikitsa and Shoulder Exercises in the management of Avabahuka (Frozen Shoulder) - A Case Study

Avabahuka is one among the 80 Vatavyaadhis mentioned in Samhitas. The disease known as Avabahuka is characterized by Dushita Vata Dosha, which is localized in the Ansa Pradesha and results in shoulder dysfunction as well as Akunchan of Sira at this site. It is correlated with Adhesive Capsulitis that is Frozen Shoulder. The prevalence of frozen shoulder is 3% to 5% in general population and upto 20% in those with diabetes. Allopathy medicines have limitations giving short term relief in pain and surgeries which carries risk. Marma therapy being a non pharmaceutical technique is a hidden treasure of Ayurveda. It is ancient Neuromodulation therapy which offers deep sense of relief in pain and stiffness of muscles. A 32 year aged women who has already diagnosed with frozen shoulder since 3 years approached to Pt. Khushilal Sharma Ayurveda Hospital and was treated with Marma Chikitsa and Shoulder Exercises. The treatment was continued for 15 days in which day wise improvement was analyzed. The range of movements improved from 30° to 120° for abduction, 105° to 160° for flexion, 35° to 45° for extension and 55° to 65° for external rotation. Pain is assessed using VAS score which also improved after the treatment. Thus, Marma therapy and Shoulder exercises gives highly remarkable relief in both range of movement as well as pain in Avabahuka. Nonetheless, a large-scale population study was recommended.