Traditional Approaches to Managing Adhesive Capsulitis: A Comprehensive Review

Authors

  • Syed Faisal Ali P.G.Scholar, Department of Ilaj Bit Tadbeer, Hakim Syed Ziaul Hasan Govt. Autonomous Unani Medical College & Hospital Bhopal (M.P.) https://orcid.org/0009-0002-6439-585X
  • Mehmooda Begum HOD & Proffessor, Department of Ilaj Bit Tadbeer, Hakim Syed Ziaul Hasan Govt Autonomous Unani Medical College & Hospital Bhopal (M.P)
  • Arif Anees Associate Proff., Department Of llaj Bit Tadbeer,Hakim syed Ziaul Hasan Govt. Autonomous Unani Medical College & Hospital Bhopal (MP).
  • Mohd Hammad Athar Ansari P.G. Scholar, Department of Ilaj Bit Tadbeer, Hakim Syed Ziaul Hasan Govt. Autonomous Unani Medical College & Hospital Bhopal (M.P.)

Abstract

Adhesive Capsulitis results in progressive painful restriction in range of movement and can reduce function and quality of life. Adhesive Capsulitis commonly known as Frozen shoulder Syndrome and also called pericapsulitis, periarthritis, adherent bursitis, shoulder periarthritis, scapulo-humeral periarthritis. In Unani literature the Adhesive Capsulitis are met under the caption of Wajaul Mafasil & Tahajjure Mafasil. Waja-ul-Mafasil is a painful or inflammatory condition affecting joints, their surrounding muscle and ligaments of shoulder. Zakaria Razi described the disease in the eleventh volume of his book Al-HAWI cause of Waja-ul-Mafasil is formation of abnormal chyme (Rutubat-e-Mukhatia) due to Nuqs in (defect) Hazm-e-Kabidi and Hazm-e-Urooqi. Akbar Arzani in Tibb-e-Akbar have added that accumulation of Galeez-Riyah in surrounding structure.It can affect almost all joints of the body and they named after the joint involved as Waja ul warik, Waja uz zahr, Waja ur rakba, Waja ul waqab, Waja ul khasera. In Unani medicine, Wajaʹul- Mafasil is managed through Ilaj Bit Tadbeer (Regimenal therapy), Ilaj Bid Dawa (Pharmacotherapy), or Ilaj Bil Yad (Surgery). Ilaj Bit Tadbeer is one mode of treatment in which various regimens like Takmeed Dalak, Fasd, Riyazat, Nutool, zimad,and Hijama etc are used as a part of treatment so as to offer the patients relief. Pharmacological treatment options include single (Suranjan, Bozidan, Asgandh, etc.) or compound (Habbe Muquil, Majoon Chobchini, Habbe Suranjan, Habbe Asgandh, etc.) medications. This review paper discussed concept of adhesive capsulitis & safe or alternative method of treatment which given by traditional philosophers in classical text which was less harmful in comparison to modern medicine.

Keywords: Adhesive capasulitis, Frozen shoulder syndrome, wajaul mafasil, Unani medicine.

Keywords:

Adhesive capasulitis, Frozen shoulder syndrome, wajaul mafasil, Unani medicine

DOI

https://doi.org/10.22270/jddt.v15i5.6937

Author Biographies

Syed Faisal Ali , P.G.Scholar, Department of Ilaj Bit Tadbeer, Hakim Syed Ziaul Hasan Govt. Autonomous Unani Medical College & Hospital Bhopal (M.P.)

P.G.Scholar, Department of Ilaj Bit Tadbeer, Hakim Syed Ziaul Hasan Govt. Autonomous Unani Medical College & Hospital Bhopal (M.P.)

Mehmooda Begum , HOD & Proffessor, Department of Ilaj Bit Tadbeer, Hakim Syed Ziaul Hasan Govt Autonomous Unani Medical College & Hospital Bhopal (M.P)

HOD & Proffessor, Department of Ilaj Bit Tadbeer, Hakim Syed Ziaul Hasan Govt Autonomous Unani Medical College & Hospital Bhopal (M.P)

Arif Anees , Associate Proff., Department Of llaj Bit Tadbeer,Hakim syed Ziaul Hasan Govt. Autonomous Unani Medical College & Hospital Bhopal (MP).

Associate Proff., Department Of llaj Bit Tadbeer,Hakim syed Ziaul Hasan Govt. Autonomous Unani Medical College & Hospital bhopal (MP).

Mohd Hammad Athar Ansari , P.G. Scholar, Department of Ilaj Bit Tadbeer, Hakim Syed Ziaul Hasan Govt. Autonomous Unani Medical College & Hospital Bhopal (M.P.)

P.G. Scholar, Department of Ilaj Bit Tadbeer, Hakim Syed Ziaul Hasan Govt. Autonomous Unani Medical College & Hospital Bhopal (M.P.) 

References

1. Jayson MIV. Frozen Shoulder: Adhesive Capsulitis. British Medical Journal (Clinical Research Edition). 1981;283:(6298)-1005-6. https://doi.org/10.1136/bmj.283.6298.1005 PMid:6794738 PMCid:PMC1507254

2. Divya K. Management of frozen shoulder with Upanaha (Poultice Sudation)- A Case Study" Research Desk, 2013; 2(3):286-292.

3. Neviaser AS and Neviaser RJ. Adhesive capsulitis of the shoulder. J Am Acad Orthop Surg 2011; 19: 536- 542. https://doi.org/10.5435/00124635-201109000-00004 PMid:21885699

4. Manske RC and Prohaska D. Diagnosis and management of adhesive capsulitis. Curr Rev Musculoskelet Med 2008; 1: 180-189. https://doi.org/10.1007/s12178-008-9031-6 PMid:19468904 PMCid:PMC2682415

5. Page P, Labbe A. Adhesive capsulitis: use the evidence to integrate your interventions. N Am J Sports Phys Ther. 2010; 5(4): 266-73.

6. Agnihotri L, Dwivedi R, Vyas MK, Singh AK. Frozen shoulder - A case study. Int J Appl Ayurved Res 2016;2:1341‐5.

7. de la Serna, D., Navarro-Ledesma, S., Alayon, F., Lopez, E. & Pruimboom, L. A comprehensive view of frozen shoulder: a mystery syndrome. Front. Med. 8, 663703 (2021). https://doi.org/10.3389/fmed.2021.663703 PMid:34046418 PMCid:PMC8144309

8. Le, H. V., Lee, S. J., Nazarian, A. & Rodriguez, E. K. Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder Elb. 9, 75-84 (2017). https://doi.org/10.1177/1758573216676786 PMid:28405218 PMCid:PMC5384535

9. zen shoulder. J. Shoulder Elb. Surg. 26, 49-55 (2017). https://doi.org/10.1016/j.jse.2016.04.026 PMid:27424251

10. Wang, J.-Y. et al. Hyperlipidemia is a risk factor of adhesive capsulitis: real-world evidence using the Taiwanese National Health Insurance Research Database. Orthop. J. Sports Med. 9, 2325967120986808 (2021). https://doi.org/10.1177/2325967120986808 PMid:33869642 PMCid:PMC8024456

11. Li, W., Lu, N., Xu, H., Wang, H. & Huang, J. Case control study of risk factors for frozen shoulder in China. Int. J. Rheum. Dis. 18, 508-513 (2015). https://doi.org/10.1111/1756-185X.12246 PMid:24438046

12. Itoi, E. et al. Shoulder stiffness: current concepts and concerns. Arthroscopy 32, 1402-1414 (2016). Classic article on general aspects of shoulder stiffness and management options. https://doi.org/10.1016/j.arthro.2016.03.024 PMid:27180923

13. Pietrzak, M. Adhesive capsulitis: an age related symptom of metabolic syndrome and chronic low- grade inflammation? Med. Hypotheses 88, 12-17 (2016). https://doi.org/10.1016/j.mehy.2016.01.002 PMid:26880627

14. Kelley MJ, Mcclure PW, Leggin BG. Frozen Shoulder: Evidence and a Proposed Model Guiding Rehabilitation. J Orthop Sports Phys Ther. 2009; 39(12): 35-48 https://doi.org/10.2519/jospt.2009.2916 PMid:19194024

15. Rodeo SA, Hannafin JA, Tom J, Warren RF, Wickiewicz TL. Immunolocalization of cytokines and their receptors in adhesive capsulitis of the shoulder. J Orthop Res. 1997; 15(3):427-436. https://doi.org/10.1002/jor.1100150316 PMid:9246090

16. Tveitå EK, Sandvik L, Ekeberg OM, Juel NG, Bautz-Holter E. Factor structure of the Shoulder Pain and Disability Index in patients with adhesive capsulitis. BMC Musculoskelet Disord. 2008;9:103. https://doi.org/10.1186/1471-2474-9-103 PMid:18637165 PMCid:PMC2504478

17. Hannafin JA, Chiaia TA. Adhesive capsulitis. A treatment approach. Clin Orthop Relat Res. 2000;372:95 https://doi.org/10.1097/00003086-200003000-00012

18. Tasto JP, Elias DW. Adhesive capsulitis. Sports Med Arthrosc. 2007; 15(4):216- 21. https://doi.org/10.1097/JSA.0b013e3181595c22 PMid:18004221

19. Hand C, Clipsham K, Rees JL, Carr AJ. Long-term outcome of frozen shoulder. J Shoulder Elbow Surg. 2008;17(2):231-36. https://doi.org/10.1016/j.jse.2007.05.009 PMid:17993282

20. Laubscher PH; Rösch TG. Frozen shoulder: A review, SA Orthopaedic Journal Spring. 2009;8(03): 24-29.

21. Agnihotri L, Dwivedi R,Vyas MK, Singh AK. Frozen shoulder-A case study. International Journal of Applied Ayurved Research. 2016; 2(9): 1341-'45.

22. Victoria Ryan, Hazel Brown, Catherine J. Minns Lowe and Jeremy S. Lewis. Thepathophysiology associated with primary (idiopathic) frozen shoulder: A systematic review. BMC Musculoskeletal Disorders (2016) 17:340; 1-21 https://doi.org/10.1186/s12891-016-1190-9 PMid:27527912 PMCid:PMC4986375

23. MD Hashmat Imam, Mohammad Ishtiyaque Alam, Anirban Goswami. A systematic review on frozen shoulder (adhesive capsulitis)2018:7(3) 101-112

24. Lee, S. H. et al. Measurement of shoulder range of motion in patients with adhesive capsulitis using a Kinect. PLoS ONE 10, e0129398 (2015) https://doi.org/10.1371/journal.pone.0129398 PMid:26107943 PMCid:PMC4479560

25. Hollmann, L., Halaki, M., Kamper, S. J., Haber, M. & Ginn, K. A. Does muscle guarding play a role in range of motion loss in patients with frozen shoulder? Musculoskelet. Sci. Pract. 37, 64-68 (2018). https://doi.org/10.1016/j.msksp.2018.07.001 PMid:29986193

26. De Baets, L., Matheve, T., Traxler, J., Vlaeyen, J. & Timmermans, A. Pain-related beliefs are associated with arm function in persons with frozen shoulder. Shoulder Elb. 12, 432-440 (2020). https://doi.org/10.1177/1758573220921561 PMid:33281948 PMCid:PMC7689605

27. Quan, G. M., Carr, D., Schlicht, S., Powell, G. & Choong, P. F. Lessons learnt from the painful shoulder; a case series of malignant shoulder girdle tumours misdiagnosed as frozen shoulder. Int. Semin. Surg. Oncol. 2, 2 (2005) https://doi.org/10.1186/1477-7800-2-2 PMid:15647117 PMCid:PMC546198

28. Rangan, A. et al. Frozen shoulder. Shoulder Elb. 7, 299-307 (2015). https://doi.org/10.1177/1758573215601779 PMid:27582992 PMCid:PMC4935124

29. Choi, Y. H. & Kim, D. H. Correlations between clinical features and MRI findings in early adhesive capsulitis of the shoulder: a retrospective observational study. BMC Musculoskelet. Disord. 21, 542 (2020). https://doi.org/10.1186/s12891-020-03569-8 PMid:32791997 PMCid:PMC7427071

30. Do, J. G., Hwang, J. T., Yoon, K. J. & Lee, Y. T. Correlation of ultrasound findings with clinical stages and impairment in adhesive capsulitis of the shoulder. Orthop. J. Sports Med. 9, 23259671211003675 (2021). https://doi.org/10.1177/23259671211003675 PMid:33997079 PMCid:PMC8113659

31. Dr. Vaishali V. Dolas, Dr. Aninda Sarkar.Adhesive capsulitis: a review of current clinical treatments.ISSN: 0719-3726), vol 13, special issue. 2025

32. Jain, T. K. & Sharma, N. K. The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review. J. Back Musculoskelet. Rehabil. 27, 247-273 (2014) https://doi.org/10.3233/BMR-130443 PMid:24284277

33. Hettrich, C. M. et al. The effect of myofibroblasts and corticosteroid injections in adhesive capsulitis. J. Shoulder Elb. Surg. 25, 1274-1279 (2016). https://doi.org/10.1016/j.jse.2016.01.012 PMid:27039673

34. Manske RC, Prohaska D. Diagnosis and management of adhesive capsulitis. Curr Rev Musculoskelet Med. 2008;1:180-89. https://doi.org/10.1007/s12178-008-9031-6 PMid:19468904 PMCid:PMC2682415

35. Kelley, M. J. et al. Shoulder pain and mobility deficits: adhesive capsulitis. J. Orthop. Sports Phys. Ther. 43, A1-A31 (2013). https://doi.org/10.2519/jospt.2013.0302 PMid:23636125

36. Vermeulen, H. M., Schuitemaker, R., Hekman, K. M. C., van der Burg, D. H. & Struyf, F. De SNN Praktijkrichtlijn Frozen Shoulder voor Fysiotherapeuten (Schoudernetwerken Nederland, 2017).

37. Kelley, M. J. et al. Shoulder pain and mobility deficits: adhesive capsulitis. J. Orthop. Sports Phys. Ther. 43, A1-A31 (2013). https://doi.org/10.2519/jospt.2013.0302 PMid:23636125

38. Favejee, M. M., Huisstede, B. M. & Koes, B. W. Frozen shoulder: the effectiveness of conservative and surgical interventions-systematic review. Br. J. Sports Med. 45, 49-56 (2011). https://doi.org/10.1136/bjsm.2010.071431 PMid:20647296

39. Georgiannos, D., Markopoulos, G., Devetzi, E. & Bisbinas, I. Adhesive capsulitis of the shoulder. Is there consensus regarding the treatment? A comprehensive review. Open Orthop. J. 11, 65-76 (2017). https://doi.org/10.2174/1874325001711010065 PMid:28400876 PMCid:PMC5366387

40. Page, M. J. et al. Electrotherapy modalities for adhesive capsulitis (frozen shoulder). Cochrane Database Syst. Rev. https://doi.org/10.1002/14651858.CD011324

41. Minagawa, H. Silent manipulation for frozen shoulder. MB Orthop. 25, 93-98 (2012).

42. Itoi, E. & Minagawa, H. in Shoulder Stiffness: Current Concepts and Concerns (eds Itoi, E. et al.) 205-215 (Springer, 2015). https://doi.org/10.1007/978-3-662-46370-3_19

43. van de Laar, S. M. & van der Zwaal, P. Management of the frozen shoulder. Orthop. Res. Rev. 6, 81-90 (2014). https://doi.org/10.2147/ORR.S71115

44. Hsu, J. E., Anakwenze, O. A., Warrender, W. J. & Abboud, J. A. Current review of adhesive capsulitis. J. Shoulder Elb. Surg. 20, 502-514 (2011). https://doi.org/10.1016/j.jse.2010.08.023 PMid:21167743

45. Diwan, D. B. & Murrell, G. A. An evaluation of the effects of the extent of capsular release and of postoperative therapy on the temporal outcomes of adhesive capsulitis. Arthroscopy 21, 1105-1113 (2005). https://doi.org/10.1016/j.arthro.2005.05.014 PMid:16171636

46. Arzani A. Tibbe Akbar. Urdu Translation by Hk Hussain. Deoband: Faisal Publication; YNM. 90-92, 617- 618, 626-627.

47. Ahmad KR. Tarjuma Sharahe Asbab ma'a Hashiyae Sharif Khan wa Mamoolate Matab. New Delhi: CCRUM,Ministry of Health and Family Welfare, Govt.of India. 2010; 3:395-399.

48. Khan MA. Akseere Azam, Al Akseer. Urdu Translation by Hk Mohd Kabeeruddin, Idara Kitabus shifa; New Delhi. 2011; 206:836-837.

49. Razi, Kitab-al-Hawi. New Delhi: CCRUM, Ministry of Health and Family Welfare; Govt of India, 2004,

50. Ali Ibn Abbas Majoosi, Kamilus Sanah. (Urdu translation by Kantoori GH) New Delhi: Idara Kitabus Shifa. 2010; 1:543-46

51. Jurjani I ,zakheerae khwarzam shahi , (urdu translation by khan H.H) Delhi, idara kitabus shifa,2009 637-641.

52. Abuzar Lari, Mohammed Tausif and Javed Ah Lari,Concept of Waja-uz-Zahr (Low back pain) and its Unani management 2018; 2(3): 23-26 https://doi.org/10.33545/2616454X.2018.v2.i3a.48

53. Baghdadi IH, Kitab-Al-Mukhtarat fit tib. (Urdu translation by CCRUM). New delhi; CCRUM, 2004, 4

54. Arzani A, Meezanut Tibb. (urdu translation by kabiruddin M). New Delhi: Idara Kitabush Shifa; YNM.

55. Sina IAA. Al Qanoon (Urdu translation by Ghulam Hasnain Kantoori). New Delhi: Idara Kitabush Shifa; YNM.

56. Samarqandi N, Moalajat Sharah Asbab. (Urdu translation by kabiruddin M). New Delhi; Idara Kitab us Shifa: YNM, 3-4.

57. Suyuti AJ, Mujarrebat e Imam Suyuti. Ejaz Publication; New Delhi, 2000.

58. Meraj Ul Islam, MD, Mohd Nayab, MD,An Overview of Waja-ur-Rukbah (Knee Osteoarthritis) with Ref- erence to Waja-ul-Mafasil and its Regimenal Management (Ilaj bit tadbeer) in Unani System of Medicine.2020-09-04

59. Grunner OC. The Canon of Medicine of Avicenna. London: First Book, Luzac & Co., 1930.

60. Ibn Rushd. Kitāb al-Kulliyāt (Urdu translation by Siddique MA). Lahore: Maktaba Daniyal. 2017.

61. Nafis B. TarjumawaSharahKulliyat-i-Nafsi (Urdu translation by Kabīr-al-Dīn HM). New Delhi: Idara Kitab- us-Shifa. 1994.

62. Sīnā I. Kulliyā-ī-Qānūn (Urdu translated by Kabīr al-Dīn HM). New Delhi: Ejaz Publishing House. 2006

63. Mohammad Kabiruddin. Al-Quarabadeen. 3rd Ed. NewDehli: CCRUM. 2006.

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2025-05-15
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How to Cite

1.
Ali SF, Begum M, Anees A, Ansari MHA. Traditional Approaches to Managing Adhesive Capsulitis: A Comprehensive Review. J. Drug Delivery Ther. [Internet]. 2025 May 15 [cited 2025 Oct. 25];15(5):153-8. Available from: https://www.jddtonline.info/index.php/jddt/article/view/6937

How to Cite

1.
Ali SF, Begum M, Anees A, Ansari MHA. Traditional Approaches to Managing Adhesive Capsulitis: A Comprehensive Review. J. Drug Delivery Ther. [Internet]. 2025 May 15 [cited 2025 Oct. 25];15(5):153-8. Available from: https://www.jddtonline.info/index.php/jddt/article/view/6937