World Journal of
Pharmaceutical and Life Sciences

PANCHAKARMA BASED MANAGEMENT OF APABAHUKA CORRESPONDING TO PARSONAGE TURNER SYNDROME: A CASE REPORT

Divya Darshini M., Kiran M. Goud, Shreyas D. M.

ABSTRACT

Background: Apabahuka is a Vataja disorder causing pain, stiffness, and dysfunction of the upper limb due to involvement of the Amsha mula region. Clinically, it correlates with Parsonage–Turner syndrome, characterized by acute shoulder pain followed by neurological deficits and muscle atrophy. Aim: To evaluate the role of Ayurvedic Panchakarma therapy in the management of Apabahuka with reference to Parsonage–Turner syndrome. Materials and Methods: This single-case study was conducted at Sri Kalabyraveshwaraswamy Ayurvedic Medical College, Bengaluru. A 36-year-old male with left upper limb weakness, tremors, and muscle atrophy was diagnosed with Apabahuka w.s.r. to Parsonage–Turner syndrome based on clinical findings and nerve conduction studies. The patient received a structured Panchakarma regimen comprising Greeva Basti, Sarvanga Abhyanga, Sarvanga Pariseka, Shashtika Shali Pinda Sweda, Nasya, and Nasapana, followed by internal medications. Outcomes were assessed using muscle power, muscle bulk, range of motion, and functional ability. Results: Post-treatment, the patient showed improvement in muscle strength (grade 3 to 4), reduction in muscle twitching, improved shoulder symmetry, and reversal of infraspinatus muscle atrophy, with significant functional recovery. Conclusion: This case suggests that Panchakarma-based approach was effective in managing Apabahuka corresponding to Parsonage–Turner syndrome, indicating its potential role in neuropathic shoulder disorders.

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