Comparative Clinical Trial To Evaluate The Efficacy Of Mashasaindhav Tail Nasya, Jambeera Pinda Sweda And Agnikarma In Avabahuka With Special Reference To Frozen Shoulder

Avabahuka is one among the vatavyadhi which affects the normal functioning of the upper limbs, specially shoulder joint. Avabahuka can be correlated to frozen shoulder in modern science. Frozen shoulder is one of the most common disorder of the joint diseases. Research has shown a prevalence rate of frozen shoulder in the general population is 3% - 5% . Its peak incidence is between the ages of 40 - 60 yrs and is more common in women. Frozen shoulder clinically referred to as adhesive capsulitis, has been described as a condition of unknown etiology and characterized by gradually progressive, painful restriction of shoulder joint. The incidence of Frozen shoulder is increasing day by day. Due to Restricted movements of the affected joint, the life of the patient becomes miserable. Therefore there is a need of effective treatment to manage such a condition called frozen shoulder. The present study Randomized control Trials will be carried out with aim to evaluate the efficacy of Mashasaindhav tail nasya, Jambeera pinda sweda and Agnikarma in Avabahuka with special reference to frozen shoulder. For present study patients fulfilling the diagnostic criteria of Frozen Shoulder, between the age group of 20 to 60 years with irrespective of gender, religion, socioeconomic status will be selected. Calculated Sample size is 120, it is divided into 3 groups. So, 40 patients will be taken for study in each group. Mashasaindhav tail nasya, Jambeera pinda sweda and Agnikarma will be carried out in Group-A, Group-B and Group-C patients respectively. Trial drug for Group-A will be purchased from GMP certified pharmacy. This drug will be administered through nasal route with 4 ml quantity in each nostril for 14 days. Jambeera pinda sweda will be carried out in Group-B patients for 14 days. Agnikarma with suvarna shalaka  will be done in Group-C patients in 5 settings within 14 days. All SOP of Nasya karma, Jambeera pinda sweda and Agnikarma will be strictly followed during and after treatment. All the findings will be entered in case record form (CRF) and for better understanding tabulation and graphical presentation will be done. Observations will be drawn on before treatment (0th day), during treatment (7th day), after treatment (15th day) and at follow up (30th day). Result of study will be calculated statistically with appropriate statistical method. Result will be drawn on the basis of criteria of assessment and statistical analysis. Discussion will be done on the basis of observations and result obtained during the treatment. Summary will be drawn and whole thesis work will be summarized. Conclusion will be drawn strictly on the basis of statistical analyasis and will be unbiased.