Authors : Amrutha S; M M Abdul Shukkoor; Shafeer M S

Volume/Issue : Volume 10 - 2025, Issue 9 - September

Google Scholar : https://tinyurl.com/ynck7y93

Scribd : https://tinyurl.com/2eys45t4

DOI : https://doi.org/10.38124/ijisrt/25sep686

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Abstract : Rotator cuff injuries are the common cause of shoulder pain and disability among general population. Conservative management includes rest, ice application, NSAIDS and corticosteroid injections which focuses on symptomatic relief, while healing is often limited4 . Ayurveda offers a wide range of treatment modalities which enhances pain relief, improved ROM and functional recovery in acute rotator cuff injuries.1-3  Objective: To evaluate the clinical outcomes of Ayurvedic treatment modalities in patients with acute rotator cuff injuries.  Methods: Two patients with acute traumatic rotator cuff tears were managed in the inpatient and outpatient setting with local application of Murivenna, internal medications, sling support, and gradual mobilization. Pain (VAS), functional disability (SPADI), and shoulder range of motion (ROM) were assessed weekly.  Results: Patients showed consistent improvement in pain and function within 3-6 weeks.  Conclusion: Ayurvedic treatment modalities provided significant pain, improved ROM, and functional recovery in acute rotator cuff injuries.

Keywords : Acute Rotator Cuff Injury, Bhagna, Murivenna, Shoulder Pain, Case Series.

References :

1. Rehna MKA, Mary Rehna KA, et al. Ayurvedic management of supraspinatus tendon tear: a case report. Int J Res Med Sci. 2024;12(3):966-71.
2. Benny GA, Benny CS, Parameswaran KK. Complete functional recovery in full-thickness rotator cuff tear through Ayurvedic medicine and rehabilitative exercises: a case report. Altern Ther Health Med. 2025;31(4):60-4.
3. Bhavya KG, George MJ. Rotator cuff tendon injury - Ayurveda management with Jaloukavacarana. Int Ayurvedic Med J. 2021;9(6):1293-8.
4. Longo UG, Ambrogioni LR, Candela V, Berton A, Carnevale A, Schena E, Denaro V. Conservative versus surgical management for patients with rotator cuff tears: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2021;22:50.
5. AYUSH, Ministry of  Ayush, Government of India. Textbook of Shalya Tantra: Surgery in Ayurveda. Part I. [Place of publication]: CCRAS; 2020. p. (chapters on Shalya Tantra, Marma vigyan, Sandhan karma etc.)
6. “Charaka Samhita” – text of internal medicine. In: The Ancient Ayurvedic Writings. Michael Dick; reprinted by The Ayurvedic Institute, 1998-2000. (“Charaka Samhita”, chapters on ethos, daily routines, preventive practices)
7. “Sushruta Samhita” – classic surgical Ayurveda text; treatise on surgery, anatomy, trauma care etc. In: Sushruta: The Father of Surgery. PMC article.
8. Yamamoto A, Takagishi Y, Kobayashi T, Shitara H, Osawa T, et al. Prevalence and risk factors of a rotator cuff tear in the general population. J Shoulder Elbow Surg. 2010;19(1):116–20.
9. Rugg CM, Gallo RA, Craig EV, Feeley BT. The pathogenesis and management of cuff-tear arthropathy. J Shoulder Elbow Surg. 2018;27(12):2271–83.
10. Parikh N, Martinez DJ, Winer I, Costa L, Dua D, Trueman P. Direct and indirect economic burden associated with rotator cuff tears and repairs in the US. Curr Med Res Opin. 2021;37(7):1199–1211.
11. Longo UG, Carnevale A, Piergentili I, Berton A, Candela V, Schena E, Denaro V. Retear rates after rotator cuff surgery: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2021;22:749.
12. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology Part I: pathoanatomy and biomechanics. Arthroscopy. 2003;19(4):404-20.
13. Lewis J. Rotator cuff related shoulder pain: assessment, management and uncertainties. Manual Ther. 2016;23:57-68.
14. Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, Miedema HS, Verhaar JA. Prevalence and incidence of shoulder pain in the general population: a systematic review. Scand J Rheumatol. 2004;33(2):73-81.
15. van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995;54(12):959-64.
16. Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ. 2005;331(7525):1124-8.
17. Standring S, editor. Gray’s Anatomy: The Anatomical Basis of Clinical Practice. 42nd ed. London: Elsevier; 2020. p. 826-30.
18. Neer CS 2nd. Impingement lesions. Clin Orthop Relat Res. 1983;(173):70-7.
19. Itoi E, Minagawa H, Yamamoto N, Seki N. Biomechanics of the rotator cuff. Orthop Clin North Am. 2010;41(3):301-9
20. Lewis J. Rotator cuff related shoulder pain: assessment, management and uncertainties. Manual Ther. 2016;23:57-68.
21. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology Part I: pathoanatomy and biomechanics. Arthroscopy. 2003;19(4):404-20.
22. Tempelhof S, Rupp S, Seil R. Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg. 1999;8(4):296-9.
23. Yamamoto A, Takagishi Y, Kobayashi T, Shitara H, Osawa T. Prevalence and risk factors of a rotator cuff tear in the general population. J Shoulder Elbow Surg. 2010;19(1):116-20.
24. Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ. 2005;331(7525):1124-8.
25. Dinnes J, Loveman E, McIntyre L, Waugh N. The effectiveness of diagnostic tests for the assessment of shoulder pain due to soft tissue disorders: a systematic review. Health Technol Assess. 2003;7(29):iii,1-166.
26. van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995;54(12):959-64.
27. Rugg CM, Gallo RA, Craig EV, Feeley BT. The pathogenesis and management of cuff-tear arthropathy. J Shoulder Elbow Surg. 2018;27(12):2271-83.
28. Susruta. Sushruta Samhita, Nidanasthana 15/41-45. (English translation by Bhishagratna K, Chowkhamba Sanskrit Series; Varanasi, 2018).
29. Rehna MKA, Rehna KA, et al. Ayurvedic management of supraspinatus tendon tear: a case report. Int J Res Med Sci. 2024;12(3):966-71.
30. Warrier PK. Indian Medicinal Plants: A Compendium of 500 Species. Vol 4. Chennai: Orient Longman; 1996. p. 267-9.
31. Sharma PV. Dravyaguna Vijnana. Vol 2. Varanasi: Chaukhambha Bharati Academy; 2013. p. 115-20.
32. Nishteshwar K. Sahasrayogam: English Translation with Commentary. Varanasi: Chaukhambha Sanskrit Series; 2011. p. 212-15.
33. Murthy KRS. Ashtanga Hridaya. Vol 2. Varanasi: Chaukhambha Krishnadas Academy; 2012. p. 415-20.
34. Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. 6th ed. Philadelphia: F.A. Davis; 2012. p. 234-42.
35. Rehna MKA, Rehna KA, Sreekanth KS. Effect of Murivenna in the management of musculoskeletal trauma: a clinical study. Int J Ayurveda Res. 2021;12(2):45-9.
36. Nair R, Kumar A, Bindu RN. Anti-inflammatory and wound healing properties of Murivenna: an experimental study. AYU. 2015;36(2):169-74.
37. Patwardhan B, Chavan-Gautam P. Integrative approaches in musculoskeletal disorders: the role of Ayurveda. J Ethnopharmacol. 2017;197:10-4.