Physical therapy, particularly using heat, helps reduce pain and promote muscle relaxation. As pain becomes better controlled, progressive stretching is initiated. As more movement is achieved, a muscle strengthening program within the available range of motion is initiated. Passive oscillatory movements of the joint are recommended.
Injections of steroid solutions and anesthetics into the joint have also been reported to have a beneficial effect, particularly in the early stages of shoulder pathology
In cases where there is no appreciable improvement after 3 to 6 months of treatment and infiltration, operative treatment may be useful such as arthrodistension .
This includes: manipulation under anesthesia, manipulation after arthroscopic release, and open release.
Treatment of capsulitis in Ayurvedic medicine
In Ayurvedic medicine, according to Ashtanga Hridyam, adhesive capsulitis of the shoulder is called “Apabahukam” and it is referred to as vitiated Vata Dosha due to certain etiological factors which constrict the veins at the root of the shoulders which produce Apabahukam causing loss of movement of the arm.
Acupuncture to treat adhesive capsulitis
In a study by Sun and colleagues, two groups of patients were studied. One received physical therapy alone, the other received physical therapy plus acupuncture. They demonstrated a significant difference in improvement in pain and function in patients in the acupuncture group.
Another study showed that the performance of six acupuncture sessions led to complete healing in patients with frozen shoulder or adhesive capsulitis who had limited success with conventional physical therapy.
Frozen shoulder problem disturbs “Vata” Dosha.
In general Ayurvedic treatment is designed for the individual according to his constitution and also to correct the vitiated Vata Dosh in the shoulder. This includes administration of medicated herbs (Kashayas, ARITAS,) oils for internal and external use and purgation. Panchakarma treatment with oil massage, steam bath, nasyam.
It is recommended to have about 10 days of panchakarma followed by 7 days of rest, along with the application of moist heat.
Yoga for Adhesive Capsulitis of the Shoulder
Yoga involves slow, static postures that release the shoulder joint capsule and allow the practitioner time to understand their body and direct their intention into releasing the shoulder joint. This allows the patient to move out of the “guarding position.” Bilateral postures help keep the contralateral shoulder healthy and equalize the flow of energy. This also helps maintain muscle tone.
Yoga to naturally treat shoulder capsulitis.
The asanas used are balancing poses combined with specific conscious shoulder movements.
Start with Shavasana, then progress to the Four Limbs Pose. Then lift one hand and one knee off the mat. Finally, the Downward Facing Dog Pose. Frozen shoulders tend to appreciate the fact that they are carrying a light weight.
Massage for adhesive capsulitis:
Massage is an integral part of most treatments especially using specific oils. Different centers have developed more specific massage techniques for frozen shoulder.
Treatment of capsulitis in Ayurvedic medicine
In Ayurvedic medicine, according to Ashtanga Hridyam, adhesive capsulitis of the shoulder is called “Apabahukam” and it is referred to as vitiated Vata Dosha due to certain etiological factors which constrict the veins at the root of the shoulders which produce Apabahukam causing loss of movement of the arm.
Acupuncture to treat adhesive capsulitis
In a study by Sun and colleagues, two groups of patients were studied. One received physical therapy alone, the other received physical therapy plus acupuncture. They demonstrated a significant difference in improvement in pain and function in patients in the acupuncture group.
Another study showed that the performance of six acupuncture sessions led to complete healing in patients with frozen shoulder or adhesive capsulitis who had limited success with conventional physical therapy.
In general Ayurvedic treatment is designed for the individual according to his constitution and also to correct the vitiated Vata Dosh in the shoulder. This includes administration of medicated herbs (Kashayas, ARITAS,) oils for internal and external use and purgation. Panchakarma treatment with oil massage, steam bath, nasyam.
It is recommended to have about 10 days of panchakarma followed by 7 days of rest, along with the application of moist heat.
Yoga involves slow, static postures that release the shoulder joint capsule and allow the practitioner time to understand their body and direct their intention into releasing the shoulder joint. This allows the patient to move out of the “guarding position.” Bilateral postures help keep the contralateral shoulder healthy and equalize the flow of energy. This also helps maintain muscle tone.
Start with Shavasana, then progress to the Four Limbs Pose. Then lift one hand and one knee off the mat. Finally, the Downward Facing Dog Pose. Frozen shoulders tend to appreciate the fact that they are carrying a light weight.
