scholarly journals A case study of frequent leech application in diabetes mellitus with special reference to frozen shoulder

Author(s):  
Rashmi Anil Kale ◽  
Chetan Pralhad Agrawal

In Frozen Shoulder (adhesive capsulitis), there is stiffness, pain and limited range of movements. It may happen after an injury, overuse of joint, from a disease such as diabetes or a stroke. Diabetes mellitus is a group of metabolic disorder with involvement of musculoskeletal system. In which most common is frozen shoulder. In frozen shoulder raise sugar in blood stick to collagen and restrict the movements. In first stage of frozen shoulder, Inflammation of capsule is present with severe pain.           Various diseases like Shoulder Impingement, Frozen Shoulder, and Rotator cuff tendinitis have resembling symptoms under the umbrella of disease Avabahuka described in Ayurveda. In Avabahuka there is Vata-Kapha dushti still Leech application was carried out in first stage of Frozen Shoulder. Leech application is indicated in Pittaj Dushthi and Hirudine present in saliva of Leech helpful in platelet aggregation inhibitor. Hence increase in blood supply to shoulder region may arrest fibrosis of capsule. Aim- Study the efficacy of Leech application in Frozen Shoulder in Diabetes Mellitus. Objective- To study the efficacy of frequent Leech application in the management of pain and range of motion of shoulder joint in Diabetes Mellitus. Hypothesis- Leech application is effective in Frozen Shoulder caused by diabetes Mellitus.  

2021 ◽  
Author(s):  
Bin Chen ◽  
◽  
Cimin Shen ◽  
Na Li ◽  
Lu Wang ◽  
...  

Review question / Objective: Shoulder pain is a common musculoskeletal disorder prompting many patients to seek treatment. Thermotherapy is a common treatment for shoulder which has been widely used in hospitals. But its efficiency has not been scientifically and methodically evaluated. This protocol aims to evaluate the efficacy and safety of Thermotherapy for treating shoulder pain. Information sources: Eight databases will be searched from their inception to October 2021. They are as follows: PubMed, Embase, Cochrane Library, ClinicalTrials.gov, China Knowledge Resource Integrated Database (CNKI), Weipu Database for Chinese Technical Periodicals (VIP), Chinese Biomedical Literature Database (CBM), and Wanfang Database. There will be no limitation to study publication status or language. The search terms include shoulder impingement syndrome, rotator cuff, bursitis, adhesive capsulitis, frozen shoulder, shoulder pain, thermotherapy, diathermy, heat therapy, Moxibustion, and RCTs. The equivalent search words will be used in the Chinese databases.


Reumatismo ◽  
2020 ◽  
Vol 71 (4) ◽  
pp. 209-217
Author(s):  
H. Olaosebikan ◽  
A. Azenabor ◽  
R. Akintayo ◽  
O. Adelowo ◽  
A. Ogbera ◽  
...  

Musculoskeletal (MSK) conditions are more frequently found among patients with diabetes mellitus (DM) than in the non-diabetics. Despite several reports outside Africa, they have been under-studied among Africans. This study aimed to assess the overall prevalence and predictors of MSK conditions in Nigerian with types 2 diabetes mellitus (T2DM). A total of 268 adult with T2DM and 268 non-diabetic controls were recruited. All study subjects had their socio-demographics and clinical parameters obtained using interviewer-administered questionnaire. Musculoskeletal conditions among study subjects were classified using validated criteria and case definitions. Musculoskeletal disorders (MSKD) were significantly more frequent amongst subjects with DM (56% vs 22%, OR=4.5 p=0.001). Osteoarthritis (9.3% vs 4.1%, p=0.016), lumbosacral spondylosis (5.6% vs 2.2%, p=0.045), limited joint mobility (13.8% vs 5.6%, p-0.001), adhesive capsulitis (4.5% vs 1.5%, p-0.042) and rotator cuff tendinitis (3.7% vs 0.4%, p=0.006) were more frequent in DM subjects than in controls. Logistic regression showed that age (OR=2.1, CI=1.5-2.6) and waist circumference (OR=3.0, CI=2.6- 3.4) are independent predictors of MSKD among patients with diabetes. This study found higher prevalence of MSKD among diabetic subjects. It also identified certain factors associated with MSKD among patients with diabetes mellitus.


2021 ◽  
Vol 1 (1) ◽  
pp. 163-167
Author(s):  
Siti Sarah Bintang Sarah Bintang ◽  
Sabirin Berampu ◽  
Mawaddah Saleha ◽  
Miftahul Zannah ◽  
Simson Sinuhaji ◽  
...  

Frozen shoulder or another name for adhesive capsulitis is pain that results in limited Range of Motion (ROM). Frozen shoulder or another name for adhesive capsulitis is pain that results in limited Range of Motion (ROM). Codman pendular exercises are interventions or techniques often used by physiotherapists to increase Range of Motion (ROM). This service activity is carried out through seminars using lecture, question and answer methods and demonstrations. The samples taken were patients with frozen shoulder with a total of 14 people. The statistical test results obtained p-value <0.05, it can be concluded that the hypothesis in the study was accepted, namely: "There is an Effect of Giving Codman Pendular Exercises and Mulligan Mobilization With Movement on Increasing Range Of Motion in Frozen Shoulder Patients"


2019 ◽  
Vol 7 (3) ◽  
pp. 116-119
Author(s):  
Aditya Sanjaykumar Dalvi ◽  
Akshay Santosh Gandhi

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.


2014 ◽  
Vol 17 (4) ◽  
pp. 16-24
Author(s):  
Nadezhda Viktorovna Maximova ◽  
Maria Vadimovna Amosova ◽  
Evdokiya Sergeevna Tsvetkova ◽  
Natalya Alexandrovna Chubrova ◽  
Galina Afanas'evna Mel’nichenko

Adhesive capsulitis (АС) has an incidence of 20% in diabetic patients. The tightening of the shoulder capsule ("freezing") can cause gradually increasing limitation in active and passive range of motion (ROM) of shoulder. Consequences of the increasing limitations are reduced quality of life and patient disability. It is thought that AC is a self-limiting disorder that resolves in 1?2.5 years in most cases. However, new clinical data indicate both long-term persistent pain and residual loss of motion in 10% of patients without diabetes and in 85% of patients with diabetes. In this review, we summarize the results from different clinical trials in which risk factors and pathogenesis of AC in diabetic patients as well as the diagnosis and efficacy of various methods for the treatment of AC were examined.


Author(s):  
Mohammad Abid ◽  

Frozen shoulder or adhesive capsulitis is one of the most common causes of shoulder pain and disability in the general population. Its prevalence is 2-5% in the general population and 10-20% among diabetics. It predominantly affects females and most commonly affects people between the ages of 40 and 60 years. The left shoulder is more likely to be affected, with both shoulders affected in 12% of cases. A case study is presented to illustrate the clinical presentation, aetiology, diagnosis, radiological assessment, and management of frozen shoulder through Hijamah bila shurt (dry cupping) in a 60-year-old diabetic male patient. The present case was studied for over 8 weeks; Hijamah (dry cupping) was done on prescribed points for the affected shoulder twice a week for 8 weeks, and assessment was done at baseline and every 2 weeks. This study concluded that regimental therapy Hijamah bila shurt (dry cupping) has a significant effect in reducing pain, stiffness of joints, and increasing range of motion in frozen shoulder.


Ból ◽  
2017 ◽  
Vol 17 (4) ◽  
pp. 53-58
Author(s):  
Mateusz W. Romanowski ◽  
Michał Dwornik ◽  
Anna Kwaśniewska ◽  
Katarzyna Nowacka ◽  
Włodzimierz Samborski

ABSTRACT: This research presents the case of a patient with a frozen shoulder and assesses the impact of osteopathic techniques and physical exercises for this condition. The article describes the epidemiology, etiology, pathogenesis, clinical symptoms and treatment options for frozen shoulder. It also contains information on how to conduct clinical tests and diagnosis of the adhesive capsulitis. We assessed the range of flexion, external rotation, internal rotation and the intensity of pain of the patients frozen shoulder. In this case study frozen shoulder developed typically, in three stages “freezing”, “frozen”, “thawing”. The treatment significantly increased the range of motion of the shoulder joint and reduced sensation of pain. The analysis shows that the osteopathic techniques and physical exercises are an effective form of rehabilitation and pain management. Further studies are needed in this area.


2008 ◽  
Vol 28 (04) ◽  
pp. 210-212
Author(s):  
R. Schiel

Zusammenfassung„Frozen Shoulder” wird ausgelöst durch Degenerationen des Sehnen- und Bandapparates oder Kapselschrumpfung des Schultergelenks. Es resultiert eingeschränkte Beweglichkeit mit intraartikulären Kontrakturen und Kontrakturen der Muskel-Sehnen-Einheiten oder extraartikulären Adhäsionen. Gelegentlich ist der Verlauf assoziiert mit entzünd-lichen Veränderungen, Schmerzen und einem Schulter-Hand-Syndrom. Bei Patienten mit Langzeit-Diabetes treten „Frozen Shoulder” oder Schulter-Hand-Syndrom gehäuft und früher auf. Ursache sind Alterationen der kollagenen Bindegewebsstrukturen. Bei akuter Schmerzsymptomatik werden antiinflammatorische Medikamente, z.T. auch in-traartikuläre Applikationen von Kortikosteroiden, empfohlen. Es soll Schmerzlinderung erfolgen, Bewegungsfähigkeit hergestellt und Physiotherapie angewendet werden. Weiterhin werden intraartikuläre Glukokortikoidinjektionen, Gelenkkapseldistensionen und bei refraktären Be-schwerden Injektionen in subakromiale Schleimbeutel an-gewandt. Eine relativ neue Therapieoption, zu der erste Da-ten publiziert wurden, stellt die Gabe von Triamcinolonace-tat dar.


2020 ◽  
Vol 3 (3) ◽  
pp. 88-96
Author(s):  
Ine Sintia ◽  
Nyimas Fatimah

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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