A 58 year married male from Chennai presented with pain and restricted abduction, adduction, external rotation and flexion of right shoulder both in active and passive movements for 2 months. He was diagnosed to be adhesive capsulitis which is equated to Kumbavatham, one of the vatha diseases mentioned in Siddha system of medicine. He was treated with Siddha external therapeutic procedure, Ottradam with amanakku ilai and thokkanam with ulunthu thylam. After the treatment period of 15 days, the patient was followed for 6 months. There were no adverse reactions/events observed during the course of treatment. The combination therapy has provided the reduction in pain and restricted movements which was measured using goniometer and SPADI index.