Question #23541
43 days ago
153
How to recover from recurrent sholder dislocation? - #23541
Manikanta K
Regularly sholder dislocating with in 5 year's 3 times left sholder is dislocated 1st time happend in a accident, 2nd time happened with in 2 hours after taken covid vaccination, 3rd time happend while trowing a stone.
Age: 29
Sholder dislocation
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visit nearby panchkarma center for abhyang swedan chikitsa
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Recurrent shoulder dislocation can be quite challenging, and addressing it through Ayurveda requires a nuanced understanding of your dosha balance, and underlying causes. It's important to first consider pursuing medical advice from an orthopedic specialist, espicially if the condition is causing instability and repeated injury. Now, from an Ayurvedic perspective, lets dive into a few potential supportive measures.
First, I'd suggest reflecting on your energy balance or dosha management. Regular shoulder dislocation might be indicating an imbalance, often between Vata (movement and change) and Kapha (structure and stability). Focus on calming and grounding practices that reduce Vata, like maintaining warm, oiled massages, specifically applying Mahanarayan oil to gently warm and soothe the joint. Use clockwise movements for few minutes, avoiding excess pressure.
Diet plays a vital role in balance too. Replace crunchy and dry foods with warm, cooked meals that bolster the strength of your body's tissues or dhatus. You might find soups, stews and warm grains comforting. Add grounding herbs such as ashwagandha and shatavari in powder form (around 1/4 to 1/2 teaspoon twice daily with warm milk) to support ojas, the vital essence.
Emphasize strengthening the shoulder through exercises when condition becomes stable and pain-free. Avoid stressful movement patterns when possible, opting for gentle shoulder rotations, pendulum swings under professional guidance.
Lastly, daily routines or dinacharya can build stability further. Regular morning and evening walks, ensuring a consistent sleep schedule, and practicing mindfulness or meditation helps soothe the mind, reducing stress and tension.
Urgent concerns like impaired movement or constant pain from injuries should be assessed by a medical professional. Taking an integrative approach blends Ayurvedic insight with medical care to encourage holistic recovery.
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NAMASTE JI,
Recurrent shoulder dislocation- especially 3 or more episodes within five years as you've described- is usually due to ligament laxity, capsular weakness, or bone and cartilage damage around the joint.
Three dislocations suggest shoulder instability. after the first dislocation, the joint may become vulnerable. without proper strengthening or treatment even minor activities like throwing a stone can trigger another episodes
ORTHOPEDIC EVALUATION SUGGESTIONS
-MRI/CT SCAN- to see soft tissue
-Consut an orthopaedic surgeon - if the damage is significant, arthroscopic surgery may be needed to stabilise the joint
AYURVEDIC SUPPORTIVE MANAGEMENT
1)TRAYODASHNAG GUGGULU- 2 tabs twice daily after meals
=nerve and joint strengthening
2)ASHWAGANDHA CAPSULES- 1 cap twice daily in morning and night
=muscle and nerve tonic
3)BALARISTA- 20ml twice daily after meals
=strengthens muscles, relieves pain
4)RUMALAYA FORTE(HIMALAYA)- 1 tab twice daily after meals
=anti-inflammatory , joint support
EXTERNAL TREATMENTS
-OIL MASSAGE- with mahanarayan taila- daily focusing on shoulder girdle
-cotton soaked in warm medicated nirgundi taila applied to shoulder for 30 minutes
-Give steam with towel soaked in hot water it helps with stiffness and muscle tone
NASYA- with Anu taila
instill 2 drops of anutaila in each nostril daily morning
PHYSIOTHERAPY AND STRENGTHENING
-rotator cuff and scapular strengthening is critical to prevent recurrence
focus on
-isometric shoulder exercises
-theraband strengthening
-wall push-ups
avoid overhead throwing or heavy lifting until stability improves
AVOID
-sudden shoulder movement
-lifting heavy weights without supervision
-excess vata-aggraavating activates-exposure to cold etc
-warm sesame oil massage before bath
-light yoga- gomukhasana, bhujangasana
-nutritious diet with ghee, milk , almonds for muscle nourishment
if dislocation keeps happening despite conservative care go for surgery
if MRI shows labral tear or severe capsule laxity go for surgery
do follow
thank you
DR. HEMANSHU MEHTA
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If recurrent history of same shoulder than should take care not give pressure or work load on that shoulder.
🍀Better to visit near by Ayurved physician so accordingly some local treatment will be helpful.
🍀Till than you can start with :
Tab:Orthowin -2 tablets after breakfast and after dinner for 3 month.
🍀Tab:Tab:Cal -C -Feron - 2 tablets after breakfast and after dinner for 3 month.
🍀Tab:Muscle Tone - 2 tablets after breakfast and after dinner for 3 month.
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Thank you for sharing
Since the first injury happened in an accident, the shoulder joint myth become weak, unstable repeated dislocation shows that the muscles ligaments and joint capsule around the shoulder or not holding firmly
This can happen due to VATA imbalance and reduced joint strength
You can start with internal medicine to improve joint stability and external treatment to strengthen the area
Take tablets like
Yogaraj guggulu-
Lakshadi guggulu-one tablet twice daily after food with warm water
Mahanarayana taila-gentle shoulder massage with warm oil, followed by hot water towel fomentation
Avoid sudden jerks overhead, lifting, or heavy work with the hand
Gentle physiotherapy should be done
Go for MRI scan, if not done Enna to look for any joint gap, or tear
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Whenever the head of the humerus is displaced and loses contact with the glenoid cavity the condition is dislocation of the shoulder. Shoulder is the most common joint to dislocate as stability is compromised for mobility when compared to other joints.
* 3 type dislocation
1. Anterior dislocation - the head of the humerus lies in front of the glenoid cavity
2. Posterior dislocation - the head of the humerus lies behind the glenoid cavity
3. Subglenoid dislocation - the head of the humerus lies beneath the glenoid cavity
On examination - normal contour is lost , flattening of the shoulder joint.
✅ X - ray AP view
Shows anterior dislocation of a shoulder joint
* Different types of examinations
If needed better - MRI to rule out in recurrent shoulder dislocation.
🌱 Ayurvedic management of recurrent shoulder dislocation
1. Exercise : Rehabilitation is the most important thing for recurrent shoulder dislocation.active use and exercise, active use and exercise against resistance and active use and exercise with weight - bearing are the three phases of rehab.
2. Internal medication - gandha tailam - 10 drops with warm milk at bed time
3. Nasya - ksheerabala avarthi
4. Nagaradi choornam + karutha marmani gulika make paste with washed rice water or egg white apply affected area.
5. Pichu with panchasneha tailam
6. Maharasnadi kashayam - 15 ml with 60 ml boiled hot water morning and evening before food (empty stomach)
7. Aba guggulu or rasna guggulu 1 - 0 - 1 with kashayam
🌸 Physiotherapy is beneficial
🌸 Marma chikitsa is very beneficial
🌸 Shoulder immobilizer is also good for this condition
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HELLO MANIKANTA K ,
I'm sorry to hear about your recurring shoulder dislocation issue. since it has happened three times in five years, its considered a recurrent dislocation , and its important to take this seriously to avoid permenent damage or chronic instability.
RECURRENT DISLOCATION OFTEN MEANS
-ligaments and joint capsule are weakened or stretched
-Rotator cuff muscles may be weak or imbalanced
-there may be structural issues e.r; bankart lesion, hill-sachs lesion
AYURVEDIC APPROACH FOR RECURRENT SHOULDER DISLOCATION
1)ABHYANGA(OIL MASSAGE)
-use medicated oils like mahanarayan taila or murivenna taila
-warm oil massage around the shoulder(avoid deep pressure over joint)
-improves blood flow, reduces vata, and strengthens muscles
-daily or at least 3-4 times a week
2)PANCHAKARMA THERAPY-IN CLINIC UNDER EXPERT SUPERVISION
these detoxify and rejuvenate the body , especially effective in data-related disorders like joint dislocation
-PIZHICHIL- warm oil bath therapy to improve muscle tone
-NJAVARAKIZHIL- bolus massage with medicated rice to strengthen tissues
-BASTI KARMA- medicated enema to pacify vata dosha
INTERNAL MEDICATIONS
1)RASNA SAPTAKAM KASHYA- 20 ml twice daily with warm water after meals= for inflammation and joints stability
2)SIMHANAD GUGGULU- 1 tab twice daily in morning and evening
3)LAKSHADI GUGGULU- 2 tabs twice daily after meals
4)ASHWAGANDHA CHURNA- 1 tsp with warm milk at night= strengthen muscle sand nerves
DIET AND LIFESTYLE
-warm, unctuous, easy to digest foods
-avoid dry, cold and raw foods
-regular routines, good sleep, and stress reduction
-Avoid overuse of the shoulder- especially overhead or jerking movements
COMPLEMENTRY SAFE AND VERY EFFECTIVE
1)PHYSIOTHERAPY AND SHOULDER STRENGTHENING EXERCISES
-focus on rotator cuff strengthening- supraspinatus, infraspinatus, terms minor, subscapularris
-scapular stabilisation exercises
-gradual resistance training
2)SHOULDER BRACE AND SLING
-use during high-risk activities or early healing phase after dislocation
INVESTIGATIONS NEEDED
1)X-RAY(SHOULDER AP, LATERAL AND AXIALLARY VIEWS)
-checks for ant bone damage(like fracture, hill-sachs lesion)
-useful immediately after dislocation
2)MRI
-shows soft tissue damage- labral tears(bankart lesion), rotator cuff injuries, ligament laxity
3)CT SCAN
-for detailed bone mapping
-useful in complex or surgical cases
If dislocations continue despite this above treatment and physiotherapy , Surgery like ARTHROSCOPIC BANKART repair may be needed.
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
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Ayurveda can help support recovery and strengthen the shoulder joint, but it’s important to note that for recurrent dislocation (especially if it has happened three times), you must also consult an orthopedic doctor, as surgery or physiotherapy may be necessary to stabilize the joint.
Rx,
Tab. Shallaki 2 bd
Tab. Lakshadi guggulu 2 bd
Tab. Triyodashang guggulu 2 bd
Syp. Dashmoola arishtha 2tsf bd with equal amount of water
(1hr after meal ) for one month
Gentle massage with,
MahaNarayan tailam
Please visit nearby Panchkarma centre for further advice and treatment.
Precautions,
Avoid cracking, jerking, or stretching the shoulder unnecessarily.
If shoulder becomes unstable frequently, you may need MRI imaging and orthopedic opinion for surgical repair.
Repeated dislocation can lead to chronic instability and arthritis later.
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Get shoulder immobilisation done, then take these medicines
- laxadi guggul 1-0-1
- Abha guggul 1-0-1 ashwagandha tablet 1-0-1 after food with water
Later as mobility improves start doing shoulder strengthening exercises slowly .
Apply ashwagandha+ mahanarayan oil on shoulder area daily.
Follow up after 1 month.
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