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
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.
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
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
Panchakarma will help in this case. Pls contact panchakarma therapist.
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
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.
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.
