What can I do for right leg swelling and muscle degeneration? - #45600

Take brihath vata chintamani ras 1tab bd,maha yoga Raja Guggulu with Gold 1tab, chaturmukh ras 1tab bd, dashamoolarista 20ml bd,nd ganglion cyst for aspiration is best option consulting the ayuevedic Surgeon

Dr RC BAMS MS

Vanakam !

unga MRI reports paatha udane purinjidum unga right leg la neraya ligaments, meniscus, tendons ellam weak aayirukku. Adhu mattum illa, spine area-vum (cervical & lumbar) disc bulge nal nerve pressure varudhu. Idhu dhan ungalukku leg lift panna kashtam, ground la utkaarave mudiyama irukkaradhu, thigh strength kurainjudhu, hip movement tight aa irukkaradhu ellame varra reason. Post-polio syndrome irukkara aalugaluku ipdi muscle atrophy, weakness, joint laxity months–years aaga aagum. Idhu neenga thappa pannadhu illa body oda nerve & muscle support dhaan koranjirukku. But nalladhu enna na, gradual strengthening + proper Ayurveda support + physiotherapy + nerve nourishment kudutha, improvement kandippa varum.

🪔 Internal Medicines (Ayurvedic)

1) Ama pachana (first 5 days) • Amapachana Vati – 2 tablets twice daily after food – 5 days OR • Chitrakadi Vati – 2 tablets twice daily after food – 5 days

2) Internal medicines (after 5 days onwards, 3 months) • Dhanwantharam 101 Capsule – 1 capsule at night – 90 days • Bala Ashwagandhadi Thailam (internal) – 5 ml with warm water morning & night – 90 days • Yograj Guggulu – 1 tablet twice daily – 90 days • Punarnavadi Kashayam – 15 ml with equal warm water twice daily – 30 days (for swelling)

💆 External Treatments (home-based, very important) • Mahanarayana Thailam warm oil massage on leg, hip & lower back daily before bath – 15 minutes • Ksheerabala 101 oil massage on spine & neck alternate days • After massage: hot water fomentation / towel hot pack 10 minutes

These give big relief for nerve compression & muscle stiffness.

🧘 Exercises (safe for your condition)

(Do ONLY under physiotherapist guidance; no force, no pain) • Supine leg raises with belt support • Bridging exercise (very slow) • Isometric quadriceps strengthening • Hamstring stretching (gentle) • Ankle pumps for swelling • Neck isometric exercises (for cervical disc)

Avoid: • Sitting cross-legged • Deep squatting • Lifting weight • Long sitting in one position

🩺 Investigations (to be done) • Vitamin D3 • Vitamin B12 • ESR / CRP • HbA1c • Serum Calcium + Magnesium • Nerve conduction study (optional but useful) • DEXA scan (if not done recently)

These help to check nerve weakness & bone density.

🍲 Do’s and Don’ts :

Do’s • Sooru saatham warm-aa saapdunga • Adayalam ah neer kuthidatheenga (avoid cold water) • Daily 20 min walking (slow pace) • Uppu, sugar, maida romba kuraiya vainga • Coconut water twice a week • Addenna nuts, dates, gingelly seeds for strength

Don’ts • No sitting on floor • No sudden bending or twisting • No climbing stairs frequently • No long travel without breaks • Avoid spicy, oily, deep-fried foods

🌷 Warm Assurance :

Neenga neraya kashtam experience panreenga, adhu romba puriyudhu. Ithu oru naal la sari aagakoodiya problem illa, aana correct treatment + consistent physiotherapy + Ayurvedic nerve strengthening kudutha, progress kandippa varum. Konjam mosama irundhaalum, improve aagum nu nambunga neenga alone illa.

Warm regards,

Dr. Karthika

You can start with Trayodashanga guggulu 1-0-1 Ashwagandha capsule 1-0-1 Maharasnadi kashayam 15-0-15 ml with water MAHAMASHA taila - gentle massage to be done

If symptoms still persists after taking the above medicine I would suggest you to opt for panchakarma procedure where you will be getting good results

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

After going through your reports and symptoms, it is clear that two things are happening together First, because of fever past post polio condition the muscles around your hip and knee have already become weak and thin Second year, MRI shows ligament complexity, meniscus tear ACL- PCL DEGENERATION, KNEE, JOINT FLUID COLLECTION, L5-S1 disc bulge, and C4-C, seven nerve compression …. When this combine the leg loses strength, the knee loses stability and the nerves supplying the leg. Don’t work at full capacity. THAT IS WHY YOU ARE UNABLE TO LEAVE. 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 NERVE SANTI THAI MUSCLES ARE NOT GIVING PROPER SUPPORT EVEN THE GENITAL UNDER DEVELOPMENT, YOU MENTIONED CAN BE LINKED TO 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 narrow, 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

The complex health concerns you’re dealing with require a multifaceted approach integrating Ayurveda with potential allopathic care due to the advanced nature of your conditions. Given the structural changes and neuromuscular issues indicated in your MRI reports, it’s crucial to seek medical guidance to address immediate concerns, especially regarding post-polio syndrome and spinal issues. Here’s a complementary Ayurveda approach:

1. Dietary Adjustments: Consume a Vata-pacifying diet to reduce the effects of any Vata imbalance exacerbating your symptoms. Opt for warm, cooked meals like stews and soups, using spices such as ginger, garlic, and turmeric. These have anti-inflammatory properties and can assist in reducing joint and muscle discomfort. Avoid raw, cold foods and stay away from stimulants like caffeine.

2. Herbal Remedies: Consider taking Ashwagandha and Guggul in consultation with an Ayurvedic practitioner. Ashwagandha can help in strengthening muscles and nerves, whereas Guggul is known for supporting joint health. These should be taken with warm water or milk after meals.

3. External Therapies: Regularly applying warm sesame oil or Mahanarayan oil to affected limbs can enhance circulation and reduce stiffness. Self-massage can be followed by warm compresses.

4. Yoga and Gentle Exercise: Engage in gentle stretching and yoga, focusing on poses that increase flexibility without straining your muscles. Poses like Supta Baddha Konasana (Reclining Bound Angle Pose) can aid relaxation and promote joint health. Always practice under supervision until comfortable with your limitations.

5. Lifestyle Modifications: Ensure adequate rest and avoid activities that worsen symptoms. Elevate legs whenever possible to reduce swelling. Prioritize good posture and use ergonomic supports when sitting or sleeping to aid spinal health.

6. Breathing Techniques: Pranayama can help in managing pain and improving overall wellbeing. Practice Nadi Shodhana (Alternate Nostril Breathing) for calming the nervous system.

Lastly, given the intricate details of your condition, closely monitor your symptoms and consult both a neurologist and orthopedic specialist to make informed decisions regarding possible surgical or procedural interventions. Ayurveda can provide support, but allopathic methods may be necessary for comprehensive management.

Visit nearby ayurvedic panchkarma centre, When you will take medicine along with panchkarma. Your results will be Faster Start with Gokshura guggul 2+0-0 after breakfast with water Trayodashang guggul 1-0-1 after food with water Body massage with kshirbala ( ashwagandha+ nirgundi oil daily before bath

When dealing with a complex issue like leg swelling and muscle degeneration, especially in the context of post-polio syndrome and other diagnosed structural changes, we need to approach this from multiple angles.

First, addressing the primary cause of swelling and muscle degeneration involves balancing the body’s doshas, primarily the vata dosha, which is often linked to such degenerative changes. Consider applying warm sesame oil with a pinch of dry ginger powder to the affected knee and thigh area, gently massaging in a circular motion. This can help in alleviating stiffness and supporting circulation. A warm compress afterward could further soothe the area, enhancing blood flow.

Focus on maintaining digestive fire, or agni, is crucial. Ingesting a light concoction of cumin, coriander, and fennel seeds (1/2 teaspoon each in hot water) daily can aid digestion and minimize toxin accumulation, which can exacerbate vata issues.

In terms of dietary habits, including foods that are warm, nourishing, and easy to digest—such as mung bean soup, cooked carrots, and rice—can provide comfort without aggravating any digestive imbalance.

Given the complexity of the MRI findings, regular consultations with a Siddha physician alongside a conventional healthcare provider is advisable. The degeneration revealed in the spine, particularly, demands timely attention to avoid further complications.

Light, guided physical activity under professional supervision can encourage muscular strength and flexibility. Techniques like Nadi shuddhi (alternate nostril breathing) may assist in relaxing and stabilizing energy flow but proceed cautiously and consult with a healthcare provider before initiating any new regimen.

If the symptoms worsen or additional symptoms arise, promptly seek medical attention to prevent complications. Balancing traditional remedies with conventional medical oversight ensures safe and comprehensive care.