Frozen shoulder

Apabahuka is a disease that usually affects the Amsa sandhi (shoulder joint). It is produced by the Vata dosha. Even though the term Apabahuka is not mentioned in the nanatmaja Vata vyadhi, Acharya Sushruta and others have considered Apabahuka as a Vataja vikara. Amsa shosha (wasting of the shoulder) can be considered as the preliminary stage of the disease, where loss or dryness of sleshaka Kapha from amsa sandhi occurs.
The causes (hetu) of Apabahuka may be classified into two groups. (i) Bahya Hetu — Causing injury to the vital parts of the body (marma) or the region surrounding the amsa sandhi, which is also known as bahya abhigataja that manifests the vyadhi or disease first; (ii) Abhyantara hetu — Indulging in the etiological factors that aggravate Vata leading to the vitiation of Vata in that region and is also known as dosha prokopajanya (Samshraya), which in turn leads to karmahani of bahu.the best ayurvedic clinic

Causative Factors for Frozen Shoulder

  • Injury
  • Overuse or repetitive movement, office jobs, physical labor, etc.
  • Diabetes or stroke
  • A secondary condition caused by rheumatoid arthritis or degenerative disorders
  • Excess bitter and astringent foods
  • Exposure to wind and cold
  • Incorrect sitting or sleeping positionDukkha Shayya
    The improper posture that creates a significant amount of pressure on the amsasandhi will disturb the muscular integrity, and provoke Vata. This manifests the disease. Other viharaja nidanas as reported in the Vatavyadhi context may influence the condition by provocating Vata dosha. Even though a specific bahya hetu (external cause) has not been mentioned for Apabahuka, the general factors reported for Vata prakopa must be analyzed and elicited.

Line Of Management in Ayurveda

The general line of treatment mentioned for Vatavyadhi in Ayurvedic classics includes Snehana (both internal and external), Swedana, Mrudusamshodhana, Basti, Shiro Basti Nasya, and so on. Charaka further states that depending on the location and dushya (tissue element vitiated by Vata) each patient should be given specific therapies. Vagbhata has mentioned Nasyakarma in the jatroordhva Vatavikaras. Three major approaches are followed in the management of Vatavyadhi.
1. Treatment of Kevala Vata
2. Treatment of Samsrusta Vata
3. Treatment of Avruta Vata
Ayurvedic classics explain the chikitsa of Apabahuka as follows.
1. Nasya and uttarabhaktika Snehapana are useful in the management of Apabahuka.
2. Astanga Sangraha mentions Navana Nasya and sneha pana for Apabahuka.
3. Sushrutacharya advises Vatavyadhi chikitsa for Apabahuka, except siravyadha.
4. Chikitsa sara sangraha advises Nasya, Uttara bhaktika Snehapana, and Sweda for the treatment of Apabahuka.
5. Brumhana nasya is indicated in Apabahuka by Vagbhata.
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