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How to treat persistent metatarsalgia with burning sensation in a 67-year-old?
Orthopedic Disorders
Question #55867
5 days ago
187

How to treat persistent metatarsalgia with burning sensation in a 67-year-old? - #55867

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Persistent metatarsalgia is troubling me. Slight edima type feeling in the metatarsal region early in the morning followed by burning in that region. Night,end of the day it is a bit more and on walking it increases. Not diabetic aged 67, played 15 years tennis on cement court. Even in severe winters i love to be bare footed in north because of that burning feeling. Even wearing slippers, my foot becomes hot & burning.

How long have you been experiencing metatarsalgia symptoms?:

- More than 6 months

How would you describe the intensity of the burning sensation?:

- Moderate — uncomfortable

Do you notice any specific times when the burning sensation is worse?:

- Evening/Night

Have you identified any activities that trigger or worsen your symptoms?:

- No clear triggers

How is your overall foot health?:

- Frequent foot problems

What type of footwear do you usually wear?:

- Supportive shoes

Do you experience any other symptoms, like swelling or stiffness in the foot?:

- Other foot pain
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

Go for these tests first- -vitamin B12 -HbA1c/fasting sugar -uric acid -thyroid profile -foot X-ray ----According to Ayurveda, this condition appears to be mainly due to Vata-Pitta aggravation affecting the nerves, joints and soft tissues of the feet because of long-term strain and walking on hard surfaces. This can cause burning sensation, pain, heaviness and discomfort while walking. ----Avoid barefoot walking, excessive standing and hard footwear. Use soft cushioned footwear and do gentle foot massage with -Ksheerbala Tails at night. —rx 1) Yograj Guggulu – 1 tab twice daily after food 2) Dashmool Kwath – 15 ml twice daily 3) Praval Pishti 250 mg twice daily after meal


0 replies

Your symptoms suggest chronic metatarsalgia with plantar nerve irritation and degeneration from long-term impact stress on hard courts. Burning with heat sensation, worse on walking and evening, and relief by keeping feet uncovered also indicates aggravated Pitta-Vata with possible peripheral neuritis. Take Yogaraja Guggulu 2 tablets twice daily after food Maharasnadi Kashayam 15 ml with 45 ml warm water twice daily before food Ksheerabala 101 Avarti capsule 1 capsule at night after food Dhanwantaram Taila or Kottamchukkadi Taila Gentle foot massage daily evening followed by warm water fomentation for 10 minutes If burning is severe: Guduchi Satva 500 mg + Praval Pishti 250 mg twice daily after food Foot care: Avoid barefoot walking on hard floors even if it feels relieving Use soft MCR footwear or silicone metatarsal pad Avoid prolonged standing Warm water soaking with rock salt at night helps stiffness Reduce very spicy, sour, fried foods and excess tea/coffee


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Hello, I hope you have undergone blood tests and all the test values are within normal limits. If possible please do share. However the following will help you to reduce the symptoms- 1. Jadamayadii churnam- MIx the required quantity with warm rice washed water and applied to the affected area once a day;let this stay for 30 minutes. Then rinse with warm water. For 10 days. 2. Valiya Sahacharadi thailam Luke warm oil to be applied over the affected feet to stay for an hour before washing with warm water after 10 days use of medicine no.1 3. Maharasnadi kwath 20ml—0-----20ml by adding 80 ml of boiled cooled water For 45 days, one hour before breakfast and one hour before dinner. 4. Gokshuradi guggulu 2----0----2 with medicine no.3 for 45 days. Take care, Kind regards


0 replies

Hello, In Ayurveda, persistent burning and pain in the metatarsal region is often categorized as Padadaha (burning feet syndrome), which involves an aggravation of Pitta and Rakta (blood) doshas, often with Vata involvement due to the chronic nature of the pain and history of repetitive impact (tennis). The burning sensation suggests a deep-seated heat (Pitta) in the tissues, which is exacerbated by mechanical stress.
​ ​Dosha Imbalance: The combination of burning (Pitta) and pain/stiffness (Vata) suggests a Vata-Pitta imbalance. Years of impact on hard surfaces (tennis) have likely caused wear and Vata accumulation in the foot joints and soft tissues, while the burning sensation indicates an inflammatory response or local circulatory heat. ​Kerala Ayurveda Pharmacy (KAP) Recommended Protocol ​ These are traditional formulations. Please consult with an Ayurvedic physician for a formal examination, especially to rule out peripheral neuropathy or structural foot deformities. ​Prescription : 1. ​Kaishore Guggulu: Helps reduce inflammation and manages metabolic heat.
​Dose: 2 tablets, twice daily after meals with warm water. 2. ​Sahacharabaladi Kwath: Eases nerve-related pain and inflammatory stiffness.
​Dose: 15 ml mixed with 60 ml of warm water, twice daily before meals. 3. ​Chandanasava: Specifically cooling and beneficial for internal burning sensations.
​Dose: 15 ml mixed with equal parts water, twice daily after meals. ​ ​Pinda taila Is Highly effective for “burning” feet. It is cooling and specifically indicated for inflammatory pain and redness. ​Gently massage onto the metatarsal area twice daily. Avoid vigorous rubbing; use light strokes. ​Avoid Barefoot Walking: Although you feel relief from the cool floor, walking barefoot on hard surfaces increases mechanical pressure and worsens metatarsalgia. Use soft, well-cushioned indoor slippers.
​Foot Soaks: Use cool (not ice-cold) water infused with a pinch of turmeric or sandalwood powder for 10 minutes at the end of the day to soothe the burning. ​Dietary Adjustments: Reduce Pitta-aggravating foods like spicy, fried, or sour items. Increase intake of cooling foods like cucumber, coconut water, and coriander-seed infused water.
​Footwear: Ensure your outdoor footwear has a wide toe box and extra metatarsal cushioning to redistribute pressure.


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A typicall Vatt agrivated condition with mixed pitta samprapti showing symptoms. Some regime you should follow ??Do’s:?? Eat freshly cooked food. Chew an inch of fresh ginger half an before meal. Eat only fruit vegetables. Limit dairy products (stop if possible) Include ragi millet, black eyed pea, rajgira, soya, tofu as vegetarian source of protein and egg as non vegetarian source ?Dont’s:? Sitting directly under a fan or right in front of the A.C Oily, spicy, processed food. Packed food products. Sour and fermented items. Bakery items. Fried food products. Potatoes. ??Medication?? Cap. Palsinuron 2 caps twice a day before food. Cap. Arnopen 2 caps twice a day before food Syp. Dashmoolarishta 3 tsp twice a day before food with warm water. Tab. Mahashankhavati 1 tab twice a day after food. Suck and eat like hajmola Syp. Patankar Kwath 2 tsp twice a day after food. Castor Oil. 3 tsp at bed time with a cup of hot water. Lukewarm Sesame seed oil massage to the feet soles and dipping tem in lukewarm water.


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Here is a comprehensive Ayurvedic management protocol tailored to soothe the burning, reduce the edema, and heal the underlying Vata-Rakta vitiation. ​1. External Therapies (Chikitsa) to Pacify Pitta & Vata ​Since you have an active burning sensation and mild edema, we must avoid hot, pungent oils and instead focus on Sheeta (cooling) and Snigdha (unctuous) formulations. ​••Pinchu (Oil Soaking): Soak a thick sterile gauze or cotton pad in Pinda Taila or Ksheerabala Taila (both are excellent for Vata-Rakta and burning sensations) and place it on the metatarsal region for 30–45 minutes daily. ••​Lepa (Herbal Paste): Apply a localized poultice of Shatadhauta Ghrita (100-times washed clarified butter) or a paste made of Yastimadhu (Licorice) and Chandan (Sandalwood) powder mixed with cold milk. Leave it on until it dries slightly, then wash off with room-temperature water. This will directly address the local burning (Daha) and early morning edema. ••​Gentle Application, No Deep Massage: Do not deeply massage or apply heavy pressure to the painful metatarsal heads, as this can further irritate the nerves or inflamed bursae. Gently smear the oil or ghee in a downward direction. Category Classical Formulation Standard Dosage Primary Action •Guggulu (Anti-inflammatory) Kaishore Guggulu 2 tablets twice a day (after meals with lukewarm water) Specifically indicated for Vatarakta, purifies blood, and reduces localized edema and metabolic waste. ••Kashayam (Decoction) Kokilaksha Kashayam OR Gunduchyadi Kashayam 15 ml mixed with 45 ml of lukewarm water, twice a day before food Excellent for relieving burning sensation, balancing Pitta, and clearing vascular inflammation. ••Rasayana / Balancing Amrutadi Guggulu OR Kamadudha Rasa (with Mouktika) As advised by your consulting physician Kamadudha Rasa is highly potent in calming severe internal burning sensations and high Pitta. •Diet & Lifestyle Modifications (Apathya & Pathya) ••​What to Avoid (Apathya): •​Barefoot Walking: While the cool floor feels incredibly soothing to your burning feet right now, walking barefoot on hard surfaces acts as a direct Vata-aggravating factor. It increases the mechanical impact on the damaged metatarsal heads. •​Pungent & Sour Foods: Strictly limit highly spiced foods, pickles, fermented items, curd, and excessive tomatoes, as they vitiate Rakta and Pitta, worsening the burning sensation. ••​What to Adopt (Pathya): •​Cooling Foods: Incorporate Pitta-shamak foods like bottle gourd (Lauki), pomegranate, soaked raisins, amla, and freshly prepared cow’s ghee into your diet. •​Footwear Modification: Since even slippers make your feet feel hot, look into highly cushioned, breathable orthotic slippers or shoes with a wide toe box and a metatarsal pad. The pad redistributes pressure away from the painful ball of the foot.


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Hello, Based on your details= 67 years, 15+ years tennis on cement, burning and edema, worse evenings Dosha analysis Your presentation shows a classic vata pitta imbalance -Vata= structural degeneration, dryness, nerve irritation (cement court impact for 15 years) -Pitta= burning sensation, heat, inflammation, worse in evening -Kapha (mild)= morning edema/puffiness Diet and Lifestyle -warm, unctous, easily digestible food = ghee, sesame oil, warm milk with turmeric -Anti inflammatory spices= turmeric, ginger, fenugreek, coriander -bitter gourd, drum stick, moringa (pitta pacifying) -adequate warm water through the day Avoid -sour, spicy, fermented, excessively salty foods (aggravate pitta) -cold drinks, raw salads, excess dry/light foods (aggravate vata) -standing/ walking on hard floors barefoot- protect with thin cotton socks indoor Internal medications 1) Yogaraj guggulu= 2 tabs twice daily after meals =vata pacifying, anti inflammatory for joints and nerves 2) Kaishor guggulu= 1 tab twice daily after meals =pitta vata addresses burning + degenerative changes 3) Punarnava mandur= 2 tabs twice daily after meals =reduces edema , supports tissue repair 4) Sahacharadi kashaya= 15ml + equal water twice daily before meals =classical for lower limb vata disorder 5) Guduchi satva= 500mg twice daily with warm water =pitta pacifier, nerve calming 6) Shallaki capsules = 1 cap twice daily after meals =anti inflammatory, cartilage support External therapies 1) Foot oil massage -oil= sahacharadi taila -warm oil slightly, massage soles and metatarsal region gently in circular strokes -do every night before bed- 10-15 min -wear thin cotton socks after to retain warmth -this directly counters your barefoot-on-cold floor habit 2) Lepa= topical paste -chandanadi lepa or triphala + turmeric paste on the burning area =apply cool or room temp = reduces heat and inflammaiton Yoga and exercise -avoid high impact activities on hard surfaces -gentle toe spreading and flexion exercises- 5 min morning -padahastasana and viparita karani= reduces evening edema -warm water foot soak with rock salt + dry ginger powder , 10 min nightly before oil massage Critical lifestyle correction Your barefoot habit on cold floors is actively worsening your vata. The relief you feel is temporary- cold suppresses the pitta burning sensation momentarily but deepens vata aggravation causing long term nerve and tissue damage. Transition to thin soft cotton socks indoors- this will feel uncomfortable initially but will improve symptoms within 4-6 weeks Do follow Hope this might be helpful Thank you


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Chronic tennis playing on cemented surface may cause microneuropathy according to Ayurveda Chronic strain of Pada marmaLocalized inflammation in metatarsal region You can take Yograj Guggulu-2 tablets twice daily after meals Mahavat Vidhwansan Rasa-1 tablet twice daily after meals preferably with warm water Ashwagandha Capsule / Churna Ashwagandha-500 mg twice daily Kamdudha rasa-2 bd twice dail Take for 15 days then follow up personally Thankyou


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