🌿 Angamardha Shoola (Complex Regional Pain Syndrome – CRPS)

Holistic Management through Ayurveda, Yoga, and Modern Therapies at Yogakshema Ayurveda Hospital

🧾 Introduction

Complex Regional Pain Syndrome (CRPS) is a chronic pain condition that typically affects a limb after an injury, surgery, stroke, or heart attack. In Ayurveda, it closely correlates with Angamardha Shoola—a condition marked by persistent pain, stiffness, and autonomic dysfunction.

At Yogakshema Ayurveda Hospital, we offer a holistic and integrative treatment plan combining Ayurvedic therapies, modern pain management techniques, and the healing practices of yoga and meditation to restore comfort and improve quality of life.

🔬 Understanding CRPS

🧠 Modern Medical Perspective

  • Cause:

    • Nerve injury or trauma

    • Dysregulation of the sympathetic nervous system

    • Post-surgical or post-stroke complications

    • Psychological stressors

  • Symptoms:

    • Severe, burning, or throbbing pain

    • Skin changes (color, temperature)

    • Swelling and hypersensitivity

    • Limited mobility, joint stiffness

    • Muscle atrophy or contractures

    • Emotional distress (anxiety, depression)

🌿 Ayurvedic Perspective (Angamardha Shoola)

🔄 Pathogenesis (Samprapti)

  • Vata Prakopa: Disruption of the nervous system leading to chronic pain, spasms, and sensitivity

  • Rakta Dushti: Affects skin color, warmth, and inflammation

  • Mamsa Dushti: Muscle wasting, stiffness, and spasms

  • Manovaha Srotas Dushti: Mental stress amplifies pain perception

In Ayurveda, CRPS is seen as a Vata-dominant condition with involvement of Rakta and Mamsa dhatus, often intensified by mental stress and toxin accumulation (Ama).

⚠️ Signs and Symptoms of Angamardha Shoola

  • Persistent, severe limb pain (burning, throbbing, or aching)

  • Skin changes: red, blue, or pale color

  • Abnormal temperature: warmth or coolness in the limb

  • Swelling and tenderness

  • Increased sensitivity to touch (allodynia)

  • Muscle spasms, contractures, or atrophy

  • Stiffness and restricted range of motion

  • Changes in hair/nail growth

  • Psychological symptoms: anxiety, depression, sleep disturbances

🛠 Ayurvedic Approach to Management

🎯 Core Treatment Objectives:

  • Pacify aggravated Vata

  • Improve blood circulation

  • Nourish muscle tissue (Mamsa Dhatu)

  • Detoxify and rejuvenate the body

  • Manage stress and pain perception through yoga and meditation

🔑 Key Ayurvedic Therapies:

  • Abhyanga (Oil Massage): Nourishes nerves and muscles, reduces pain

  • Swedana (Herbal Steam Therapy): Alleviates stiffness, improves circulation

  • Raktamokshana (Bloodletting): In selected cases, to purify blood and reduce inflammation

  • Lepa (Herbal Paste Application): For local pain relief and anti-inflammatory action

  • Basti (Medicated Enema): Deep Vata balancing and nervous system calming

  • Herbal Medicines:

    • Ashwagandha, Guduchi, Guggulu, Turmeric, Ginger – anti-inflammatory, nervine, and muscle-nourishing

🧘 Yoga and Meditation Therapy

🧘‍♂️ Gentle Yoga Asanas:

  • Tadasana (Mountain Pose) – improves posture and alignment

  • Marjariasana (Cat-Cow Stretch) – encourages spinal flexibility

  • Setu Bandhasana (Bridge Pose) – strengthens lower body muscles

  • Restorative yoga postures for relaxation and recovery

🌬️ Pranayama (Breath Regulation):

  • Anulom Vilom (Alternate Nostril Breathing): Balances the nervous system

  • Bhramari (Bee Breath): Reduces anxiety and pain perception

  • Sheetali/Sheetkari: Cooling and calming breathwork for inflamed conditions

🧘‍♀️ Meditation & Mindfulness:

  • Guided Yoga Nidra for deep relaxation

  • Mindfulness-Based Stress Reduction (MBSR) to reduce chronic pain intensity

  • Chanting and Trataka to anchor awareness and calm mental fluctuations

🧪 Modern Pain Management at Yogakshema

  • Physical Therapy:

    • To improve joint flexibility and restore function

    • Prevents contractures and muscle wasting

  • Occupational Therapy:

    • To adapt movement and ease daily activities

  • Psychological Therapy:

    • Cognitive Behavioral Therapy (CBT) for pain coping and emotional well-being

  • Advanced Diagnostic Support:

    • Pain scale assessments

    • Imaging to rule out secondary causes

🔗 Integrative Approach at Yogakshema Ayurveda Hospital

We believe in a comprehensive treatment strategy that blends the best of ancient Ayurveda and modern medicine:

✅ Ayurvedic therapies for addressing the root cause and dosha imbalance
✅ Yoga and meditation for nervous system regulation and emotional grounding
✅ Modern rehabilitation for functional and psychological support
✅ Customized diet and lifestyle plan to support long-term recovery

⚙️ Customization of Treatment

Each treatment plan is personalized, based on:

  • Detailed dosha analysis

  • Chronicity and intensity of symptoms

  • Medical history and comorbidities

  • Patient preferences for therapies and daily routine

  • Response to ongoing treatments

🌟 Why Choose Yogakshema for CRPS (Angamardha Shoola)?

✅ Decades of experience in managing chronic pain holistically
✅ Multi-disciplinary team of Vaidyas, Yoga therapists, physiotherapists, and counselors
✅ Deep focus on nervous system rejuvenation and mind-body balance
✅ Individualized care in a serene healing environment
✅ Specialized therapies like Raktamokshana, Basti, Greeva Basti, and Shirodhara

📅 Treatment Planning & Reservation

  • Early Booking Recommended: At least 3–4 weeks in advance

  • Limited Monthly Intake: To ensure personalized attention

  • Advance Deposit: 40% of treatment cost to confirm the reservation

  • Balance Payment: Due on the first day of treatment

🏥 Yogakshema Ayurveda Hospital

Your Trusted Destination for Holistic CRPS (Angamardha Shoola) Management

“We heal pain not only from the body, but from the mind and spirit — through the wisdom of Ayurveda, the rhythm of breath, and the stillness of meditation.”