
Rotator cuff injuries are the worse to treat as Shoulder joint is having complicated structure and many organs involving in Rotator cuff are prone to get injured in major or minor trauma to joint. Modern medical sciences recommend operative reconstruction surgery for rupture injuries of rotator cuff. But outcome of surgery many times lead to restriction of movements. So an Ayurvedic management was done in case of Supraspinatus rupture with Hirudotherapy (Leech Application), as the major reason for non-healing of these ruptures is less blood supply to these organs. Leech enhances blood supply to the site. So results obtained in this case was very much satisfactory.