Efficacy of Marma Chikitsa as a non-pharmacological intervention in Frozen shoulder

The majority of ailments in today’s rapidly evolving technology society may not be life threatening but they nonetheless interfere with daily living and reduce productivity. Among those is Frozen shoulder(Avabahuka)diseases that are painful and have an impact on a person’s daily activities. The term frozen shoulder(Avabahuka) was first coined by Acharya Sushruta where he has described Samprapti (Pathogenesis) and Rupa (Symptom) of frozen shoulder (Avabahuka).It caused mainly by people suffering from stroke connective tissue diseases, shoulder conditions like calcific tendonitis, rotator cuff tear & women belonging to 4th or 5th decade are more susceptible, immobilization and trauma to shoulder.

The worldwide prevalence of the frozen shoulder is 2 % to 3%. It usually occurs between 40-70 years of age. Females are more prone to diseases than male.The incidence of frozen shoulder is 2-4 times higher in diabetes than the general population.However, it is a typical contributor to disability and shoulder pain in the general population. Although, it is a self-limiting condition, the patient is forced to seek therapy due to its rather lengthy, limiting, and painful course. NSAIDS and physical therapy are the major forms of treatment for frozen shoulder (Avabahuka) at the moment along with alternative options include manipulation under anaesthesia (MUA), active and passive exercises. If these non-operative methods fails then surgery is executed.Despite of treatment, the recovery time is quite long and frustrating for the patient. According to pain gate theory by Marma Therapy, acute pain is stimulated, which blocks the transfer of chronic pain, thus increasing the threshold of pain by stimulating the particular Marma. Continuous stimulation of the Marma Sthana Increases the Nerve conduction, Muscle conduction as well as improves the blood circulation of Shoulder joint by Continuous stimulation of artery, vein and nerves, which surrounds and supply the whole shoulder region thus, helps in recovery of the Shoulder Movement.