HELLO, I recommend the following treatment plan for you- I understand rheumatoid arthritis is a painful condition.Don’t worry, the following treatment plan will work. TREATMENT - 1. Tab Shallaki -2-0-2 after meal 2. Singhnad guggulu- 1-1-1 with lukewarm water.Crush tablet into 3-4 pieces. 3. Mahavatvindgvansan ras 1-1-1 after meals 4. Sahcharadi tail - Local application over affected joints.
Diet- . Avoid yoghurt,urad dal ,excess salt, alcohol , newly harvested rice, refined carbohydrates like maida, processed fish. .Avoid cold,oily and heavy to digest food. . Include red rice,moong dal, lukewarm water,horsegram, buttermilk, drumstick, garlic, ginger , bottle guard, bitter gourd in your food.
Yoga- Tadasana, Pavanmuktasan,Baddhakonasana, flexion-extension of joints. Follow these and you will get relief. FOLLOW UP AFTER 1 MONTH. Take care Regards, Dr.Anupriya
Hello I can totally get where you are coming from. It is really tough to see your daily activities getting harder and harder just because of the post-polio syndrome that you have had for a long time, coupled with the degeneration of your knee and spine.
But don’t be worried — your symptoms can be drastically relieved and the swelling can be kept under control with the right Ayurvedic + physiotherapy treatment 😊
YOUR MOST IMPORTANT WORRY
The manifestations that you have are as follows: Right-leg swelling (recent, <1 week) Muscle degeneration due to the post-polio syndrome
Difficulties: - Sitting on the floor - Standing up from sitting - Lifting the leg forward - Bending forward - Climbing stairs - Need of hand support for movements
Knee MRI → ACL & PCL mucoid degeneration, meniscus tear, ligament laxity
Spine MRI → Disc bulges, nerve compression (C4–C7 & L5–S1) Paraspinal muscle atrophy
However, walking is still feasible, which is positive.
The early intervention can stop the degeneration process from going further.
AYURVEDIC MEDICINE PLAN
PANCHAKARMA (Therapies) FOR 7 DAYS The therapies you receive at a good Ayurvedic Panchakarma centre will be most beneficial in your condition.
1. Abhyanga + Bashpa Sweda (Oil massage + Steam)Daily or → Helps in relieving stiffness, bettering the blood flow, and lessening the swelling.
2. Pizhichil (Oil pouring therapy)Ideal for post-polio muscle degeneration. → Helps in the regeneration of the atrophied muscles.
3. Patra Pinda Sweda (Leaf bolus therapy) → Helps in the regeneration of the knee ligaments, relieves the pain.
4. Basti Chikitsa (Main treatment)Kati Basti + Mustadi Yapana Basti → Helps in the release of nerve compression, enhances leg lifting capacity.
5. Janu Basti → For knee ACL/PCL degeneration + meniscus tear + ligament laxity.
INTERNAL MEDICATION (Continue for 3 months; safe under guidance)
1. Yogaraj Guggulu – 1 tab twice daily after food Reduces Vata, pain, and swelling.
2. Trayodashanga Guggulu – 1 tab twice daily Best for nerve pain and muscle weakness.
3. Ashwagandha Churna – ½ tsp at night Helps build muscle and energy.
4. Dashmoolaristha – 20 ml twice daily Helps to get rid of the swelling and inflammation.
5. Mahanarayana Taila (for external massage) Put it on the knee, thigh, hip, and lower back daily.
EXERCISE (CRUCIAL)
1. Assisted Leg Raises With the help of hands or belt — gradually increase power.
2. Quadriceps Strengthening Towel under the knee → press & hold for 5 seconds.
3. Hip-Lift Support Exercise Helps in hip flexors strength.
4. Spine Decompression Light traction & stretching done by a physiotherapist.
Do not: Sit on the floor Squat in a toilet Climb stairs without support Suddenly bend forward When necessary, use a Western-style toilet and a knee brace.
HOME REMEDIES
1. Warm water fermentation for swelling (NOT ice). 2. Turmeric + milk at night for inflammation. 3. 2 tsp sesame seeds daily for strong bones. 4. Dry coconut + jaggery daily for muscle nourishment.
DIET PLAN
INCLUDE Cow ghee (1 tsp daily) Black gram (urad dal) Milk & dates Til (sesame) Nuts & dry fruits Warm, fresh meals
AVOID Cold drinks Sour curd Excess non-veg Sitting for long hours Sleeping late at night
NECESSARY INVESTIGATIONS If not performed Vitamin D3 Vitamin B12 Serum Calcium ESR/CRP Nerve conduction study (optional)
WHAT TO EXPECT Upon regular treatment: Swelling is reduced within 1–2 weeks Pain & stiffness are reduced in 4–6 weeks Leg lift & hip movement become normal
Warm Regards Dr Snehal Vidhate
Your reports show that the knee and spine problem or from long-standing weakness of the supporting structures… the knee has the Meniscus tear, degeneration, and ligament laxity, which means the tissues have lost their strength and lubrication This is vata related and gets worsened by old injuries, overuse or low muscle support The spine report shows disk bulge in both neck and lower back with mild Neuro compression, which explains the pain stiffness, occasional numbness, and muscle weakness The raised CPK and CRP show mild inflammation and muscle strain and designers issue or separate, but can add to overall heaviness
These findings look serious on paper, but they are manageable with the right treatment Surgery is not always the first option for these kind of changes What your body needs most is vata balancing treatment that strengthens ligament nourishes discs improves muscle tone, and produces information
The best line of treatment is to avoid sad moment, avoid long sitting and keeping the neck and back supported For pain, relief, and healing, you can take Trayodashanga guggulu Peedantaka vati One tablet after food with warm water Dashamoola aristha 4 teaspoon with equal amount of water twice daily after meals Mahanarayana taila -over knee neck and lower bag daily This medicines will help produce narrow compression, calm, inflammation, and slowly rebuild the weak tissue
If pain persist, even after taking above medication, then best option is Panchakarma therapy
After going through your reports and symptoms, it is clear that two things are happening together First, because of past post polio condition the muscles around your hip and knee have already become weak and thin Second your MRI shows ligament complexity, meniscus tear ACL- PCL DEGENERATION, KNEE, JOINT FLUID COLLECTION, L5-S1 disc bulge, and C4-C7 nerve compression …. When this combine the leg loses strength, the knee loses stability and the nerves supplying the leg do not work at full capacity. THAT IS WHY YOU ARE UNABLE TO LIFT THE LEG FORWARD, CANNOT BEND OR STRAIGHTEN WITHOUT USING YOUR HANDS, Cannot sit and get up easily and cannot squat or sit cross legged THE SWELLING IN THE LEG IS DUE TO JOINT EFFUSION AND LIGAMENT, LAXITY AND DIFFICULTY IN LIFTING THE LEGS BECAUSE BOTH THE NERVES AND THIGH MUSCLES ARE NOT GIVING PROPER SUPPORT LONG-TERM NERVE AND MUSCULAR WEAKNESS IN THE PELVIC REGION
This condition is not going to reverse in a week, but Ayurveda can gradually improve nerve signalling, reduce joint swelling, strength muscles, and improve your flexibility and daily function WITH REGULAR MEDICINES AND GENTLE PHYSIOTHERAPY, YOU CAN GET BETTER STABILITY AND MOVEMENT
YOU CAN START WITH
DHANWANTARAM GULIKA ONE TABLET TWICE DAILY AFTER Yograj GUGGULU - TWO TABLETS TWICE DAILY AFTER FOOD ASHWAGANDHA LEHYAM- 1 teaspoon with warm milk, at night Bala tailam-warm the oil slightly and massage the whole leg hip and lower back daily for 10 minutes SACHARADI KAAHAYAM 15 ML WITH EQUAL AMOUNT OF WATER TWICE DAILY
Take magayograjgugulu 2 bd Take castor oil 5 ml at night Mananarayan oil for apply Do knee dhra near panchakarm centre Avoid milk curd leman and pickls
Being very honest here These problems will take a good amount of time with the medicines. I strongly suggest you to visit near by panchakarma centre and go for PANCHAKARMA therapy there you will see results way faster.
Internal Medicines 1 Maharasnadi Kwath – 20 ml + 60 ml warm water morning empty stomach 2 Yogaraja Guggulu – 2 tablets morning + 2 tablets night after food 3 Ekangveer Ras – 1 tablet morning + 1 tablet night with warm water 4 Punarnavadi Mandoor – 250 mg morning + 250 mg night after food 5 Kaishora Guggulu – 2 tablets twice daily after food
Oil (must use daily) Warm Mahamasha Taila + Ksheerabala 101 Avarti (in equal quantity), gentle full-leg + lower back massage nightly followed by hot fomentation 15 min
Diet Give only: moong khichdi + 1–2 tsp ghee, thin buttermilk + roasted jeera, pomegranate, beetroot Avoid completely: curd, cold drinks, spicy-sour, non-veg, late dinner
Lifestyle No weight-bearing on right leg for 30 days (use walker/crutch) Legs elevated 20 min twice daily Sleep with pillow between knees Gentle quadriceps & hamstring isometric exercises only
Regards Dr Gursimran Jeet Singh MD Panchakarma
Based on your report from the MRI and additional tests, there are multiple concerns to address here. Your knee shows signs of degeneration and structural changes like a complex tear in the lateral meniscus, which can cause pain and instability. Additionally, the laxity in the ligaments suggests weakened support around the knee. These conditions often relate to a Vata imbalance in Ayurveda, which governs movement and dryness.
For the knee issues, focus on incorporating warming and nourishing practices in your lifestyle. Regularly apply warm sesame oil to the knee area, gently massaging to improve circulation and reduce stiffness. The use of Mahanarayan taila can be beneficial for such joint concerns. Consider practicing knee-strengthening exercises like simple leg lifts or quad sets, but be careful not to stress the joint excessively.
Regarding your spine, the disc bulges and mild compressions could potentially cause nerve-related symptoms. Ensuring a diet full of anti-inflammatory foods like turmeric, ginger, fresh fruits, and vegetables is crucial, as these help reduce inflammation and support healing. Maintain a stable routine focusing on sleep and stress reduction to keep Vata in balance. Avoid prolonged sitting and maintain an ergonomic posture during activities to avoid further stress on your spine.
The elevated CPK and CRP suggest some level of muscle stress and inflammation in the body. Including Ayurveda herbs like Ashwagandha and Guduchi might help improve muscle strength and reduce inflammation. Always consult a healthcare provider or a trained Ayurvedic practitioner before starting any new treatments to ensure compatibility with your existing health conditions.
For sinusitis, Nasya therapy, which involves the application of medicated oil in the nasal passages, could be helpful. Trying jal neti or steam inhalation can also clear nasal passages.
Your MRI and health reports are quite comprehensive and indicate a need for integrated care, potentially including conventional treatments for more immediate and significant issues. Ensure you continue working alongside your healthcare provider to monitor and address these conditions.
Based on the reports you provided, there are several issues present in both your knee and spine that require attention. From an Ayurvedic perspective, these conditions may be linked to an imbalance in Vata dosha, which oversees movement and can be aggravated by degeneration and pain.
For the knee issues: 1. Apply a warm herbal oil, such as Mahanarayan or Dhanwantharam thailam, to your knee joints daily, followed by a gentle massage. This can help improve circulation and alleviate joint pain. 2. Practice gentle knee strengthening exercises, focusing on flexion and extension, under the guidance of a physiotherapist. Avoid any high-impact activities that may exacerbate the condition. 3. Utilize hot fomentation on your knee to reduce stiffness and ease discomfort.
Regarding the spine problems: 1. Prioritize pranayama and specific yoga asanas, like Bhujangasana and Shalabhasana, which can provide support to your spine, but ensure you have guidance from a qualified yoga instructor. 2. Maintain a regular sleep schedule, which helps in managing Vata imbalances effectively and supports spinal health. 3. Food plays a crucial role, so include warm, moist foods that are easy to digest, such as cooked grains, warming spices, and stews, which can help pacify Vata.
It’s important to note that the spinal issues, particularly the nerve root compression and disc bulges, might warrant further medical evaluation by specialists, especially if you experience numbness, weakness, or severe pain. You should discuss your symptoms with your healthcare providers to determine whether any additional investigations or treatments, including surgery or rehabilitation, might be necessary.