Shoulder Pain

Shoulder Pain

The shoulder is the most movable joint in the human body. Shoulders are the joints where your upper-arm bones (humerus), shoulder blades (scapula), and collarbone (clavicle) meet. A group of four muscles and their tendons, called the rotator cuff, gives the shoulder its wide range of motion. Swelling, damage, or bone changes around the rotator cuff can cause shoulder pain.

Causes

• Arthritis in the shoulder joint
• Bone spurs in the shoulder area
• Bursitis, which is inflammation of a fluid-filled sac (bursa) that normally protects the joint and helps it move smoothly
• Broken shoulder bone
• Dislocation of the shoulder
• Shoulder separation
• Frozen shoulder, which occurs when the muscles, tendons, and ligaments inside the shoulder become stiff, making movement difficult and painful
• Overuse or injury of nearby tendons, such as the bicep muscles of the arms
• Nerve injury that leads to abnormal shoulder movement
• Tears of the rotator cuff tendons
• Poor shoulder posture and mechanics
• Frozen shoulder: This condition limits how much your joint will move. Abnormal bands of tissue (adhesions) build up in the joint and keep your shoulder from moving freely. Your shoulder might “freeze” because pain or surgery has made you use it less, allowing the adhesions to build up.
• Referred pain: Sometimes your shoulders hurt when there’s nothing wrong with them. This can be a sign of trouble with your gallbladder, liver, or another organ.
• Heart attack: If your shoulder hurts and you have trouble breathing or your chest feels tight, you might need emergency medical help right away.

Treatment (Ayurvedic)

• Treatment of Kevala Vata
• Treatment of Samsrusta Vata
• Treatment of Avruta Vata
• Nasya and uttarabhaktika Snehapana are useful in the management of Apabahuka (frozen shoulder).
• Astanga Sangraha mentions Navana Nasya and Snehapana for Apabahuka.
• Sushrutacharya advises Vatavyadhi chikitsa for Apabahuka, except Siravyadha (bloodletting).
• Chikitsa Sara Sangraha advises Nasya, Uttara bhaktika Snehapana, and Sweda (sudation) for the treatment of Apabahuka.
• Brumhana Nasya is indicated in Apabahuka by Vagbhata.
• Also, Marmabhigatha chikitsa (treatment for injury to vital points), Lepanam (application of paste), Abhyangam (massage), Snehanam (oleation), Swedanam (sudation), Seka (pouring of medicated liquids), Pichu (application of cotton pads soaked in medicated oil) can be used.

Peeling Skin (Desquamation)

Peeling skin, desquamation, desquamating skin, or desquamation of skin are all ways of describing a condition where the outer layer of the skin starts to replace itself. Often, this happens when your skin is damaged, either by diseases or injuries.

Causes

• Burns: Desquamation can happen when your skin is exposed to hot liquids, surfaces, objects, or direct flame.
• Chemical burns: If your skin comes into direct contact with certain chemicals, it will start to peel. Typically, this happens when you are exposed to specific household cleaners, beauty products, or industrial chemicals.
• Fabrics: Certain fabrics or clothing pieces can irritate the skin.
• Sunburns: This is the most common burn. It happens when you spend too much time in the sun or under artificial UV ray machines.
• Acne treatments or cosmetic peels: Specific therapies that contain retinol can often lead to peeling of the skin. Usually, these sorts of peels are done to reduce the appearance of fine lines or pimples. This sort of peeling will go away naturally as your skin gets used to retinol.
• Eczema: Over 31 million people in the U.S. have this condition. A common symptom is peeling of the skin. Eczema doesn’t have a cure, but it can be managed.
• Edema: This is swelling caused by excess fluids trapped in specific areas of your body, such as your hands, arms, and feet. It can be caused by medication, pregnancy, heart issues, kidney disease, or liver disease. As the swelling from your edema goes down, your skin will peel.
• Radiation: In some instances, radiation treatment for diseases like cancer can cause the area that receives the radiation to turn dark, dry, peel, and start to itch.
• Allergies: Peeling can be a sign of having skin-to-skin contact with something you are allergic to. Common allergens that cause this include perfumes.
• Scarlet fever: This is a mild infection that you get from another person. Scarlet fever can cause rashes in your underarm, elbow, and groin. As this rash fades, your skin will peel. This peeling can last for several weeks.
• Staphylococcal scalded skin syndrome (SSSS): SSS usually occurs in children under age 5. Typically, it creates large blisters and rashes, and the top layer of the skin peels off in large quantities.
• Toxic shock syndrome: A rare but serious condition, you can get toxic shock syndrome if certain bacteria get into your body. It is usually associated with women and tampon use, but anyone can get it. One of the symptoms is desquamation.
• Kawasaki disease: This occurs typically in children and is quite rare. It happens when blood vessels throughout your body get inflamed. Symptoms include fever, swollen lymph nodes, eye issues, and skin peeling.
• Peeling skin syndrome: This is a rare genetic disorder that affects either the hands and feet or the whole body. Usually, it is seen at birth or in childhood.

Management (Ayurvedic)

• Snehanam (oleation) – external and internal
• Swedhanam (sudation)
• Panchakarma (detoxification therapies)
• Vamana (emesis)
• Virechana (purgation)
• Kashayavasthy (decoction enema)
• Sneha vasthi (oil enema)
• Nasyam (nasal instillation)
• Rakthamokshanam (bloodletting) – Siravyadha (venesection), Prathisaranam (scarification)
• Lepanam (application of paste) – oil, paste, etc.
• Medicated Dhara (continuous pouring of medicated liquids)
• Sun bath
• Internal medications