Adnan Ali’s scientific contributions

Background-Osteoarthritis is a global condition causing abnormal joint biomechanics and delayed articular cartilage deterioration, affecting the knee and affecting approximately 250 million individuals. It is a leading cause of impairment in the aged due to diabetes. Traditional treatments include pain medication, exercise, heat and cold therapy, corticosteroid injections, and joint repair or replacement surgery. The Unani medical system offers three treatment methods. 'Ilaj bi'l Tadbir (Regimenal Therapy), 'Ilaj bi'l Taghdhiya (Dietotherapy), 'Ilaj bi'l Dawa (Pharmacotherapy), and 'Ilaj bi'l Yad (Surgery), each with its own restrictions. Objectives-Efficacy of a topical Dimad in the management of Waja-al-Rakba (knee Osteoarthritis) and provide safe, effective and feasibly available with no or minimum side effect. Methods-A 40-year old female with bilateral knee pain and stiffness, diagnosed six months ago, presented to the OPD of the Regional Research Institute of Unani Medicine, Srinagar. Despite receiving analgesics, anti-inflammatory drugs, and physical therapy, she continued to deteriorate. In this study, a Dimad or medicated paste is applied over the anterior part of the left knee for two weeks daily twice a day for at least 15-20 minutes and then washed-out area with lukewarm water. Result-The study found that topical Dimad formulation effectively treated knee joint symptoms and inflammation. The patient's VAS scores decreased from 9 to 1 by the 14th day, indicating a decrease in symptoms. The treatment was safe and bearable, and the patient's quality of life improved significantly. After treatment, there was a statistically significant decrease in mean VAS ratings from day 0 to day 14. Conclusion-The patient reported a significant improvement in pain, stiffness, and soreness, and a significant decrease in mean VAS ratings from day 0 to day 14 after treatment. ABSTRACT 160

ABSTRACT Background:- Frozen shoulder, also known as adhesive capsulitis, is the major cause of shoulder pain and disability in the general population. The prevalence is 2-5% in the general population and 10- 20% in diabetics. It typically affects females aged 40 to 60. In 12% of cases, both shoulders are affected, although the left shoulder is more frequently afflicted. Objectives:- In This case study our objective is to evaluate the efficacy of Fire Cupping (Ḥijāma Nāriyya) in Alleviating Symptoms of Waja‘al-Mafāṣil-i-Katif(Frozen shoulder). Methods:- A 61-year-old diabetic male patient presented to the OPD of the Regional Research Institute of Unani Medicine, Srinagar. Over a 4-week period, the affected shoulder was treated with Ḥijāma Nāriyya (fire cupping) on specific spots three times per week, with weekly assessments. Result- This study found that regimental therapy Ḥijāma Nāriyya (fire cupping) effectively reduces pain, stiffness, and increases mobility in the shoulder joint, as well as enhancing range of motion in frozen shoulder. The patient's VAS scores was decreased and also indicating a decrease in symptoms. Conclusion- The treatment was safe and bearable, and the patient's quality of life improved significantly. After treatment, there was a statistically significant decrease in VAS and Improvement in overall shoulder mobility. KEYWORDS: Frozen Shoulder, Case Report, ḤijāmaNāriyya, fire Cupping, Adhesive Capsulitis, Unani Management.

ABSTRACT Background:- Frozen shoulder, also known as adhesive capsulitis, is the major cause of shoulder pain and disability in the general population. The prevalence is 2-5% in the general population and 10- 20% in diabetics. It typically affects females aged 40 to 60. In 12% of cases, both shoulders are affected, although the left shoulder is more frequently afflicted. Objectives:- In This case study our objective is to evaluate the efficacy of Fire Cupping (Ḥijāma Nāriyya) in Alleviating Symptoms of Waja‘al-Mafāṣil-i-Katif(Frozen shoulder). Methods:- A 61-year-old diabetic male patient presented to the OPD of the Regional Research Institute of Unani Medicine, Srinagar. Over a 4-week period, the affected shoulder was treated with Ḥijāma Nāriyya (fire cupping) on specific spots three times per week, with weekly assessments. Result- This study found that regimental therapy Ḥijāma Nāriyya (fire cupping) effectively reduces pain, stiffness, and increases mobility in the shoulder joint, as well as enhancing range of motion in frozen shoulder. The patient's VAS scores was decreased and also indicating a decrease in symptoms. Conclusion- The treatment was safe and bearable, and the patient's quality of life improved significantly. After treatment, there was a statistically significant decrease in VAS and Improvement in overall shoulder mobility.