A Comparative Clinical Study to evaluate the Efficacy of Patra Pinda Sweda and Churna PindaSweda in the Management of Frozen Shoulder

Phase 2/3

Recruiting

Conditions: Adhesive capsulitis of shoulder. Ayurveda Condition: AVABAHUKAH,

Registration Number: CTRI/2025/03/083062

Lead Sponsor: Shri Shivayogeeshwar Rural Ayurvedic Medical College and Hospital

Brief Summary: Avabahuka, a condition described in Ayurveda, closely resembles **Frozen Shoulder (Adhesive Capsulitis)** in modern medicine. It is characterized by **pain, stiffness, and restricted movement** of the shoulder joint, which worsens with **activity** and improves with **rest**. The prevalence of Frozen Shoulder in the general population ranges from **2-5%**, with a higher incidence in individuals aged **40-60 years** and those with **diabetes or thyroid disorders**.

Avabahuka falls under **Urdhvajatrugata Vata Vyadhi** and is primarily a **Vata-dominant disorder**, though it can also have a **Kapha association**. When **Vata Dosha is predominant**, symptoms such as **pain (Ruk), tingling (Spandan), pricking sensation (Tod), and numbness (Supti)** are observed. If **Kapha is also involved**, symptoms like **heaviness (Bharipan), drowsiness (Tandra), and loss of appetite (Aruchi)** become prominent. The pathology is linked to **Amsa Sandhi**, where Vata provokes degeneration and Kapha depletion leads to dryness and stiffness, reducing joint lubrication.

**Swedana (sudation therapy)** is a crucial treatment modality in Ayurveda for **Vata disorders**, and among its various types, **Patra Pinda Sweda (herbal poultice fomentation) and Churna Pinda Sweda (powder bolus fomentation)** are widely used. These therapies aim to **reduce pain, improve mobility, and restore function**. The study aims to compare the efficacy of **Patra Pinda Sweda and Churna Pinda Sweda** in the management of Avabahuka, as mentioned in classical texts, and evaluate their therapeutic benefits through a **randomized comparative clinical trial**.

Detailed Description: Not available

Recruitment & Eligibility

Status: Open to Recruitment

Sex: All

Target Recruitment: 40

Inclusion Criteria

Patient with pain in the Shoulder region (Amsha Sandhi Shoola) and restricted movements of the upper limb (Bahupraspandanhara). Age.
20 to 70 years. Both sex male/female. Patients who are yogya for Swedana.

Exclusion Criteria

Age below 20 years and above 70 years.
Patients having a history of surgical operation of the shoulder.
Patients with joint dislocation/fracture.
Patient with any systemic illness.
Pregnant women and lactating mothers.
Patients who are ayogya for Swedana.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To assess the efficacy of Patra Pinda Sweda and Churna Pinda Sweda in managing Avabahuka	Duration of the treatment: 8 days. \| Route of administration: External Application. \| Dose: 30-45 minutes. \| Follow up: on 15th day.

Secondary Outcome Measures

Name	Time	Method
To assess the efficacy of Swedana in managing Avabahuka	Duration of Treatment: 8 days

Trial Locations

Locations (1): Shri Shivayogeeshwar Rural Ayurvedic Medical College and Hospital
🇮🇳
Belgaum, KARNATAKA, India
Shri Shivayogeeshwar Rural Ayurvedic Medical College and Hospital
🇮🇳Belgaum, KARNATAKA, India
Dr G S Hadimani
Principal investigator
9632755707
gshadimani@gmail.com