Namaste Definitely, I can see that you are worrying. Having pain in a shoulder for more than six months and having a hard time with daily activities is really a distressing situation, even more, if you are not willing to have a surgical operation.
What comforts is the fact that not all the torn rotator cuffs are in need of surgery.
YOUR QUESTION – DIRECT ANSWER
Of course, Ayurveda has a non-surgical treatment method, but the tear type and the extent shall dictate the decision.
ROTATOR CUFF TEAR – AYURVEDA PERSPECTIVE
According to Ayurveda, this is a vata disorder located in the shoulder joint and also snayu-mamsa gata vata (tendons and muscles) and abhighataja vata vyadhi (injury-related).
WHAT IS IT?
In the pathogenesis of the disease, the aggravated vata element is dry and causes pain and inhibition of movement.
Snayu (tendons) and mamsa (muscle) are weakened by atrophy. Inflammation accompanied by stiffness.
WHEN CAN ONE BE TREATED WITHOUT SURGERY?
✅ By Ayurveda one can achieve very good therapeutic effects if: – It is a case of a partial tear – The tear is degenerative (age-related) – Movement of the shoulder is not completely blocked – Pain is moderate (as it is in your case)
❌ Surgery should be considered if – There is a full-thickness tear of the rotator cuff – Raising the arm is impossible – Severe muscle atrophy is present
👉 In case of partial tear / tendinosis on the MRI, a great improvement without surgery can be attained.
AYURVEDIC TREATMENT GOALS
– Relief of pain and inflammation – Vata pacification – Healing and strengthening of the tendon – Restoring the mobility of the shoulder
AYURVEDIC TREATMENT PLAN (NON-SURGICAL)
INTERNAL MEDICATION
1Yograj Guggulu 1.-0-1after food → For joint pain, stiffness
2. Dashmoolaristha 20 ml-0-20ml before food → Inflammation & Vata control
3. Shallaki Capsule 1-0-1 after food → Reduces tendon inflammation
4. Ashwagandha Capsule 1 capsule at night → Muscle & tendon strength
Duration: 6–8 weeks, then review
EXTERNAL THERAPY (MOST IMPORTANT)
Abhyanga Oil: Mahanarayana Taila / Ksheerabala Taila Shoulder, neck and arm gentle massage
Daily 15 min Nadi Swed / Hot Fomentation After oil massage Very helpful in pain & stiffness
Basti Therapy (If possible) Matra Basti / Ksheera Basti The best for chronic Vata disorders Quick healing
EXERCISE & MOVEMENT (AFTER PAIN RELIEF)
Do not do heavy exercises during the pain period If pain is less: Pendulum exercise Wall climbing (slow) Physiotherapy along with Ayurvedic treatment is the best way to get results
DIET & LIFESTYLE
Consume Ghee (1 tsp everyday) –Eat warm, soft food –Use turmeric + ginger –Milk (if digestion is good) Protect yourself from cold
Avoid AC directly on your shoulder Do not perform heavy lifting Avoid sudden and jerky movements
EXPECTED RESULT
2–3 weeks: Pain & stiffness ease 6–8 weeks: Movement gets better Regular follow-up can keep you away from surgery
Warm Regards Dr Snehal Vidhate
Please consult your nearest Panchkarma center.
