after 10 weeks of tibia–fibula ORIF, oil therapy (Abhyanga) can be started only in a gentle form, not deep massage. –Oil application can be started now for stiffness relief, but only mild external Abhyanga Use warm medicated oil, applied gently on muscles around the leg (not on surgical scar or fracture site) Avoid pressure, only light stroking to improve circulation and reduce stiffness Do it after physiotherapy, not before If pain, swelling, or heat increases, stop and inform . Advice - — ksheerbala taila local application gentle application only
At 10 weeks after ORIF, be careful with oil therapy. Open fracture leg (left) Start oil massage only after complete wound healing (no wound, no discharge, no redness). If fully healed now, you can start very gentle massage. Closed fracture leg (right) Can start oil massage now. How to do (both legs) Use Mahanarayana taila or Dhanwantharam taila Gentle massage only (no pressure) – 10–15 min daily Follow with mild hot water fomentation (warm towel) Continue medicines Hadjod (Cissus quadrangularis) – as taking Lakshadi guggul 1 tab twice daily after food Do physiotherapy regularly (very important for stiffness) Avoid strong massage or forceful movements
Do oil massage after 30 days mahanarayan oil
Oil Therapy- began gentle oil application 10 weeks post-surgery, is safe 👇👇👇👇👇👇 Avoid deep tissue massage or heavy pressure near the rod insertion sites. Focus on gentle, superficial strokes. 👇👇👇👇👇👇👇👇 1) mahanarayan oil / dhanvantaram oil- apply Luke warm oil gently over the legs please avoid the direct scar line and after oiling follow with looklized steam or warm towel compress 👇👇👇👇👇👇 Continue Lakshadi guggulu and hadjod 👇👇👇 Also include Ashwagandha churna- 3 gram with warm milk at night Ensure her diet is rich in calcium and Vitamin D You can also add moringa and sesame seeds in meal
When to Start Oil Therapy (Abhyanga) *Right Leg (Closed Fracture): Since there was no open wound, you can generally start gentle oil application now (after 6-8 weeks), provided the surgical incisions are completely healed and there is no active infection or severe redness. *Left Leg (Open Wound Fracture): This requires more caution. You must wait until the skin and deep tissues at the site of the open wound have completely epithelialized (closed without any scabs or discharge). Even then, the area directly over the ORIF hardware should be handled very gently. Guidelines for Application: *Avoid “Massage”: At 10 weeks, do not “massage” or apply pressure. Instead, perform “Anuloma Abhyanga”—a very gentle downward stroking of the oil. *Avoid the Incision: Stay away from the surgical scar itself until the surgeon confirms the internal hardware is stable and the skin is fully matured. *Temperature: The oil should be lukewarm, as heat helps improve blood circulation to the bone. Recommended Ayurvedic Oils— For stiffness and muscle relaxation post-surgery, these oils are most effective: Kottamchukkadi Thailam Mahanarayan Taila Murivenna Dietary Support: Ensure she is getting enough Ghee and Calcium-rich foods. You can add Ashwagandha Churna (1/2 tsp twice daily with milk) to her routine to help with her low energy and fatigue.
