From Illness to Wellness: Shoulder Tendinosis with Scapular Winging – Pain-Free in 14 Days

Patient Details

Age / Gender: 27 years / Male

Occupation: Software professional, active gym-goer

Duration of illness: ~6 months

Chief Complaints:

• Persistent pain over right shoulder and upper-back region
• Noticeable scapular winging during arm elevation
• Difficulty performing daily activities and workouts
• Sleep disturbance due to pain while turning sides

Clinical Findings (Before Treatment)

• Prominent scapular winging on right side
• Restricted shoulder abduction and flexion
• Localized tenderness over supraspinatus and infraspinatus regions
• No neurological deficits

VAS (Pain): 8 / 10

Range of Motion (ROM):

• Abduction: 80° (painful)
• Flexion: 90° (restricted)
• External Rotation: 30°
• Internal Rotation: 20°

Diagnosis: Shoulder tendinosis with scapular dyskinesis (winging)

Investigations

• X-ray (Before): Mild glenohumeral misalignment; scapular elevation noted.
• X-ray (After 14 Days): Restored shoulder alignment and joint congruency.

Before Treatment X-ray

After 14 Days Treatment X-ray

Treatment Plan (14 Days)

Therapy Used: Marma Chikitsa (Marma Therapy)

Sessions: 45–60 minutes daily

Modalities Applied:

• Localized Marma stimulation – Amsa, Kakshadhara and Bahu marma points
• Mamsa dhatu reconditioning techniques
• Passive and active mobility retraining
• Posture correction and scapular control training
• Breath–movement coordination for muscle re-education

Internal Medicines: None (purely non-pharmacological)

Lifestyle Advice:

• Gentle shoulder mobility stretches
• Avoid overhead lifting
• Warm compress post-session
• Mindful ergonomics during work

Results (After 14 Days)

VAS Pain Score: Reduced from 8 / 10 → 1 / 10

Range of Motion (ROM):

• Abduction: 160° (pain-free)
• Flexion: 170°
• External Rotation: 70°
• Internal Rotation: 60°

• ✅ Pain relief without medication
• ✅ Improved scapular stability
• ✅ Symmetric shoulder movement
• ✅ Visible correction of winging
• ✅ Normal sleep and daily activity restored

Discussion

This case illustrates the efficacy of Marma Chikitsa as a non-invasive approach for shoulder tendinosis and scapular dyskinesis, restoring neuromuscular balance and functional integrity. Targeted marma stimulation enhanced proprioception, vascular perfusion, and myofascial alignment.

The rapid recovery within 14 days — without medication or surgery — highlights the potential of Ayurveda-based functional healing in musculoskeletal care.

Conclusion

“Healing through Marma — where precision touch meets functional recovery.”

Early integration of Marma therapy in shoulder dysfunctions may prevent chronic pain, surgical dependency, and recurrent instability.