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.
References
1. Bridgman JF. Periarthritis of the shoulder and diabetes mellitus. Ann Rheum Dis.1972;31:69–71. doi: 10.1136/ard.31.-1.69. [PMC free article] [PubMed] [Cross Ref]
2. Lesquesne M, Dang N, Benasson M, Mery C. Increased association of diabetes mellitus with capsulitis of the shoulder and shoulder-hand syndrome. Scand J Rheumatol.1977;6:53–6. [PubMed]
3. Lundberg BJ. The frozen shoulder. Acta Orthop Scand. 1969;119:1–59. [PubMed
4. Pal B, Anderson J, Dick WC, Griffiths ID. Limitation of joint mobility and shoulder capsulitis in insulin- and non-insulin dependent diabetes mellitus. Br J Rheumatol.1986;25:147–51. doi: 10.1093/rheumatology/25.2.147. [PubMed] [Cross Ref
5. Sattar MA, Luqman WA. Periarthritis: another duration related complication of diabetes mellitus. Diabetes Care. 1985;8: 507–10. doi: 10.2337/diacare.8.5.-507. [PubMed][Cross Ref]
6. Grey R. Brief note: the natural history of “idiopathic frozen shoulder” J Bone Joint Surg. 1978;60A:564. [PubMed].
7. Reeves B. The natural history of the frozen shoulder syndrome. Scand J Rheumatol. 1975;4:193–6. [PubMed]
8. Codman EA. Ruptures of the supraspinatus tendon and other lesions in or about the subacromial bursa. In: Codman EA, editor. The shoulder. Boston: Thomas Todd; 1934. pp. 216–24.
9. Watson-Jones R. Simple treatment of stiff shoulders. J Bone Joint Surg Br.1963;45:207–13.
10. Wither RJW. The painful shoulder: review of 100 personal cases with remarks on the pathology. J Bone Joint Surg Br. 1949;31:414–7. [PubMed]
11. Bulgen DY, Binder AI, Hazleman BL, Dutton J, Roberts S. Frozen shoulder: a prospective clinical study with an evaluation of three treatment regimens. Ann Rheum Dis. 1984;43:353–60. doi: 10.1136/ard.43.3.353. [PMC free article] [PubMed][Cross Ref]
12. Clarke GR, Willis LA, Fish WW, Nichols PJR. Assessment of movement at the glenohumeral joint. Rheumatol Rehabil. 1975;14:39–46. [PubMed]
13. Binder AI, Bulgen DY, Hazleman BL, Roberts S. Frozen shoulder: a long-term prospective study. Ann Rheum Dis. 1984;-43:361–4. doi: 10.1136/ard.43.3.361.[PMC free article] [PubMed] [Cross Ref]
14. Schaffer B, Tibone JE, Kerlan RK. Frozen shoulder: a long-term follow-up. J Bone Joint Surg Am. 1992;74:738–56. [Pub Med]
15. Sharma R, Bajekal R, Bhan S. Frozen shoulder syndrome: a comparison of hydraulic distension and manipulation. Int Orthop. 1993;17:275–8. doi: 10.1007/BF0-0181697.[PubMed] [Cross Ref]
16. Susruta. Yadavji Trikamji Acharya, editor. Susruta Samhita with Nibandha Sangraha of Dalhanacharya. 8thed. Varanasi: Chaukhambha Orientalia; 2008
17. Madhav Nidana Ayurveda and Marma Therapy by Dr. David Frawley, Dr. Subhash Ranade and Dr. Avinash Lele, Lotus Press, PO Box 325, Twin Lakes, WI 53181. ©2003
18. Marma Points of Ayurveda by Dr Vasant Lad http://www.narayana-publishers.com/-Marma-Points-of-Ayurveda/Vasant-Lad/b9673/partner/leseprobe
19. INCREASED β-ENDORPHIN BUT NOT MET-ENKEPHALIN LEVELS IN HUMAN CEREBROSPINAL FLUID AFTER ACUPUNCTURE FOR RECUR-RENT PAIN Vicky Clement-Jonesa, b, Susan Tomlina, b, LesleyH. Reesa, b, Lorraine Mcloughlina, b, G.M. Bessera, b, H.L. Wena, b
20. Neurochemical Basis of Acupuncture Analgesia Annual Review of Pharmacology and Toxicology Vol. 22: 193-220 (Volume publication date April 1982)DOI: 10.1146/annurev.pa.22.040182.00120.
Corresponding Author
Vd. Raman Ranjan
MD (AY), A.M.O., GAD, Raigarh, C.G
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.