https://doi.org/10.46389/rjd-2023-9921 www.jrdiabet.ro Rom J Diabetes Nutr Metab Dis 2023; Volume 30, Issue 4, pages 988-998 © 2023 The Authors. Romanian Journal of Diabetes, Nutrition and Metabolic Diseases published by Sanatatea Press Group on behalf of the Romanian Society of Diabetes Nutrition and Metabolic Diseases. This is an open access article under the terms of the Creative Commons Attribution License (CC-BY-NC- ND 3.0) MANAGEMENT OF FROZEN SHOULDER WITH JALOUKAVCHARAN AND PHYTOTHERAPY: A CASE STUDY Dr. Ujwala Patil #1 , Dr. Amarprakash Dwivedi *2 ,Shalaka Patil #3 D Y Patil (Deemed to be University), School of Ayurveda, Navi Mumbai, Maharashtra, India Abstract: Frozen Shoulder is also known as adhesive capsulitis or periarthritis. It is a painful shoulder condition of unknown etiology. Its common symptoms are pain and restricted movement at shoulder joint. In Ayurveda, Frozen Shoulder can be correlated with Avabahuka. Snehan (oleation), Swedan (sudation), Snehik Nasya are well described in Ayurveda in management of Vatvyadhi. Similarly, Jaloukavcharan (Leech Application) is described for inflammatory conditions. In this case study, 71 years old male patient having chief complaints of pain at left shoulder joint with difficulties in movements at left shoulder joint since 6 months, visited Hospital.This patient was treated with Jaloukavcharan (2 sittings) along with Panchtiktghrit guggulu and Dashmoolarishta orally for 30 days. Parameters such as pain, stiffness, range of motion were observed and assessment of treatment was done. The observation showed significant improvement in pain and stiffness at left shoulder joint. Similarly, the range of motion at shoulder joint also remarkable improved with Jaloukavcharan locally adjuvant to Panchtiktghrit guggulu and Dashmoolarishta orally. The patient got significant relief in symptoms such as stiffness and range of motion with prescribed treatment. Hence, it can be concluded that Jaloukavcharan and oral phytotherapy proved efficacious in the management of frozen shoulder. Key-words:Frozen Shoulder, Leech therapy, Avabahuka, Jaloukavcharan, Panchtiktghrit Guggulu, Dashmoolarishta. Introduction: Frozen shoulder is an affection of the glenohumeral joint with characteristic pain and uniform limitation of all movements without radiographic change [1] . Its peak incidence in between the ages of 40 and 60 and is rare outside these age groups and in manual workers [2] . It is more common in women in their 50s. It is more common in patients with diabetes mellitus and patients with heart and thyroid disease [3] . Prevalence of almost 50% patient with diabetes a 2-10% in non- diabetics’ patients [4] . It predominantly affects the rotator cuff between the supraspinatus and subscapularis muscles [5] . The exact cause of the frozen shoulder is unknown. There is loss of resilience of joint capsule with adhesion between synovial. The changes are reversible. This disorder evolves in three stages [6]. Clinical manifestations include severe aching pain at the shoulder and upper arm with a gradual and spontaneous onset. Further, sleep is disturbed due to this severe pain [7] . There is a stiffness at shoulder joint with limited shoulder movement like abduction, flexion, extension and rotation which reduce the 1/4 th of the normal range [8] . Establish