Title: Clinical Evaluation of Marma Therapy in Avabahuka W.S.R. to Frozen Shoulder

Authors: Dr Shishir Prasad, Vd. Raman Ranjan, Dr Santosh Kr. Vishwakarma, Dr Renu Rao, Dt Ruby Rani

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i5.184

Abstract

“ Natural forces within us is the true healer of a disease”- Hippocrates

Ayurveda believes that Marmas are the Vital Points through which the Positive Prana (vital energy) flows. Marma Therapy is the art of treating very special vital points. Marma Therapy is a Simple Self-treatment having non invasive technique with elaborated Clinical Therapy.

Adhesive capsulitis (frozen shoulder) is one of the most common musculo-skeletal problems seen in orthopedics. Some have described it as a self-limiting disorder that resolves in 1–3 years. Other studies report ranges of between 20 and 50% of patients with Adhesive caspulitis suffer long-term ROM deficits that may last up to 10 years. In Ayurveda Avabahuka – Characteristics 1.soshana of amsa bandha  2. akunchana (constriction) of Sira 3.bahupraspandahara.

Method: The clinical study was carried out for 30 patients falling under the inclusion criteria from GAD , Jatri, Raigarh, CG and Gurukul Kangri Ayurveda college and Hospital, Haridwar. Marma therapy was done by giving adequate digital pressure twice a day on Kshipra, kurpara, Kakshadhara and Amsa marma. Each marma was stimulated for 20 times in one sitting in the rhythm of our respiration. The effects were noted on various parameters and symptoms of Avabahuk in four stages viz immediately after MT, one day after MT, one week after MT  and 15 days after MT  and follow up was done after one month.

Result: On statistical analysis highly significant changes were observed in (1). reduction in pain 2.increase in ROM vis a vis flexion, Abduction, External rotation, Internal rotation and 3. Reduction in joint stiffness. The patient reporting any untoward incident or complication was insignificant.

Conclusion: Marma therapy is a promising fast acting ,cost effective, Rapid Action, Less time consuming , easy to use and non invasive alternative method  for treatment of Avabahuk vis a vis Primary Adhesive capsulitis. Extensive further pharmacological research studies are the need of the hour.

Keywords: marma therapy, avabahuka, frozen shoulder, adhesive capsulitis.

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