scholarly journals EVALUATION OF MARMA POINT STIMULATION IN AVABAHUKA WITH RESPECT TO PERIARTHRITIS SHOULDER

2021 ◽  
Vol 9 (9) ◽  
pp. 2267-2270
Author(s):  
Neha Sharma ◽  
Gaurav Parma ◽  
Anil Dutt
Keyword(s):  
Shoulder Joint ◽  
Treatment Plan ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Specific Treatment ◽  
Signs And Symptoms ◽  
The Body ◽  
Treatment Protocols ◽  
Restricted Movement ◽  
Selection Of

Periarthritis Shoulder is common in people who are middle-aged or older. As shoulder joint is the most mobile joint in the body making it vulnerable to problems, ultimately leading to restricted shoulder movements. A 67 years old male patient diagnosed with Avabahuka (Adhesive capsulitis), managed with MARMA CHIKITSA. After completion of the treatment, pain, swelling, tenderness and restricted movement of the humero-glenoid joint were reduced. As the signs and symptoms of this disease are not mentioned in Ayurvedic classics, specific treatment protocols and formulations cannot be given. The selection of drugs may differ from case to case. The treatment plan followed in this study may be adopted in future cases changing the selection of drugs based upon the necessity to obtain good results. Keywords: Marma Chikitsa, Periarthritis Shoulder, Avabahuka, Frozen shoulder.

scholarly journals CASE STUDY- MANAGEMENT OF AVABAHUKA WITH SPECIAL REFERENCE TO FROZEN SHOULDER BY AYURVEDIC MEDICINE

2019 ◽  
Vol 7 (3) ◽  
pp. 116-119
Author(s):  
Aditya Sanjaykumar Dalvi ◽  
Akshay Santosh Gandhi
Keyword(s):  
Shoulder Joint ◽  
Severe Pain ◽  
Frozen Shoulder ◽  
The Body ◽  
Ayurvedic Medicine ◽  
Successful Management ◽  
Restricted Movement ◽  
Physical Exercises ◽  
Study Management

Avabahuka is a disease that usually affects the Ansasandhi (shoulder joint). In the sedentary and restless lifestyle of people both aharaj and viharaj hetu and least importance to physical exercises affects the body and produce disease Avabahuka was first introduced by Susruta where pain and stiffness of shoulder joint leads to severely restricted movement of hand. As the disease is purely caused by affliction of vayu and the symptoms come due to aggravation of vayu so vatanashaka therapy may be advocated as remedy of the same. Self reported prevalence of shoulder pain is estimated to be between 16% and 26%. Here I present the case of 48 years old Female patient, whose early diagnosis of Frozen Shoulder permitted successful management according to ayurvedic principles. Though initially severe pain and stiffness, than she return to normal life after treatment.

ANTICHOLINERGIC POISONING: TREATMENT WITH PHYSOSTIGMINE

PEDIATRICS ◽  
1973 ◽  
Vol 52 (3) ◽  
pp. 449-451
Author(s):  
Barry H. Rumack
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Acetic Acid ◽  
Specific Treatment ◽  
Signs And Symptoms ◽  
The Body ◽  
Sweat Glands ◽  
Exocrine Glands ◽  
Anticholinergic Syndrome ◽  
The Central Nervous System

The increased incidence of poisoning by overdoses of commonly used drugs with anticholinergic properties (Table I) and the general lack of knowledge concerning a specific treatment for these poisons warrants a summary of the problem at this time. Some plants containing anticholinergic alkaloids are also included in this group as they may also be taken intentionally or accidentally. Drugs with anticholinergic properties primanly antagonize acetylcholine competitively at the neuroreceptor site. Cardiac muscle, exocrine glands, and smooth muscle are most markedly affected.1 Action of the inhibitors is overcome by increasing the level of acetylcholine naturally generated in the body through inhibiting the enzyme (choline esterase) which normally prevents accumulation of excess acetylcholine. It does this by hydrolyzing that compound to inactive acetic acid and choline. Agents which inhibit this enzyme, so that acetylcholine accumulates at the neuroreceptor sites, are called anticholine esterases. Physostigmine, one of the anticholine esterases which is a tertiary amine, crosses into the central nervous system and can reverse both central and peripheral anticholinergic actions2. Neostigmine and pyridostigmine are also anticholine esterases but they are quaternary amines and are capable of acting only outside the central nervous system because of solubility and ionization characteristics. The anticholinergic syndrome has both central and peripheral signs and symptoms. Central toxic effects include anxiety, delirium, disorientation, hallucinations, hyperactivity, and seizures.2 Severe poisoning may produce coma, medullary paralysis, and death. Peripheral taxicity is characterized by tachycardia, hyperpyrexia, mydriasis, vasodilatation, urinary retention, diminution of gastrointestinal motility, decrease of secretion in salivary and sweat glands, and loss of secretions in the pharynx, bronchi, and nasal passages.

Evaluation and Management of Shock States

2010 ◽  
Vol 24 (1) ◽  
pp. 44-60 ◽  
Author(s):  
Michael P. Moranville ◽  
Katherine D. Mieure ◽  
Elena M. Santayana
Keyword(s):  
Patient Outcomes ◽  
Treatment Plan ◽  
Hypovolemic Shock ◽  
Clinical Signs ◽  
Specific Treatment ◽  
Signs And Symptoms ◽  
Therapeutic Interventions ◽  
Initial Assessment ◽  
Patient Specific ◽  
Therapeutic Goals

Shock states have multiple etiologies, but all result in hypoperfusion to vital organs, which can lead to organ failure and death if not quickly and appropriately managed. Pharmacists should be familiar with cardiogenic, distributive, and hypovolemic shock and should be involved in providing safe and effective medical therapies. An accurate diagnosis is necessary to initiate appropriate lifesaving interventions and target therapeutic goals specific to the type of shock. Clinical signs and symptoms, as well as hemodynamic data, help with initial assessment and continued monitoring to provide adequate support for the patient. It is necessary to understand these hemodynamic parameters, medication mechanisms of action, and available mechanical support when developing a patient-specific treatment plan. Rapid therapeutic intervention has been proven to decrease morbidity and mortality and is crucial to providing the best patient outcomes. Pharmacists can provide their expertise in medication selection, titration, monitoring, and dose adjustment in these critically ill patients. This review will focus on parameters used to assess hemodynamic status, the major causes of shock, pathophysiologic factors that cause shock, and therapeutic interventions that should be employed to improve patient outcomes.

scholarly journals THE EFFICACY OF PLATELET RICH PLASMA IN THE TREATMENT OF PERIARTHRITIS OF SHOULDER JOINT IN DIABETICS VS NON-DIABETICS

2020 ◽  
pp. 1-3
Author(s):  
T. Venugopal ◽  
M.E. Luther ◽  
Y. Bhanurekha
Keyword(s):  
Shoulder Joint ◽  
Glenohumeral Joint ◽  
Platelet Rich Plasma ◽  
Meta Analysis ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Population Based ◽  
Increased Risk ◽  
Patients With Diabetes

Periarthritis of shoulder joint / adhesive capsulitis also commonly known as Frozen shoulder, occurs due to adhesion at the glenohumeral joint 1. The term “Frozen Shoulder” was first described in 1934 by Codman.2 The incidence of periarthritis of shoulder joint is around 3-5% in the general population3. It is more common in females4 and develops between the ages of 40 to 70 years3. The main cause of painful restriction of movement in frozen shoulder is an inflammatory contracture of the joint capsule5. A meta-analysis showed that patients with diabetes were 5 times more likely than non-diabetics to have adhesive capsulitis. Also, the overall prevalence of adhesive capsulitis in diabetics was estimated at 13.4%6. According to a population-based followup study, patients with diabetes had an increased risk of developing adhesive capsulitis of shoulder joint as compared to non-diabetics7. The increased incidence of adhesive capsulitis in diabetics might be due to the glycosylation of the collagen within the shoulder joint triggered by the presence of high blood sugar8.

scholarly journals Biomechanics Potential of the Masseter and Temporal Muscles in the Mandibles of Mesofacial Subjects

2018 ◽  
Vol 35 (03) ◽  
pp. 180-182
Author(s):  
Ana Pradebon ◽  
Marieli Pradebon ◽  
Guilherme Goulart ◽  
Geraldo Jotz ◽  
Tais Malysz ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Masseter Muscle ◽  
Treatment Plan ◽  
Specific Treatment ◽  
The Body ◽  
Temporal Muscle ◽  
Mechanical Advantage ◽  
Muscular Work ◽  
Stomatognathic System ◽  
Physical Functions

Introduction The knowledge of the organization of the masseter muscle (MM) and the temporal muscle (TM) is extremely important when related to the study of the stomatognathic system. Moreover, some authors have shown that mastication is of great importance, not only for the intake of food but also for the systemic, mental and physical functions of the body. Materials and Methods We have decided to analyze the biomechanical potential (length of the force arm, muscular work and mechanical advantage) of the MM and TM in the mandibles of mesofacial subjects (n = 34). Results Our results show that the MM exhibits a better biomechanical potential than the TM (p = 0.0001). Conclusion With these data, orthodontists may develop a specific treatment plan and get better results, especially in cases of patients in whom the biomechanical pattern of the temporomandibular joint is unfavorable.

scholarly journals Diagnosis and Treatment of Keloids and Hypertrophic Scars—Japan Scar Workshop Consensus Document 2018

2019 ◽  
Vol 7 ◽  
Author(s):  
Rei Ogawa ◽  
Sadanori Akita ◽  
Satoshi Akaishi ◽  
Noriko Aramaki-Hattori ◽  
Teruyuki Dohi ◽  
...  
Keyword(s):  
Primary Care Physicians ◽  
Treatment Guidelines ◽  
Malignant Tumors ◽  
Specific Treatment ◽  
Diagnostic Algorithm ◽  
The Body ◽  
Diagnosis And Treatment ◽  
Hypertrophic Scars ◽  
Treatment Protocols ◽  
Consensus Document

Abstract There has been a long-standing need for guidelines on the diagnosis and treatment of keloids and hypertrophic scars that are based on an understanding of the pathomechanisms that underlie these skin fibrotic diseases. This is particularly true for clinicians who deal with Asian and African patients because these ethnicities are highly prone to these diseases. By contrast, Caucasians are less likely to develop keloids and hypertrophic scars, and if they do, the scars tend not to be severe. This ethnic disparity also means that countries vary in terms of their differential diagnostic algorithms. The lack of clear treatment guidelines also means that primary care physicians are currently applying a hotchpotch of treatments, with uneven outcomes. To overcome these issues, the Japan Scar Workshop (JSW) has created a tool that allows clinicians to objectively diagnose and distinguish between keloids, hypertrophic scars, and mature scars. This tool is called the JSW Scar Scale (JSS) and it involves scoring the risk factors of the individual patients and the affected areas. The tool is simple and easy to use. As a result, even physicians who are not accustomed to keloids and hypertrophic scars can easily diagnose them and judge their severity. The JSW has also established a committee that, in cooperation with outside experts in various fields, has prepared a Consensus Document on keloid and hypertrophic scar treatment guidelines. These guidelines are simple and will allow even inexperienced clinicians to choose the most appropriate treatment strategy. The Consensus Document is provided in this article. It describes (1) the diagnostic algorithm for pathological scars and how to differentiate them from clinically similar benign and malignant tumors, (2) the general treatment algorithms for keloids and hypertrophic scars at different medical facilities, (3) the rationale behind each treatment for keloids and hypertrophic scars, and (4) the body site-specific treatment protocols for these scars. We believe that this Consensus Document will be helpful for physicians from all over the world who treat keloids and hypertrophic scars.

scholarly journals Ayurvedic Management of Frozen Shoulder (Apabahuk)- A Case Report

2021 ◽  
Vol 12 (2) ◽  
pp. 416-420
Author(s):  
Prakash Ashok Kumbhar ◽  
Lokesh Kumar Rajput ◽  
Garima Singh
Keyword(s):  
Shoulder Joint ◽  
Frozen Shoulder ◽  
Herbal Medicines ◽  
Signs And Symptoms ◽  
Modern Medicine ◽  
Left Shoulder ◽  
Left Hand ◽  
The Third ◽  
Progressive Loss ◽  
Similarity Of Signs

Background: Apabahuk is disease considered under vatavaydhi which can be compared with frozen shoulder considering similarity of signs and symptoms of disease. It is estimated that Between 16-26% of shoulder pain cases are self-reported. It's the third commonest explanation for musculoskeletal consultation in medical care. Severely restricted movements of shoulder joint and progressive loss of both active and passive range of movements are the characteristics of frozen shoulder. In modern medicine several anti-inflammatory analgesics are getting used. Some major exercises advised and a few local applications of analgesic ointments is employed. But no such effective results found.Case: A53 year male patient consulted with complaints of pain and restricted painful movements of left shoulder joint associated with tremor, neck pain and reduced strength in the left-hand Conclusion: Patient was diagnosed as Apabahuk (frozen shoulder) and treated with panchakarma therapies and oral herbal medicines. The encouraging improvement was observed in both subjective and objective parameters.

scholarly journals Current non-operative treatments for adhesive capsulitis: A Review

2020 ◽  
Vol 4 (4) ◽  
pp. 130-136
Author(s):  
Roshan Chhatlani ◽  
Lara Morgan Oberle ◽  
Gene Tekmyster
Keyword(s):  
Treatment Plan ◽  
Adhesive Capsulitis ◽  
Treatment Options ◽  
Frozen Shoulder ◽  
The Other ◽  
Operative Approach ◽  
Current Evidence ◽  
Cochrane Library ◽  
Provide Pain Relief ◽  
Online Library

This study aims to determine the best available non-operative approach for adhesive capsulitis and to create a guided treatment plan based on the research and evidence. An electronic search of multiple databases including PubMed, Cochrane Library, Wiley Online Library, Google Scholar, and Ovid Medline was completed. Search terms included “adhesive capsulitis”, “frozen shoulder”, “adhesive capsulitis treatments”, and “frozen shoulder treatments”. Exclusion criteria included articles that were published before the year 1984 and non-peer reviewed articles. Seventy-four articles were retrieved from the original search, and of those forty-nine articles were included and twenty-five were excluded. In the available research and literature, there is no clear consensus of one non-operative approach against the other. There is however clear evidence that intra-articular corticosteroid injections provide pain relief in the short term. There may be a role for the other non-operative interventions in the treatment for adhesive capsulitis but the current evidence does not support them being implemented as standalone treatment options. In order to determine the best available non-operative approach for adhesive capsulitis there is a need for higher quality randomized controlled trials moving forward. The available literature has limitations that would restrict one to formulate a consensus on a guided treatment plan.

scholarly journals Study on Effectiveness of Kaltenborn Mobilization Techniques Grade III in Patient with Frozen Stage of Adhesive Capsulitis of Shoulder Joint

2021 ◽  
Vol 3 (5) ◽  
pp. 50-53
Author(s):  
A. K. M. Rezwan ◽  
T. M. Shahriar ◽  
A. N. M. Rasal ◽  
M. Rahman ◽  
T. Haque ◽  
...  
Keyword(s):  
Shoulder Joint ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Control Group ◽  
Physiotherapy Treatment ◽  
Quasi Experimental ◽  
Group A ◽  
Group B ◽  
Joint Range ◽  
Grade Iii

Background: Frozen shoulder is the stage II of adhesive capsulitis characterized by progressive loss of shoulder movement and symptoms of pain, decrease joint range of motion. Objective: To determine the effectiveness of kaltenborn mobilization technique grade-III to the treatment of frozen stage of adhesive capsulitis of shoulder joint. Methods: This quasi-experimental study in total number of 40 respondent were diagnosed with frozen stage of adhesive capsulitis of shoulder joint and randomly allocated into 2 groups. Within both group (n=20) & experimental group were treated by kaltenborn mobilization technique grade III whereas control group were treated by routine physiotherapy treatment and apply one session per day for four weeks. Outcome measures used were Visual analog scale (VAS) and Shoulder disability questioner (SDI). Paired ‘t’-tests was used to compare the pre and posttest value of treatment within both groups. Participants were selected based on the inclusion and exclusion criteria. Statistics & Results: Data was collected on a data sheet & encoded for computerized analysis using SPSS version 19. The statistical analysis of post values of Group A (Kaltenborn mobilization technique grade III) where VAS mean of pretest (6.90 ± 1.02) and posttest (4.35 ± 1.60) value where (p < 0.0001). SDI mean of pretest (4.1±1.45) and posttest (2.9 ±1.20) value where (p < 0.0002). In group B (Routine physiotherapy treatment) where VAS mean of pretest (6.75 ± 1.07) and posttest (6.25 ± 1.06) value where (p < 0.0003). SDI mean of pretest (4.1±1.45) and posttest (3.5 ±0.49) value where (p < 0.0077). Conclusion: It was concluded that both techniques were effective but kaltenborn mobilization techniques grade III was more effective then routine physiotherapy technique.

The Correlation of the Limitations of Movement of the Shoulder Joint with the Functional Ability of Frozen Shoulder Patients at the Medical Rehabilitation Institute Dr. Mohammad Hoesin Palembang

2020 ◽  
Vol 3 (3) ◽  
pp. 88-96
Author(s):  
Ine Sintia ◽  
Nyimas Fatimah
Keyword(s):  
Functional Ability ◽  
Shoulder Joint ◽  
Frozen Shoulder ◽  
Limited Range ◽  
Medical Rehabilitation ◽  
Cross Sectional ◽  
Shoulder Joints ◽  
Limited Range Of Motion ◽  
Active Flexion ◽  
Cross Sectional Design

Background: Frozen shoulder is a condition of the shoulder joint that experiences inflammation, pain, adhesions, atrophyand shortening of the joint capsule resulting in limited motion. In frozen shoulder patients, the limited range of motion ofthe shoulder joint can affect and reduce functional ability. This study aims to analyze the correlation between the limitedarea of motion of the shoulder joint with the functional ability of frozen shoulder patients at the Medical RehabilitationInstallation Dr. Mohammad Hoesin Palembang. Methods: This study was an observational analytic study, correlationtest, with a cross sectional design. There were 29 frozen shoulder patients who met the inclusion criteria in the MedicalRehabilitation Installation Dr. Mohammad Hoesin Palembang in November 2018 was taken as a sample using consecutivesampling techniques. Functional ability was assessed using the quickDASH questionnaire and the area of motion wasmeasured using a goniometer, then analyzed. Results: The results of the correlation test showed significant resultsbetween functional abilities and the area of motion of the shoulder joints. Active flexion (p = 0.000; r = -0.669), activeextension (p = 0.004; r = -0.520), active abduction (p = 0.000; r = -0.663), active adduction (p = 0.022; r = -0.423 ), passiveflexion (p = 0.001; r = -0.589), passive extension (p = 0.002; r = -0.543), passive abduction (p = 0.000; r = -0.676), passiveadduction (p = 0.038; r = -0.388). Conclusion: There is a significant correlation between limited joint motion andfunctional ability in frozen shoulder patients at the Medical Rehabilitation Installation of Dr. Mohammad HoesinPalembang

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