Efficacy of Siddha Varmam and Ottradam Treatment in Periarthritis - A Case Report

Periarthritis of the shoulder joint is a painful and disabling condition characterized by pain and progressive limitation of some movements of the shoulder joint. It is also known as adhesive capsulitis or frozen shoulder. It is a common musculoskeletal condition. There are two types: primary idiopathic and secondary. The latter occurs in patients with diabetes, tuberculosis, cardiac ischemia and hemiplegia. A 61 year old female with known history of undergoing allopathy treatment for Diabetes mellitus for the past 15 years presented with complaints of right shoulder pain and restricted movements for 2 months. Patient had difficulty in abduction and external rotation of shoulder. She was diagnosed to be affected by periarthritis [Kumbavatham]. She was treated with varmam therapy and ottradam with leaves of Vitex negundo. This combination therapy was effective in reduction of pain and restricted movements. Prognosis was measured using visual analogue scale, subjective parameters and objective parameters assessment. Key words: Siddha, Periarthritis, kumbavatham, varmam, ottradam, Vitex negundo.