Effect of agnikarma in periarthritis of shoulder joint

Summary of article contents:

Agnikarma (cauterization) is an important para surgical procedure in Ayurveda . It is mainly used in the management of musculoskeletal disorders. Research works were done in the field of Agnikarma and from these data, it has no known side effects. Periarthritis of the shoulder joint is a painful and disabling disorder of unknown etiology in which the shoulder joint becomes inflamed and stiff, greatly restricting motion and causing chronic pain. In Ayurveda , it can be compared to snayugathavatavyadhi . Its treatment includes snehana, Agnikarma and upanaha. The objective of the study is to evaluate the effect of Agnikarma in periarthritis of the shoulder joint. The study design is interventional pre and poststudy and the sample size is 30. Patients will be selected from OPD and IPD of Govt. Ayurveda college, Thiruvananthapuram satisfies the inclusion and exclusion criteria. Selected patients will be treated with Agnikarma– bindudagdha at 10 to 12 spots having a distance of one cm superiorly along the glenohumeral joint. The preoperative procedure includes cleaning the preferred part with lukewarm triphalakashaya marking points. Agnikarma is done with red hot (220-degree Celsius ) Panchalohasalaka . The temperature is measured using an industrial thermometer. Salaka is applied for .5 seconds at a point. The postoperative procedure includes the application of 5 gm of a mixture of honey and ghee overheated part. Observe the patient for 15 minutes for any giddiness or increase in pain. Clean the wound with Naalpamaraadikasaya daily. Assessment will be done before the study, 1 st and 8 th day, and follow up on 15 the day. Results will be analyzed statistically. Outcome variables are changed in pain with a visual analog scale and change in range of movements using a goniometer. Keywords: Agnikarma , Periarthritis of the shoulder joint , Panchalohasalaka , bindudagdha, triphalakasayam