Abstract

Dr. Mayank Pratap Singh*, Dr. R. C. Yakkundi, Dr. Sachin Patil and Dr. Akshay Ganachari

ABSTRACT

Background: Frozen shoulder, known as Avabahuka in Ayurveda, is a painful condition characterized by progressive stiffness and restricted shoulder movements. It is primarily a Vata-dominant disorder affecting the Amsa Sandhi (shoulder joint). Conventional treatments often provide temporary relief, whereas Ayurvedic interventions such as Agnikarma and Alabu Chikitsa (cupping therapy) offer promising results through localized action.[1,2] Aim: To evaluate the clinical efficacy of Agnikarma and Alabu Chikitsa in the management of Avabahuka (frozen shoulder). Methods: A single-center, open-label clinical study was conducted on 30 patients diagnosed with Avabahuka. Patients were randomly allocated into two groups: Group A received Agnikarma therapy once a week for 4 weeks; Group B received Alabu Chikitsa (wet cupping) every 10 days (3 sittings total). Assessment was done using SPADI, VAS, and ROM measurements.[3] Results: Both therapies showed significant improvements in pain, stiffness, and ROM. Group A showed faster pain relief, while Group B was more effective in reducing stiffness and improving circulation.[4,5] Conclusion: Both Agnikarma and Alabu Chikitsa are effective in managing Avabahuka. A combination of both therapies may offer synergistic effects for better outcomes.[6]