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CTRI Number  CTRI/2025/07/091700 [Registered on: 25/07/2025] Trial Registered Prospectively
Last Modified On: 24/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Clinical trial to evaluate the efficacy of Viddhakarma (Ayurvedic technique of Needle Puncturing at specific points on the body) in the management of Frozen shoulder patients to evaluate its efficacy to resolve the symptoms of the disease. 
Scientific Title of Study   Comparative study of Viddhakarma and Agnikarma in the management of Avabahuk W.S.R.to Frozen shoulder 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Prathamesh Pramod Shetye 
Designation  PhD Scholar 
Affiliation  Yashwant Ayurvedic College PG Training and Research Centre, Kodoli. 
Address  Department of Shalyatantra, OPD No.02, Yashwant Ayurvedic College PG Training and Research Centre Kodoli, Taluka: Panhala, District: Kolhapur, Maharashtra, India.

Kolhapur
MAHARASHTRA
416114
India 
Phone  9763751651  
Fax    
Email  drprathameshshetye@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Srinivas Narasimha Turlapati 
Designation  Professor and HOD Shalyatantra Department 
Affiliation  Yashwant Ayurvedic College PG Training and Research Centre, Kodoli 
Address  Department of Shalyatantra, OPD No.02, Yashwant Ayurvedic College PG Training and Research Centre, Kodoli, Taluka:Panhala, District:Kolhapur, Maharashtra, India.

Kolhapur
MAHARASHTRA
416114
India 
Phone  9503147698  
Fax    
Email  drsrinivast@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Prathamesh Pramod Shetye 
Designation  PhD Scholar 
Affiliation  Yashwant Ayurvedic College PG Training and Research Centre, Kodoli 
Address  Department of Shalyatantra, OPD No.02, Yashwant Ayurvedic College PG Training and Research Centre, Kodoli, Taluka:Panhala, District:Kolhapur, Maharashtra, India.

Kolhapur
MAHARASHTRA
416114
India 
Phone  9763751651  
Fax    
Email  drprathameshshetye@gmail.com  
 
Source of Monetary or Material Support  
MES Ayurved Mahavidyalaya, Lote, District: Ratnagiri, State: Maharashtra, India. Pincode: 415722 
Yashwant Ayurvedic College PG Training and Research Centre, Kodoli, Taluka: Panhala, District: Kolhapur, State: Maharashtra, India. Pincode: 416114 
 
Primary Sponsor  
Name  Dr Prathamesh Pramod Shetye 
Address  Yashwant Ayurvedic College PG Training and Research Centre, Kodoli, Taluka: Panhala, District: Kolhapur, State: Maharashtra, India. 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Prathamesh Pramod Shetye  MES Ayurved Mahavidyalaya, Lote   Department of Shalyatantra, OPD No.10, MES Ayurved Mahavidyalaya, Lote, Ratnagiri, Maharashtra, India.
Ratnagiri
MAHARASHTRA 
9763751651

drprathameshshetye@gmail.com 
Dr Prathamesh Pramod Shetye  Yashwant Ayurvedic College PG Training and Research Centre, Kodoli.  Department of Shalyatantra, OPD No.02, Yashwant Ayurvedic College PG Training and Research Centre, Kodoli, Taluka: Panhala, District: Kolhapur, Maharashtra, India.
Kolhapur
MAHARASHTRA 
9763751651

drprathameshshetye@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
IEC MES Ayurved Mahavidyalaya, Lote  Approved 
IEC Yashwant Ayurvedic College, Kodoli.  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M958||Other specified acquired deformities of musculoskeletal system. Ayurveda Condition: SANDHIGATAVATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-Viddhakarma (Procedure Reference: Sushrut Samhita, Procedure details: Viddhakarma using disposable needle no.26 Application of therapy on 0th, 7th 14th & 21st day)
2Comparator ArmProcedure-agnikarma, अग्निकर्म (Procedure Reference: Sushrut Samhita, Procedure details: Agnikarma using Tamra Shalaka Application of therapy on 0th, 7th 14th & 21st day)
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Diagnosed cases of Avabahuk with symptoms like shoulder joint pain, restricted movements of shoulder and tenderness at shoulderjoint. 
 
ExclusionCriteria 
Details  1. History of Neurogenic Shock or trauma or sight of blood 32
2. Skin infection at the place of puncture
3. History of injury, fracture to upper limb
4. Any type of comorbidity like diabetes, hypertension etc.
5. Patient on anticoagulant medications
6. Pregnant Women 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Comparative study of Viddhakarma and Agnikarma in the management of Avabahuk W.S.R.to Frozen shoulder  28 days
Application of therapy on 0th, 7th, 14th and 21st day.
Follow up on 7th, 14th, 21st and 28th day. 
 
Secondary Outcome  
Outcome  TimePoints 
1. To study in detail about Sandhigata Vata affecting Amsa Sandhi from Ayurvedic Texts
2. To study in detail about Frozen Shoulder.
3. Literature review of Viddhakarma. 
28 days
Application of therapy on 0th, 7th, 14th and 21st day
Follow up on 7th, 14th, 21st and 28th day. 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   04/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Title: Comparative study of Viddhakarma and Agnikarma in the
management of Avabahuk W.S.R. to Frozen shoulder.

Null Hypothesis (H0) :- Viddhakarma not significantly effective in the management of Avabahuk than Agnikarma.

Alternative Hypothesis(H1) :- Viddhakarma significantly effective in management of Avabahuk than Agnikarma.

Study design:- Open Randomized Controlled Clinical Trial.

Inclusive Criteria:
1) Diagnosed cases of Avabahuk with symptoms like shoulder
joint pain, restricted movements of shoulder, tenderness.
2) Age group between 18-65 years.
3) Selection shall be irrespective of sex, religion, socio-
economic status.

Exclusive Criteria:
 1. Diabetic Mellitus (>200 mg/dl), HTN (>140/100 mmHg),
Malignancy, HIV, HBsAG
 2.Cardiac diseases
 3.Anemia
 4.Pregnancy
 5.Bleeding disorders
 6.Pitta Prakruti
 7.Fracture of shoulder joint

Withdrawal Criteria: 
 1) Patients who request to withdraw
2) Developing diseases mentioned in the exclusion criteria
after enrollment.
3) Out-migrating or temporarily going out, missing the
scheduled of procedure
4) During course of clinical study if any serious complications occurs which requires urgent treatment.
5) Symptomatic relief.
Note: Patients discontinuing the treatment will be replaced by
patients fulfilling the criteria of inclusion.

Sample Size:-  Total 100 ( 50 for each group)

Patients coming in IPD and OPD of Shalyatantra department of research institute hospital and  working hospital, with complaint of Avabahuk. 

Group A - Trial group - Patients will be treated by Viddhakarma with disposable needle no. 26, 0.45mm in breadth, 13mm in length.

Group B - Control group - Patients will be treated by Agnikarma with Tamra Shalaka. 

Study Duration - 18 Months

Duration of Treatment - 28 Days

Application of therapy on 0th, 7th, 14th and 21st day. 
Follow up on 7th, 14th, 21st and 28th day. 
Assessment on each follow up 7th, 14th, 21st and 28th day. 

Subjective Parameters:
1. Painful shoulder movements
2. Shoulder Stiffness
3. Tenderness
4. Tingling Numbness

Objective Parameters:
1. Pain measurement with Visual Analogous Scale
2. Goniometric Scale Readings to assess shoulder movements. 

Result and inference will be drawn on the basis of readings obtained before and after treatment by using the appropriate statistical methods.


 
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