Abstract Avabahuka, a Vataja nanatmaja vyadhi described in Ayurveda, is characterized by pain, stiffness, and restricted movement of the shoulder, resembling the clinical presentation of frozen shoulder (Adhesive capsulitis) in modern medicine. The Ayurvedic concept of Mamsapchaya—degenerative or contractile changes in muscle tissue—may parallel capsular thickening and fibrosis noted in imaging studies. The axillary recess, in frozen shoulder, is a key anatomical site of pathological changes and integrative diagnostic approach observable via MRI. Keywords- Avabahuka , Frozen shoulder , Axillary recess, MRI.