OA01. 31. Role of agnikarma in degenerative disorder w.s.r. Avbahuka (Frozen shoulder) - case study

PURPOSE: Shoulder joint has greatest range of motion among all joints in body, and is of vital importance to daily activities. Frozen shoulder that causes pain and restricted movement of joint, puts huge amount of strain on patients in their most productive years of life. The etiology of frozen shoulder is unknown but diabetic patients may suffer more frequently. Till date no definite treatment is available for frozen shoulder. In Ayurved classics, Avbahuka occurring due to dhatukshayajanya vata prakopa has been told to be treated by different ways including Agnikarma. Hence study was designed to assess therapeutic outcome of Agnikarma in Avbahuka (frozen shoulder). METHOD: A male patient of 60 years having painful restricted movements of shoulder joint since 3 months was diagnosed as Avabahuka. He had already taken allopathic conservative treatment and intra-articular injection of corticosteroid but did not get relief. In this case, Agnikarma was done with Panchdhatu shalaka on supero- posterior and lateral aspect (including deltoid insertion area) of shoulder joint in two successive sittings at one week interval. Clinical assessment was done on 7th and 15th day of study by relief in pain by VAS score and changes in movement of shoulder in the form of angle. RESULT: The Visual Analog Scale (VAS) before treatment was 8 and it reduced to 4 on 7th day and then pain score was 2 on 15th day. The angle of flexion and elevation of arm before treatment was 950, after 7 day it was increased up to 1200 lastly on 15th day the angle was 1500. The angle of abduction and elevation before treatment was 800 then 1100 on 7th day and 1200 on 15th day after Agnikarma. CONCLUSION: This case study showed that Avbahuka can be treated with Agnikarma.