Therapeutic potential of Atasi Upanaha in treating Avabahuka (Frozen Shoulder): A Case Report

Avabahuka, a Vatavikara described in Ayurveda, is a shoulder joint condition characterized by Shool (localized pain), Stabdhata (stiffness), and Bahupraspandithara (restricted range of motion-ROM). In modern medicine, it closely aligns with frozen shoulder (adhesive capsulitis). While various conventional treatments, including physical therapy, NSAIDs (Non-steroidal Anti-inflammatory drugs), steroids, and surgical interventions, are available, managing the condition remains challenging, particularly when conservative approaches fail. Ayurveda offers promising solutions through its Vatavikara Chikitsa principles, employing therapies such as exercise, Agnikarma, Nasya, Marma therapy, Snehana (therapeutic oil application), Abhyanga (massage), and Upanaha (Poultice). This case report emphasizes the therapeutic potential of Atasi Upanaha (flaxseed poultice) in combination with Ayurvedic medicines for managing Avabahuka. The Upanaha (poultice), prepared using Ayurvedic methods with Atasi seed powder, Eranda oil (Ricinus communis), Saindhava salt, and Eranda Patra, was applied warm to the shoulder for four hours daily. This intervention resulted in significant pain relief and improved ROM, demonstrating its efficacy and highlighting its value as a complementary treatment.