A Controlled Clinical Study to Evaluate the Efficacy of Shulahara Gritha Nasya in the Management of Apabhahuka Vis-A-Vis Frozen Shoulder

Apabahuka is one among the shoola pradhana vatavyadhi and also mentioned as one among 80 varieties of vataja nanatmaja vyadhi. It is characterised by shula, bahu praspandana hara and amsa shosha. The signs and symptoms of Apabahuka resemble that of frozen shoulder as described in Western system of medicine. Frozen Shoulder is characterised by pain and restricted movement of the shoulder usually in the absence of intrinsic shoulder disease. Self reported prevalence of shoulder pain is estimated to be between 16-26 %.2 %-5 % of consecutive new subject attend clinic for the complaint of glenohumeral disorders like frozen shoulder. This disorder is one of the most common musculoskeletal problems seen in orthopedics. Frozen shoulder is commonly associated with the other systemic and non systemic conditions. Most common is the Diabetes mellitus with an incidence of 10-36 %. Frozen Shoulder is more common in fifth and sixth decades of life and women with cardiovascular diseases are predisposed.