Joint pains in right knee and elbow - #24556

Hello, As you are mentioning the pain is increasing at night and also with AC, it is related to Vata imbalance. 1. Application of warm sahacharadi thaila+ murivenna to all joints(whole body is still more better) everyday followed by hot water shower 2. start wearing socks and slippers inside house if you are walikng bare foot inside the house. 3. Keep yourself warm at nights. Take care. Kind regards.

As per Ayurveda, when a pain is triggered by some cold atmosphere or cold things it is tha vata dosa that is aggravated. So we can correlate to some vata imbalance here .According to your age there is some possibility of degenerative changes of bones and joints also for accurate diagnosis please do a blood test of VITAMIN D, RA and Calcium as soon as possible.

Meanwhile you can have ,

1.Rasnasapthakam kwatham tab 2-0-2 before food 2.Ostikot tab 2-0-2 after food 3.Sallaki plus 1-0-1after food 4.Rhukot liniment for ext.application twice daily over painful area 5.Murivenna for ext.application 1hour before bath

Regular application of oil massage it can be reduced So Use Mahanarayana oil locally massage Vishtinduk vati 1 tab twice a day Mahayogaraj guggulu 1 tab twice a day

Don’t worry

🌸 Causes - may be injury, over use of a joint, obesity, infection , swelling , inflammation

*Purine foods like chicken, mushroom, sweet breads, alcohol

* Frequent driving

🌱 REHAB and internal medicine and rasayana

💠 Maintain pathya 💠 Nutritional support 💠 Pranayama

💠 Management

* Rest at home , movements with care * Avoid continuous sitting, exercise * Rest with pathya ( 20 days) * Avoid using indian toilet * Avoid pungent, sour, hot foods * Avoid deep fried oily food items * Avoid Standing , prolonged sitting * Avoid excessive walking

💊 MEDICINES 💊

Ayurveda point of view

* Deepana pachanam * Shophahara oushadha * Lepana

1. Rasnasapthakam kashayam - 15 ml Yogaraja gulgulu gulika - 1 15 ml kashayam with 1 gulika, 60 ml boiled hot water morning and evening before food (empty stomach)

2. Dhanwantaram ( 101) cap. - 1 - 0 - 1 with kashayam

3. Shaddaranam tab - 1 - 0 - 1 after food

4. Gandha tailam cap. - 2 - 0 - 2 After food

5. Vaishwanara choornam - 1 tspn with warm water night after food

6. Dashamoola harithaki lehyam - 1 tspn with warm water at bed time

🌱 EXTERNAL 🌱

1. Dhanwantaram thailam+ sahacharadi thailam - apply

🍀 Intake cucumber, gooseberry, pomegranate, papaya, banana, pumpkin, curry leaves, green leafy vegetables

💠 Marma therapy is better

🌱 Do appropriate exercises and physical therapy

🌱 Maintain appropriate weight

🌱 If knee joints are affected do cycling and exercises of hamstring, quadriceps muscles

* In later phase - after 2 weeks

💊 MEDICINES 💊

1. Rasnerandadi kashayam - 15ml Yogaraja gulgulu gulika - 1

Each kashayam 15 ml, one gulika with 45 ml boiled hot water morning and evening before food .

3. Balarishtam - 30 ml 30 ml arishta morning and night after food

4. Dhanwantaram gulika - 1 - 0 - 1 after food

5. Guggulu thikthakam cap. 1 - 0 - 1 after food

🍁 EXTERNAL APPLICATION 🍁

1. Nagaradi choornam+ karutha vattu gulika mixed with egg white make paste and apply the affected area

HELLO ASHISH SINGH,

Symptoms- joint pain in knee and elbow(right side) -worsen at night -worsens with cold- AC exposure -no pain during walking

PROBABLE AYURVEDIC DIAGNOSIS

Sandhi vata(early stage)- a type of vata vyadhi

Dosha involved- predominantly Vata, possibly some Ama(toxin) if there’s stiffness

Dhatu affected- Asthi(bones), Majja(bone marrow), Snafu(ligaments/tendons)

PATHOGENESIS -vata gets aggravated due to age(52 years), dryness, exposure to cold, and improper digestion -travels to sandhi(joints) and lodges there -leads to pain, crackling, dryness, stiffness -cold increases vata, so AC and nighttime worsen the symptoms

START INTERNALLY WITH

1) TRAYODASHANGA GUGGULU- (AVP/ARYA VAIDYA SALA BRAND)- 1 tab twice daily after meals with warm water for 3 months =excellent neuro-muscular and joint degeneration

2) VATARI GUGGULU(DOOTPAPESHWAR/BAIDYANTH)- 1 tab twice daily after food with warm water for 2-3 months =vata disordrs in joints, relieves inflammation and stiffness

3) RHEUMAYOG GOLD (CHARAK)- 1 tab after breakfast with lukewarm water for 2 months =contains suvarna bhasma ; powerful anti-inflammatory and vata balancer

4)YOGARAJ GUGGULU(dootpapeshwar)- 1 tab twice daily before meals for 3 months =deeply detoxifying for vata and ama conditions, works in tendon/ joints issue

5) PUNARNAVADI MANDOOR(CLASSICAL)- 1 tab twice daily for 2-3 months =support blood circulation, reduces joint swelling and inflammation

6)RASNADI KASHYA- (arya Vaidya sala/ avp)- 20 ml twice daily with equal water before meals for 3months =anti inflammatory, bata-pacifying good for joint degeneration

EXTERNAL APPLICATIONS

1) OIL FOR LOCAL MASSAGE

-KOTTAMCHUKADI TAILA- local massage 2 times/day =strong for vata kapha joint disorders; especially stiffness and pain

-PRASARINI TAILA- useful for elbow/kee pain with nerve involvement =strengthen ligaments and tendons

Heat oil slightly before applying , massage gently for 10 minutes, then cover or apply hot water bottle

3) EXTERNAL PASTE APPLICATIONS

-RASNADI CHURNA LEPA- mix with warm Castor oil and apply cover with cotton pad for 1 hours =goof for joint pain and stiffness

-KOTTAMCHUKADI LEPA - apply warm on affected area =reduces inflammation

Apply in evening, leave for 30-45 mins, gently wipe with warm cloth. avoid exposure to cold immediately after

DIET PLAN TO FOLLOW

GRAINS= rice, wheat , ragi(in moderation), AVOID maize and corn

FATS= desi ghee, sesame oil- mandatory for lubrication of joints

VEGETABLES= bottle gourd, ridge gourd, ash gourd, carrots, spinach = all well cooked no raw salad form

FRUITS= steamed apple, dates, figs, banana, mango

PROTEINS= moong dal, urad dal soup with hing, panner-light

HERBS IN COOKING- garlic, ginger, ajwain, turmeric, methi seeds- light

AVOID STRICTLY -leftover food - curd especially at night -brinjal, potatoes, tomatoes - pulses like chana, rajma, or dry matki -fermented items like idly dosa, bakery, and sugars

DAILY YOGA AND EXERCISE FOR STRENGTHENING JOINTS

MORNING- after oil massage and warm bath -pawanmuktasanan series= for joint mobility -tadasana= spine and posture alignment -vrikshasana= improves knee stability -bhujangasana= for spine and knee strength -gentle suryanamaskar- 3 rounds only -pranayam - nadi sodhana + bhramari

LIFESTYLE TIPS -avoid cold exposure-cover knees/elbows at night -use hot water bag before sleeping -follow a fixed sleep routine-sleep by 10 pm -use lukewarm water for bathing -take light evening meals

JOINT ROTATIONS= clockwise , anti clockwise rotation of elbows, knees, wrists, ankles

MAKARASANA= crocodile pose- relieves joint pressure

AVOID INSTENSE YOGA OR LONG SITTING/STANDING HOURS

PREFER WALKING FOR 20-30 MINUTES IN SUNLIGHT (VITAMIN D)

TREATMENT DURATION -SHORT TERM RELIEF(pain and stiffness):- 2-4 weeks -MEDIUM TERM(joint strengthening):- 2-3 months -LONG TERM(rejuvination and recurrence prevention)- 6 months

DO FOLLOW CONSISTENTLY

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Take yograj guggul 1-0-1 Maharasnadi ghanvati 1-0-1 Mahavatvidhvansh vati 1-0-1 All after food with water and Take tablet magnesium (200mg) 0-1 -0 after food with water and Apply sahachar oil on affected area twice daily Apply alternately hot and cold pack on painful areas. Avoid sour fermented foods. Follow up after 2months months

The joint pain you’re experiencing, especially aggravated during the night and with air conditioning, might be linked to an imbalance of Vata dosha in your system. In Ayurveda, the Vata dosha, which is characterized by coldness and mobility, often influences the nervous system and is responsible for pain that worsens in the cold or with immobility. This aligns with the way you’re experiencing increased discomfort in cooler temperatures, like at night or in air-conditioned environments.

To help address this discomfort, it’s crucial to stabilize and balance the Vata dosha by incorporating warmth, routine, and nourishment into your lifestyle. Here’s a few recommendations that might help improve your condition:

First, applying warmth to the affected areas could help soothe the pain. Use a warm compress on your knee and elbow at a comfortable temperature, applied for about 10-15 minutes, ideally a couple of times a day. Also, avoid sitting in air-conditioned spaces for too long and dress warmly to help keep the joints warm.

In terms of diet, prioritize warm, moist, and easily digestible foods. Consider incorporating spices that are known to pacify Vata, like ginger, turmeric, and cumin, which aid in digestion and circulation. Cooked meals like soups, stews, and porridges are especially beneficial.

Furthermore, incorporating certain herbal supplements like Ashwagandha and Guggulu, which are known for their anti-inflammatory and joint-supportive properties, might support in reducing your symptoms. However, it’s important to consult an Ayurvedic practitioner before starting any herbal supplements to ensure they’re right for your constitution and condition.

Additionally, regular oil massages, known as Abhyanga with sesame oil or an oil blend tailored for Vata pacification, can also provide relief. Massage in slow, gentle strokes, focusing particularly on your knees and elbows; this can be done at least a few times a week.

Engage in a consistent routine that incorporates moderate exercises, such as gentle yoga or walking, to promote circulation and prevent stiffness. Just be sure to avoid overexertion.

Keep hydration in focus since Vata imbalance often leads to dryness. Drink warm or room temperature water throughout the day.

If the pain persists or intensifies, it is advisable to seek attention from a skilled Ayurvedic practitioner or healthcare professional for a detailed diagnosis and a personalized treatment plan. It’s important to ensure there’s no underlying condition that requires further medical attention.

HELLO ASHISH ,

Based on your symptoms- joint pain in the right knee and elbow, worse at night and aggravated by cold/ac, but not during walking- the condition is best understood in ayurveda as Sandhivata, a disorder primarily involving vata dosha affecting the joints

INTERNALLY START WITH

1) YOGARAJ GUGGULU- 2 tabs twice daily after food with warm water for 3 months = reduces stiffness and pain, improves joint motility , acts as mild anti-inflammatory and vata shamak

2) MAHARASNADI KASHYAA - 15 ml with water twice daily before food for 3 months =helps relieve chronic joint and nerve pain, improve circulation and joint function, especially useful when symptoms worsen in cold

3) DHANWANTARAM GULIKA- 1 tab twice daily after food for 2 months = rejuvinate the nervous system and musculoskeletal tissues,

EXTERNAL APPLICATION -warm oil applied to affected joints and massage gently for 15-20 min before bath daily for 3 months= MAHANARAYAN TAILA -directly pacifies vata in joints, improves lubrication, reduces dryness and stiffness, enhance circulation and joint comfort

DIET AND LIFESTYLE

DO’S -warm moist and oily foods -mild spices- ginger cumin turmeric gentle yoga, especially morning stretching -stay warm- avoid exposure to cold wind or AC directly

DONT’S -raw salad , cold drinks, dry foods -irreguar meals or sleep - overexertion or sudden movements in joints

DO FOLLOW FOR 3 MONTHS

THANK YOU

DR. HEMANSHU MEHTA