Tag: Ayurvedic management for Scapular Dyskinesis

Scapular Dyskinesis And Its Ayurvedic Treatment With Herbal Remedies

ABSTRACT

Scapula or the shoulder blade is a bone placed on the upper portion of the back. It is supported by a number of muscles and are responsible for the appropriate movement of the shoulder. There are various difficulties which can hinder the normal movement of the shoulder or arm. One such condition is scapular dyskinesis. The causes, symptoms, diagnosis and ayurvedic aspect of scapular dyskinesis is described as follows.

INTRODUCTION

The term in scapular dyskinesis refers to abnormality in the normal motion or movement. Scapular dyskinesis is identified when the shoulder blade does not function in a natural manner. Scapular dyskinesia is a condition whereby the shoulder blade does not move in a natural way. This movement can either be limited or the shoulder blade can move to places where it should not go. The most common problem associated with scapular dyskinesis is pain and weakness of the muscles which are attached to it. While scapular dyskinesis is an individual disease, it may also be related with a variety of health conditions. The details regarding the causes and symptoms will be explained as follows.

CAUSES

There could be a variety of causes underlying the condition of scapular dyskinesis. It may vary from patient to patient. The various reasons resulting in the condition of scapular dyskinesis can be injuries leading to damage to the nerves, muscles or the joints, etc. There may be different pathological conditions that may result in damaging the supporting structures such as muscles, etc. The loss of flexibility may also be responsible for the condition of scapular dyskinesis. Weakness in the body, especially the core, hips, etc. may give rise to the condition of scapular dyskinesis. Bone fractures or weakness of the bones can also result in scapular dyskinesis. Apart from these, there may be a variety of causes, such as a sports injury. Almost ninety percent of the cases arise due to a dislocated injury. Sports like swimming, volleyball, gymnastics, etc. will make the individual more prone to the condition of scapular dyskinesis. This deformity is observed usually in the males of the age group of 18 to 25 years. These will result in different symptoms described as follows.

scapular dyskinesis

SYMPTOMS

The symptoms of scapular dyskinesis will include pain and weakness in the muscles which are attached to the scapula. Scapular dyskinesis can cause pain in the shoulder area, upper chest and in some cases, the mid back region. This pain usually occurs during or after movements of the shoulder blade and is often difficult to isolate. Also there is a possibility of weakness in the muscles attached to the scapula. The symptoms, although will vary from patient to patient, the above described being the most commonly observed. The most common could be as follows. The pain aggravates especially when you raise your arm or while lifting weight. The patient complains of reduced strength in the arm and shoulder. The shoulder region appears to be asymmetrical and looks similar to wings or a bit out of the place. These symptoms may intensify and may be accompanied or associated with excessive stiffness in shoulder, chronic inflammation, etc.

DIAGNOSIS

For diagnosing any diseased condition or deformity, a detailed history should be obtained from the patient. This history would include giving details about the pain such as specific movements that aggravate the pain, when it was first experienced, when the restricted movement was observed, etc. This will be suggestive of the condition. For the confirmatory diagnosis, X- rays or MRI may not be required. The examination of your physical signs may be enough to diagnose scapular dyskinesis. In some cases,a nerve test may be advised, the purpose would be to evaluate the extent of the damage to the nerve. As soon as the condition is diagnosed, appropriate medical treatment should be provided.

TREATMENT

The modern system of medicine deals with the condition of scapular dyskinesis through physical therapy or rehabilitation. This may need the guidance of a trained physiotherapist. This will depend on the extent of the condition and the field of movement of the joint. The physiotherapy may be required for different time periods depending on the condition, usually it lasts for four to eight weeks. These therapies may be accompanied with a dose of oral medications also such as analgesics or anti- inflammatory medicines to cope up with the pain and inflammation. Various exercises may also be advised to improve the strength of the muscles and improve the movement. This was the modern practice of medicine, let’s have a look on the ayurvedic perspective also.

AYURVEDIC ASPECT

The modern perspective of the condition of scapular dyskinesis is described now the Ayurvedic point of view regarding the scapular dyskinesis will be detailed as follows. The condition of scapular dyskinesis can be related to avabahuka in the Ayurvedic perspective. Ayurveda describes avbahuk as a result of the following causative factors such as vata aggravating factors, injury to the neck, dislocation of the shoulder joint, an overgrowth or tumor, etc. This will lead to loss of functions, restricted movement, reduced strength and even atrophy of the muscles. This condition can be dealt with appropriate treatment strategy which includes a variety of ayurvedic formulations such as boswellia curumin, rumogin 5 capsules, ashwagandha capsules, etc. These ayurvedic formulations will be described as follows.

HERBAL REMEDIES BY PLANET AYURVEDA FOR SCAPULAR DYSKINESIS

Planet Ayurveda is providing various preparations of natural herbs such as  rumogin 5 capsules, ashwagandha capsules, etc. which are prepared using authentic ways and provide great results in improving the condition of scapular dyskinesis. All the herbal products manufactured here are free from chemicals, preservatives, starch, additives, colors and fillers. These products are hundred percent natural and are formulated by MD Ayurvedic doctors with deep knowledge of Ayurveda and many years of experience. The ayurvedic formulations beneficial for the condition of scapular dyskinesis is described as follows.

Ayurvedic Treatment For Scapular Dyskinesis
Herbal Supplements for Scapular Dyskinesis

1. Boswellia Curcumin

Boswellia curcumin is an ayurvedic formulation being prepared by planet ayurveda in the form of capsules. It contains a combination of beneficial ayurvedic herbs such as shallaki (Boswellia serrata) and haridra or turmeric (Curcuma longa). This combination helps to manage the pain sensations effectively. It is also known to provide strength to the muscles and bones in the body. Boswellia curcumin capsules will thus help to improve the movement and hence manage the condition of scapular dyskinesis.

Dose – One capsule two times a day, after meals.  

2. Yograj Guggul

Yograj guggul is being prepared by planet ayurveda using various natural and beneficial ayurvedic components such as cumin (Cuminum cyminum), Pippali (Piper longum), bibhitaki (Terminalia bellerica), gokshur (Tribulus terrestris), etc. This combination of herbs is beneficial in a variety of health conditions. Yograj guggul is very effective in managing the various anti-inflammatory conditions of the joints and bones. This helps to pacify the excessive vata dosha from the body. In turn, this will help to improve the functioning of the shoulder.

Dosage – Two tablets two times a day, after meals.

3. Rumogin 5 capsules

Rumogin 5 capsules are prepared by planet ayurveda using various natural ingredients such as haridra (Curcuma longa), maricha (Piper nigrum), Pippali (Piper longum), etc. It helps to pacify the aggravated vata dosha from the body. This will help to improve the movement of the shoulder, and will also be effective in managing stiffness and pain impulses. Thus, benefitting the patient of scapular dyskinesis.

Dosage – One capsule two times a day, after meals.

4. Ashwagandha Capsule

Ashwagandha capsules are prepared by planet ayurveda using the natural extracts of ashwagandha (Withania somnifera). The ayurvedic drug ashwagandha is known to be very beneficial for improving the various vataj conditions. It contains various medicinal properties such as antioxidant properties, immune boosting properties, etc. The extracts of ashwagandha are also beneficial in improving the bone and muscle strength of the body.

Dosage – One capsule two times a day, after meals.

5. Hakam Churna

Planet ayurveda prepares hakam churna which contains a variety of beneficial ayurvedic components such as kalonji (Nigella sativa), ajwain (Trachyspermum ammi), etc. This will help to improve the digestive system and remove the toxins residing in the form of undigested food. Further, balance between the three dosha (vata, pitta, kapha) will be stabilized and thus, enhancing the overall health condition of the body.

Dosage – 1/2 tsp two times a day with warm water.

Contact Planet Ayurveda Support Team to provide you the costing/ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or Whatsapp at (+91) 842-749-4030.

CONCLUSION

In a nutshell, it can be concluded that the condition of scapular dyskinesis can be managed effectively through ayurvedic formulations as described earlier. The one aspiring to get rid of the diseased condition or maintaining the health of the body, must strictly follow the ayurvedic principles. Constant efforts should be made to stay on the healthier side by following a healthy diet and lifestyle along with the use of natural ayurvedic formulations.

Scapular Dyskinesis & Its Ayurvedic Treatment With Herbal Remedies

ABSTRACT

Scapula or shoulder blade is a large triangular shaped bone which lies in the upper neck (T2 T7). The bone is surrounded by complex muscles which work together to move the arm, and further leads to injury if normal ball and socket alignment of the shoulder is not maintained. The scapula is an upper limb kinematic chain and is a vital component of glenohumeral rhythm. Normal range of motion in the shoulder is loose causing scapular dyskinesis. Men between 18-25 age are more likely to be diagnosed with scapular dyskinesis. The medical term of scapular dyskinesis (dys-alteration of , kinesis- movement). Commonly known as winged scapula as it is clinical observation where any part of the scapula departs excessively from the thorax and movement is initiated. In this article we are going to study its pathophysiology, causes, symptoms and many herbal medications in detail.

Scapular Dyskinesis

INTRODUCTION

The glenohumeral joint is the gateway between the axial skeleton and the upper limb. The glenoid fossa and humeral head permits the multiplanar movement of joints.The balance between joint stability and movement is regulated by static and dynamic factors. In scapular dyskinesia patient complain of loss of function and pain with rotator cuff and shoulder capsule being the most common culprit.Scapular dyskinesia is musculoskeletal entity which is due to alteration in motion and position due to painful condition of the shoulder joint. Scapula can move in 4 planes- Elevation/depression, Retraction, internal external rotation, anterior posterior tilt. Glenohumeral joint and scapulothoracic articulation move in harmony. In scapular dyskinesis shoulder blades stick abnormally during rest and activity and stick out like a wings and which further causes great injury.

PATHOPHYSIOLOGY FOR SCAPULAR DYSKINESIS

Scapular dyskinesis is splitted into 3 groups-

  1. Shoulder related – The trapezius and serratus anterior muscle are linked in the development of dyskinesia as in both shoulder instability is seen. The most common forms of dyskinesia are Acromioclavicular instability, Rotator cuff injuries, Clavicle fracture, Nerve related, and disturbance in scapulohumeral rhythm. The tightness of muscles of the pectoral promotes anterior translation of the shoulder which causes stiffness in the glenohumeral capsule which alters the scapula position.
  2. Neck related – Two subtypes of neck pathology affect shoulder are-
    1. Mechanical neck pain (group of pathology which affects joints and muscles) of the neck due to western style and more use of computers causes slouched posture where cervical and thoracic spines lose their curvatures.
    2. Cervical nerve root syndrome – All the nerves which provides sensory and motor supply to shoulder originate from brachial plexus and accessory nerves, pathology arises when more than one nerve is activated around scapula and further disorganized the rhythm of scapula movement to main skeleton of upper limb.
  3. Posture related causes – Kyphosis and cervical lordosis changes the position of scapula. More changes are seen in athletes, which develops core muscles and imbalance the spinal curvature and soft tissue tension.

CAUSES OF SCAPULAR DYSKINESIS

  • Muscle strain due to prolonged work in front of computer
  • Stress
  • Heavyweight exercise
  • Frozen shoulder
  • Disease related to cancer and heart disease
  • Improper posture
  • Cervical spondylosis
  • Poor lifestyle, hormonal imbalance

SYMPTOMS FOR SCAPULAR DYSKINESIS

  • Pain and tenderness around the scapula on the top of the inner border.
  • Weakness in the affected arm
  • Fatigue with repeated activity
  • Limited range of motion
  • A crunching type of sound is felt around shoulder movement
  • Winging of scapula
  • Tilted posture of affected side
  • Shoulder stiffness
  • Chronic inflammation
  • Injury to rotator cuff muscles

KIBLER CLASSIFICATION OF SCAPULAR DYSFUNCTION

  1. Type 1 or inferior dysfunction – Most common in patients with rotator cuff dysfunction. The primary external visual is prominent in inferior angle as anterior tilting of the scapula in the sagittal plane.
  2. Type 2 or medial dysfunction – Most commonly seen in patients with glenohumeral joint instability. It is due to internal rotation of the medial scapular border.
  3. Type 3 or superior dysfunction – This dysfunction is due to rotator cuff dysfunction and deltoid rotator cuff imbalances. It is compensatory hiking of the shoulder joint.

DIAGNOSTIC PROCEDURES FOR SCAPULAR DYSKINESIS

  1. Determining the presence and absence of dyskinesia
  2. Symptom altering test-
  3. Scapular retraction test
  4. Scapular assistance test
  5. Lateral scapular slide test
  6. Isometric scapular pinch test
  7. Wall pushup test
  8. Scapular load test
    1. Manual muscle testing (MMT)
    2. Static measurement
    3. Core evaluation
    4. Visual observation
    5. MRI
    6. CT SCAN
    7. X- RAY

TREATMENT AND HOME REMEDIES FOR SCAPULAR DYSKINESIS

The main goal of therapy is to improve the kinematic chain at different levels from cervical and thoracic spine to shoulder.

  • Non surgical treatment – Using non steroidal anti inflammatory drugs such as ibuprofen, which can relieve pain and swelling.
  • Physical therapy usually focuses on – Strengthening the muscles to stabilize and move the scapula, stretching the tight muscles which are limiting scapular motions.
  • Surgical treatment – This is followed by rehabilitation to restore the scapula normal motion.

    REHABILITATION they are splitted into 3 stages-

    1. ACTIVE CONSCIOUS CONTROL – Surrounding structures are involved and neutral spine position is maintained respecting the curvature of spines at different levels. This effect rearranges the spine muscles to maintain neutral spine position and it is practised multiple times throughout the day.
    2. STRENGTH AND CONTROL FOR DAILY ACTIVITIES – It includes open chain and closed chain activity. Open chain includes inferior glide and it re-arranges the rhomboid muscles, whereas closed chain coordinates the rotator cuff muscles.
    3. CONTROL IN ATHLETIC PERFORMANCE – It adheres to the scapular control and task specific in muscle strength.

HOME REMEDIES FOR SCAPULAR DYSKINESIS

  1. Restore good posture – Perform good posture, try to sit and stand properly.
  2. Heat therapy – Soaking in a hot bath using a heat pad which helps to alleviate tight shoulder muscles.
  3. Balancing exercise routine – In this stretching exercise is included for shoulder joint rotation and for shoulder muscles.

AYURVEDIC MANAGEMENT FOR SCAPULAR DYSKINESIS

Ayurveda is an ancient science which has deep knowledge of the human body and provides the best cures for pain and injuries. Due to imbalance of vata dosha there is pain in the shoulder which makes movement difficult, due to imbalance of pitta dosha there are 4 changes felt in the shoulder (redness, heat, swelling, pain and there is loss of function). Due to imbalance of kapha doshas there is inflammation in the part of the shoulder. Many herbs and panchakarma therapy is effective in scapular dyskinesia which provides relief to patients without any side effects.

SOME HERBS FOR SCAPULAR DYSKINESIS

  1. Turmeric – Turmeric (Curcuma longa) has a warm bitter taste which decreases swelling, used in the treatment of inflammation. Commonly used for osteoarthritis, it controls high levels of cholesterol, reduces liver injury and takes up turmeric as it prevents fat buildup in the liver. Turmeric is used to control itching, and reduces pain by improving function in patients. Turmeric has an analgesic property.
  2. Ashwagandha – Ashwagandha has anti inflammatory and analgesic properties, reduces swelling, lowers the blood pressure and calms the activity of the brain. Ashwagandha improves the overall sleep and reduces stress and stress related weight gain.
  3. Ginger – Ginger has antibacterial properties, anti inflammatory as it reduces swelling as it is helpful in both rheumatoid arthritis and osteoarthritis. Ginger lowers the sugar level, and eases period pain. It has antioxidant compounds which prevent stress and fight against blood pressure, heart disease, and promote aging.

HERBAL REMEDIES BY PLANET AYURVEDA ON SCAPULAR DYSKINESIS

Planet Ayurveda is an ayurvedic clinic which provides great treatment with great results. All the formulations are prepared under strict observance of M.D AYURVEDA practitioners. These remedies are free from any kind of color, resins, gums, and any kind of synthetic material. As the remedies are 100% pure so they can be used without worrying about its side effects. For the purpose of management, planet ayurveda provides many formulations which include the following.

PRODUCTS LIST

  1. Boswellia Curcumin
  2. Yograj Guggul
  3. RumoGin 5
  4. Ashwagandha Capsule
  5. Hakam Churna

Ayurvedic Treatment For Scapular Dyskinesis

PRODUCTS DESCRIPTION

1. Boswellia Curcumin

Boswellia curcumin is polyherbal capsules formulated by planet Ayurveda consisting of Shallaki (Boswellia serrata), Curcumin (Curcuma longa). Effective medicine for osteoarthritis, cervical spondylitis, Crohn’s disease, brain tumors. Boswellia has anti inflammatory and anti-arthritic action in both acute and chronic inflammation. Has antioxidant rich formula which is not only useful in joints but helpful in neuroprotective activity and maintaining the cardiovascular system.

Dosage: 1 capsule twice daily after meals with plain water.

2. Yograj Guggul

Yograj Guggul are in the form of herbal tablets which are formulated by planet ayurveda which consists of Amla (Emblica officinalis), Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellirica), Long pepper (Piper longum), Rasna (Pluchea lanceolata), Ajwain (Carum copticum), Vidanga (Embelia ribes), Ginger (Zingiber officinale), Tejpatra (Cinnamomum tamala), Black pepper (Piper nigrum) and many more. Yograj guggul increases digestion power, complexion, balances vata dosha disease which affects joints, bones, marrow. Plays an important role in neurological disorders such as paralysis, hemiplegia. It reduces pain, tingling sensation, in coccyx pain it is very helpful, in shoulder dislocation.

Dosage: 2 tablets twice daily with lukewarm water.

3. Rumogin 5 Capsules

Rumogin 5 capsules is herbal formulations in the form of capsules formulated by planet ayurveda consisting of Haridra (Curcuma longa), Sonth (Zingiber officinale), Shallaki (Boswellia serrata), Maricha (Piper nigrum), Pippali (Piper longum). The chronic disorders are well treated like morning stiffness, and in many bone spondylitis. Sonth is useful in respiratory disorders and long consumption of this medicine heals joints and maintains synovial fluid in the proper way. Pippali is useful for digestion and maintaining digestive fire.

Dosage: 1 capsule twice daily.

4. Ashwagandha Capsules

Ashwagandha capsules are single herbal capsules formulated by planet ayurveda using extracted formulation of Ashwagandha (Withania somnifera). It is a very useful formulation in diseases like stress, fatigueness, loss of weight due to cancer, and diabetes. Regular use of these capsules help to bring back strength to muscles and calms down the system. Ashwagandha is helpful in erectile dysfunction, premature ejaculation, and provides stamina and muscle power. Has anti stressor effect, and exhibits anti depressive effect. It works as an anti-inflammatory therefore restores blood supply and reduces swelling. Improves mental ability and curbs down the fatigueness and works as rasayan.

Dosage: 1 capsule twice daily with plain water after meals.

5. Hakam Churna

Hakam churna is polyherbal churna formulated by planet ayurveda using various ingredients – Chandrashoor (Lepidium sativum), Kalonji (Nigella sativaa), Methi (Trigonella foenum graecum), Ajwain (Trachyspermum ammi). Hakam churna is tridoshic rasyan and is anti spasmodic, anti inflammatory and in painful condition as in sciatica, stiffness. Hakam churna improves liver function and improves digestion. It reduces serum cholesterol and provides relief to anorectal pain.

Dosage: ½ tsp twice daily with warm water.

CONCLUSION

Scapular dyskinesis is loss of normal scapular mechanics, motion. It restricts the normal range of motions in shoulder blades. Weakness in bones, loss of flexibility, damage to nerves can cause scapular dyskinesis. In ayurveda it is due to all the three doshas as vata doshas cause pain and restricted movement of the shoulder, pitta dosha causes redness, swelling, heat and loss of function, kapha dosha causes inflammation in the shoulder. To balance this doshas many ayurvedic herbs and formulations by Planet Ayurveda are discussed above to provide relief to patients without any side effects.