From Stiff to Supple Ayurvedic Remedies for Frozen Shoulder

What is Frozen Shoulder pain?

Frozen shoulder, also called adhesive capsulitis, is a painful condition in which the shoulder movement becomes limited, stiff, and inflamed. The shoulder contains 3 bones that form a ball-and-socket joint, including your shoulder blade (scapula), upper arm (humerus), and collarbone (clavicle). The treatment for frozen shoulder varies from a range of motion exercises. For a frozen shoulder to recur in the same shoulder is mostly unusual but can happen within 5 years.

Potential victims of frozen shoulder.

Age: it happens mostly to people who are 40 to 60 or above.

Gender: more common to women than men.

Shoulder injury: the need to keep the shoulder from moving by using a shoulder brace, sling, shoulder wrap, etc due to a shoulder injury or surgery. For ex. fractures of the shoulder blade and a rotator cuff tear, collarbone, or upper arm.

Diabetes: individuals between 10-20 % with diabetes mellitus develop frozen shoulder.

Other diseases: Stroke is a risk factor for a frozen shoulder because the movement of an arm and shoulder is limited. Overactive thyroid (hyperthyroidism), Underactive thyroid (hypothyroidism), Cardiovascular dise, use, and Parkinson’s disease.

Symptoms

Pain and Stiffness: The hallmark symptoms of a frozen shoulder include persistent pain and stiffness in the shoulder joint. This pain may be dull or aching, and it tends to worsen with movement.

Limited Range of Motion: Individuals with frozen shoulders often experience a significant reduction in their shoulder’s range of motion. Simple tasks such as reaching overhead or behind the back become challenging.

Progressive Stages: Frozen shoulder typically progresses through stages. The initial stage involves pain and discomfort, followed by increasing stiffness, and finally, a gradual improvement in symptoms.

Causes

Inflammation and Thickening of the Capsule:

The shoulder joint is surrounded by a capsule of connective tissue inflamed and thickened in individuals with frozen shoulders. This restricts movement and causes pain.

Synovial Fluid Changes:

Changes in the synovial fluid, which lubricates the shoulder joint, contribute to the development of a frozen shoulder. Reduced lubrication makes the joint less mobile and more prone to stiffness.

Connective Tissue Disorders:

Diabetes and autoimmune disorders can elevate the risk of developing a frozen shoulder.

Although the exact link is not fully understood, it is believed that these conditions contribute to inflammation and tissue changes.

Immobility or Disuse:

Prolonged immobility or disuse of the shoulder joint can trigger a frozen shoulder. This may result from injury, surgery, or simply avoiding certain movements due to pain.

Diagnoses for frozen shoulders

Diagnosing a frozen shoulder involves a combination of a medical history review, physical examination of arms and shoulders, active range of motion test as it differs from person to person from limited range of both active and passive motion, and imaging tests such as X-rays or MRI scans. Differentiating frozen shoulder from other shoulder conditions is crucial for developing an effective treatment plan.

Treatments for Frozen Shoulder

Physical Therapy:
Physical therapy plays an essential role in curing frozen shoulders. Therapists employ exercises to improve flexibility and strength, gradually enhancing the range of motion. Gentle stretching exercises and range-of-motion activities can tailored to individual needs.

Heat and Ice Therapy:
Applying heat or ice can help manage pain and reduce inflammation. Heat promotes blood flow and relaxation, while ice can alleviate swelling. Alternating between the two can be effective in providing relief.

Medications:
Non-steroidal anti-inflammatory drugs (NSAIDs) include ibuprofen which can help manage pain and reduce inflammation. In some rare cases, corticosteroid injections are recommended to alleviate chronic pain and inflammation.

Joint Distension:
This procedure involves stretching the joint capsule by injecting sterile water into it This can help improve mobility by reducing stiffness. however, it is typically performed under the guidance of a skilled healthcare professional

Manipulation Under Anesthesia (MUA):
MUA is a procedure where the patient is put under anesthesia, and the doctor manipulates the arm to break up adhesions. It is crucial to follow this with intensive physical therapy to maintain the gained range of motion.

Home Exercises:
Patients are often advised to continue prescribed exercises at home, which complements professional therapy. Consistency is key; these exercises help prevent the shoulder from becoming stiff again.

Diligent Rest and Activity Modification:
While it’s important to maintain mobility, avoiding activities that exacerbate pain is crucial. Balancing rest and activity modification aids in the healing process.

Surgical Intervention:
In severe cases where conservative methods fail, surgical interventions are considered. Arthroscopic release or manipulation can be performed to release the tightened joint capsule.

Ayurveda’s perception of frozen shoulders

Ayurveda, an ancient system of medicine rooted in India, offers a holistic approach to health and wellness, including remedies for conditions like frozen shoulder. Frozen shoulder is also known as adhesive capsulitis, is characterized by pain and stiffness in the shoulder joint, limiting its range of motion. Ayurvedic treatments focus on restoring balance to the body’s doshas—Vata, Pitta, and Kapha—and addressing the root cause of the ailment.

Ayurvedic practitioners believe that an imbalance in the Vata dosha is a common cause of a frozen shoulder. Vata governs movement, and when it is disturbed, it can lead to stiffness and pain in the joints. Ayurvedic treatments for frozen shoulder aim to pacify Vata and promote overall well-being. Here are some key Ayurvedic approaches

Pacifying Vata: This involves using warming therapies, such as oil massage (Abhyanga) and heat treatments (Swedana), to counteract the cold and dry qualities of aggravated Vata.

Abhyanga – The Healing Touch:
At the core of Ayurvedic therapies for frozen shoulders is Abhyanga, a form of therapeutic massage using warm herbal oils. This gentle yet powerful massage helps improve blood circulation, reduce inflammation, and enhance joint mobility. The choice of oils is often customized based on an individual’s dosha constitution, ensuring a personalized and effective approach to healing
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Swedana – Steam Therapy:
Swedana, or steam therapy, plays a vital role in relieving stiffness associated with a frozen shoulder. This treatment involves exposing the affected area to steam, which helps open up the pores, detoxify the body, and relax the muscles. The warmth penetrates deep into the tissues, promoting the release of toxins and restoring flexibility to the shoulder joint.

Balancing Doshas: Ayurvedic treatments may include Panchakarma therapies like Basti (medicated enema) to eliminate excess Vata and toxins from the body, promoting overall dosha balance.

The Ayurvedic enema known as Basti is used to balance the Vata dosha, which is often responsible for various joint-related problems, including a frozen shoulder. During this procedure, practitioners introduce medicated oils or decoctions into the colon to nourish the tissues and promote overall well-being.

This therapy aids in reducing pain and inflammation, fostering a sense of rejuvenation.

Pizhichil is streaming hot oil, along with simultaneous massage.

Vata-balancing herbs such as Castor leaves, Nirgundi (Vitex negundo), Dashamoola, and Devadaru are used to prepare Elakizhi. A cloth is then tied around them, dipped in warm herbal oil, and applied over the affected area of the shoulder joints.

Njavarakizhi is especially useful in degenerative conditions. First Abhyanga (oil massage) is done, and then kashayam is prepared by dipping a rice pack made from cloth and is applied over the affected area of the shoulder joint.

Podi Kizhi is a mixture of herbal powders tied in cloth linen bags dipped in oil and applied over the shoulder joint.

Pichu cotton bags are soaked in warm herbal oils and can be applied to the affected shoulder joints.

Herbal Remedies – Nature’s Pharmacy:
Ayurveda harnesses the potent healing properties of various herbs to address frozen shoulders. Herbs like Shallaki, Guggulu, and Ashwagandha are known for their anti-inflammatory and pain-relieving qualities. These herbal formulations, when prescribed by an Ayurvedic practitioner, contribute to the comprehensive treatment of frozen shoulder, targeting the root cause of the condition.

Dietary Modifications: Emphasizing warm, nourishing foods and oils, while avoiding cold and dry foods, helps in maintaining internal balance and reducing Vata aggravation.

Yoga and Pranayama – Movement with Mindfulness:
Yoga, a cornerstone of Ayurveda, offers a range of poses and breathing exercises specifically beneficial for frozen shoulders. Gomukhasana (Cow Face Pose), Ardha Matsyendrasana (Half Lord of the Fishes Pose), and gentle Surya Namaskar (Sun Salutation) sequences can enhance shoulder mobility. Combined with Pranayama (breath control), these practices promote a mind-body connection, fostering relaxation and aiding in the release of tension.

It’s vitally important to consult with an Ayurvedic practitioner for a personalized assessment and treatment plan based on your unique constitution and imbalances.

FAQ

Can I continue daily activities during treatment?
Yes, but modifications may be necessary. Your healthcare provider will guide you on adapting activities to avoid worsening symptoms.

What must I expect after treatment?
Gradual improvement in range of motion and decreased pain. They monitor the progress by follow-up scheduled appointments.

How do Ayurvedic treatments affect chronic frozen shoulder cases?
Ayurvedic treatment can offer relief in chronic cases, but individual responses vary. Consistency in following prescribed therapies, lifestyle adjustments, and dietary recommendations enhances the likelihood of positive outcomes.

How long does Ayurvedic treatment for frozen shoulder take to show results?
The duration varies depending on factors such as the severity of the condition, individual response, and adherence to prescribed therapies. While some may experience relief in a few weeks, others may require more extended treatment.

Can Ayurvedic treatment prevent the recurrence of a frozen shoulder?
Ayurveda focuses on addressing the root cause, aiming to prevent recurrence. Following a balanced lifestyle, maintaining a suitable diet, and incorporating Ayurvedic practices into daily life contribute to long-term joint health.

Is Ayurvedic treatment safe for everyone, including the elderly?

Certified practitioners consider Ayurvedic treatments safe when supervising them. however, considering individual health conditions and medications is crucial, and individuals, especially the elderly, should consult healthcare providers before initiating any new treatment.

In conclusion, Ayurvedic treatment for frozen shoulder offers a holistic and personalized approach to healing. Understanding the principles, incorporating prescribed therapies, and embracing lifestyle modifications contribute to a balanced and revitalized life. It’s crucial to consult with a qualified Ayurvedic practitioner for a customized treatment plan tailored to your unique constitution and health needs.