Arthritis, i am jayasankar, sixty two year old male, a professor in a college. I am diabetic and hypertensive. - #25597

Regular abhyang (massage) of knee can reduce your problem Apply Mahanarayana Oil regularly

Internally Mahayogaraj Guggulu 1-0-1 Mukta vati 1-0-1 Chandraprabha vati 1-0-1

Avoid spicy and junked food

Arthritis is due to age factor…low level of vit d3/omega and calcium levels…due to heavy weight it’s worsens sometimes … But it’s curable…please do:-

Divya peedanil gold tab=1-1 tab before meal twice daily

Divya ORTHOGRIT TAB Nutrela BONE HEALTH NUTRELA D2K k tab=1-1 tab each after meal twice daily…

Erand paka =1 tsp with milk at night…

AVOID sour/chilled foods

Do suksm yoga and Pranayam like= kapalbhati/bhramri/…brisk walk

You can cured definitely

Hi jayasankar this is Dr Vinayak as considering your problem… These complaints are purely age related problems…just by medicine symptomatic management is done but for proper treatment you need to go through with BASTI procedure near by ayurvedic hospital That helps u the best to manage your problem Rx- T. Yogaraja guggulu 1-0-1 after food Rasnasaptaka kashaya 10ml twice before food Murivenna taila - external application around knee joint ( luke warm the taila gentle masage the warm water bath) This will helps to relieve your symptoms

Based on your symptoms — persistent pain in both knees and fingers for the past 5 weeks, and X-ray findings indicating Grade I joint degeneration — this appears to be an early stage of Sandhivata (degenerative joint condition) as per Ayurveda. Since finger joints are also involved, we must consider the possibility of Aamavata (inflammatory arthritis caused by metabolic toxins), especially in the presence of digestive imbalance.

Also noting your age (62 years) and history of Diabetes Mellitus (DM) and Hypertension (HTN), the treatment plan must be gentle, Vata-pacifying, and safe for long-term use.

Recommended Tests for Confirmation Please get the following lab investigations done if not already completed:

RA Factor

Anti-CCP Antibody

CRP, ESR

Vitamin D3, Vitamin B12

Serum Calcium

Serum Uric Acid

These will help us confirm the diagnosis and rule out any underlying autoimmune or nutritional issues.

Suggested Ayurvedic Treatment (Initial Plan) Internal Medicines (to be taken only after in-person Ayurvedic consultation):

Trayodashang Guggulu – 2 tablets twice a day after meals

Boniheal Tablet – 2 tablets twice a day

Herbal Decoction (Bala, Erandmool, Ashwagandha, Rasna, Shatavari, Vidari) – 40 ml twice daily

Praval Panchamrit – 1 tablet twice daily

Avipattikar Churna – 3 gm at bedtime with warm water

External & Panchakarma Therapies (if accessible):

Snehana (medicated oil massage)

Swedana (herbal steam)

Janu Basti (oil therapy for knees)

Mild Basti therapy (under medical supervision)

Lifestyle Tips:

Eat warm, freshly cooked food. Avoid curd, fermented items, and cold/raw food.

Use ghee and digestive herbs (dry ginger, garlic, ajwain) in moderation.

Gentle movement, such as slow walking or joint-friendly yoga, is beneficial.

Important Advice Before Starting Treatment Since this is a chronic condition and you also have diabetes and hypertension, I strongly recommend meeting a nearby Ayurvedic doctor in person before starting the above medicines. This will help ensure proper assessment of your body type (Prakriti), current stage of disease (Avastha), and appropriate customizations in medicine and dosage. I trust this advice will be of benefit to you.

Take yograj guggul 1-0-1 Mahavatvidhvansh vati 1-0-1 Maharasnadi ghanvati 1-0-1 All after food with water Apply warm mahanarayan oil on affected area twice daily Take laxadi guggul 1 -0-1 after food with water Avoid fermented foods like idli, dosa, … Also sour foods like pickle, imli, sour curds, raw mango… Wear knee cap during the day can remove at bedtime. Do knee strengthening yogasana/ exercise.daily. Walk on straight and even surfaces.

Don’t worry Jayasankar J, You’ll definitely get desired results…

Hello, Hope your recent HbA1C is within normal limits. If your doctor has told you it is early states of arthritis the following will help you. Please use for 120 days 1. Cap. Zeotone plus(avn) 2—0—2 after food 2. Yogaraja Guggulu 2----0----2 crushed,mixed with medicine no.3 3. Rasnasapthakam kashayam 20ml—0–20ml with 80 ml of boiled cooled water at 0600AM and at 0600 PM 4. Apply the mix of following oil every day to all the joints after grating to luke warm. Muru enna+sahacharadi thailam

Hello sir… Its purely due to age factor… Like as Arthritis… Need warm compression & rest with supplements… You will be alright… No need to warry

Visit near by Ayurvedic doctor & take treatment 👍 Nothing serious…

HELLO JAYASANKAR SIR,

Think of your knee joint as a cushion system where bones move smoothly over each other because of a slippery layer called Cartilage.

This is a subtype of Vatavyadhi and correlates to osteoarthritis in modern terms -SANDHI= joint -VATA= dry, mobile, cold principle -SANDHIVATA= vata getting lodged in joints, leading to pain, stiffness, crepitus, degeneration

your pain worsening while climbing stairs and in fingers indicates both gross joint involvement knees and small joint vata aggravation(fingers)

COMPLICATING FACTOR

-DIABETES(MADHUMEHA)-> causes dryness, tissue loss, and nerve sensitivity -> increase vata and slows tissue regenration

-HYPERTENSION(raktagata vata/pittaja vyadhi)-> may contribute to stiffness , inflammation, and blood vessel changes.

-Your age(62)-> jara janya vata vriddhi- age- related increase in vata naturally predisposes to degeneration

so the pain, stiffness, and functional. limitation stem from a chronic, dry, degenerative vata pathology, compounded by impaired metabolism(from diabetes), circulatory issues (from bp), and likely ama(toxins/metabollic waste) in early stages.

INTERNAL MEDICATIONS

1) YOGARAJ GUGGULU= 2 tabs twice daily after food with lukewarm water = anti-inflammatory, vata balancing

2) MAHARASNADI KASHAYA= 15 ml with warm water twice daily before meals =joint pain and stiffness

3) SHALLAKI= 1 tab 500 g twice daily after meals with lukewarm water = natural painkiller slows cartilage loss

4) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime =strengthens bones, muscle relaxant

5) GUDUCHI CAPSULES = 2 cap daily in morning = immunomodulatory, detoxifier

6) SIMHANADA GUGGULU = 1 tab twice daily after meals = stiffness with ama

EXTERNAL TREATMENT

1) OIL MASSAGE= MAHANARAYAN TAILA -warm oil application with gentle massage daily -promotes circulation and reduces stiffness

2) STEAM THERAPY -after massage give steam for better absorption -reduces inflammation, opens channels

PACHAKARMA ADVISED -BASTI THERAPY= most effective vat treatment, lubricates joints internally -JANU BASTI= warm medicated oil is retained over nee joint -PATRA PINDA SWEDA= reduces pain, stiffness, and inflammation

DIET -warm, cooked food only-never eat cold or raw food -Ghee- 1 tsp / day(natural joint lubricant) - soups- bone broth, vegetables or moong dal soup with ginger - green vegetables= steamed or lightly sauteed -grains= wheat, rice, barley, millets- warm and soft - Milk- warm cows milk with turmeric or ashwagandha -spices= turmeric, ginger, garlic, cumin, ajwain= helps digestion and inflammation -Fruits= ripe bananas, papaya, apples-stewed, figs

AVOID THESE STRICTLY -cold items= refrigerated food, cold water, ice cream -dry foods= popcorn, dry toast, chips, crackers -sour curd and yogurt= especially at night(it increases inflammation) -too much salt or sugar - nightshade vegetables in excess= like brinjal, tomato, potatoes -alcohol and smoking-they dry joints and worsen degenration -fermented food- pickles, vinegar

LIFESTYLE- DAILY HABITS -gentle walking or yoga every day- keep moving but avoid strain -use knee cap for support if walking is painful -take warm water sips throughout the day-helps vata and digestion -keep body warm-avoid exposure to cold air or water -practice slow deep breathing or meditation-reduces pain sensitivity -sleep early-helps tissue repair

AVOID -sitting in the same position for too long -high-impact exercises= like jumping, running, stairs - sleeping late at night -daytime naps= especially after heavy meals - sudden jerky movements -stress=it increases pain perception and vata imbalance

HOME REMEDIES -turmeric milk= 1 cup at bedtime -fenugreek seeds soaked overnight= eat in the morning -garlic in ghee= chew 1-2 cloves cooked in ghee = good for joints -castor oil= 1 tsp before bed once a week as mild detox

YOGA ASANA -tadasana -vrikshasana -setu bandhasana -supta padangusthasana -ananda balasana -marjariasana

SIMPLE STRENGTHENING EXERCISES -quad sets=10-15 reps -heel slides=10 reps each side - seated leg raises= 5-10 reps - ankle rotations -wall support squats

GRADE 1 OA is curable easily but it does require consistent effort in: -Diet -Daily movement -Ayurvedic medicines -Local external therapy

You can definitely experience relief from pain, better mobility and delay or avoid surgery for years if you manage it and follow this consistently

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

hello Jayasankar, Your joints are slowly wearing out that’s what first-degree degeneration means. It’s the early stage of osteoarthritis, where the cushion (cartilage) inside your knee joint starts thinning, and the bones begin rubbing more. In Ayurveda, this is known as Sandhigata Vata, where Vata dosha enters the joint spaces and dries up the lubricating fluids, causing pain, stiffness, and even finger joint discomfort.Diabetes and age both add to this dryness and degeneration. But the good news is since it’s early stage, we can control it well. The aim now is to reduce inflammation, strengthen the joints, and bring back lubrication so that your pain reduces and walking becomes easier.

Ayurvedic Treatment Plan (Continue for 3–4 months)

1. Internal Medicines

Yogaraja Guggulu – 2 tabs twice daily after food Simhanada Guggulu – 2 tabs twice daily after food Maharasnadi Kashayam – 15 ml with equal warm water before meals, twice a day Ashwagandha Churna – ½ tsp with warm milk at night Dashamoolarishtam – 15 ml after meals with equal water

2. External Treatment (Very important)

Apply Dhanwantaram Taila or Pinda Taila warm on knees and fingers daily before bath Weekly Abhyanga (oil massage) and Swedana (steam) therapy will help a lot If nearby clinic offers it, Janu Basti on knees once a week for 4 weeks gives deep relief

3. Diet & Lifestyle

Avoid curd, cold foods, heavy fried items Include warm water, ghee, garlic, methi, drumstick in diet Avoid sitting cross-legged or squatting Try to use elevator if pain is high while climbing Walk on flat ground daily for 15–20 mins (avoid stairs till pain reduces) This plan will reduce joint inflammation, nourish the tissues, and slow down further degeneration. If you continue steadily, climbing stairs and walking will become more manageable.

If you have any doubts, you can contact me. Take care, regards, dr.Karthika

1. Rasnadi kashayam 15 ml+ 45 ml lukewarm water twice daily before food. 2. Yogaraja guggulu 1-0-1 with kashayam. 3. Gandhatailam soft gel capsule 1-1-1 before food. 4. Dhanwantaram tailam + sahacharadi tailam for external application.

5. You can often use pain balm (Kottakkal) when going outside.

Exercises will help to strengthen the muscles around knee, improve flexibility and reduce pain. You can do stepups, wall sits etc.

Degeneration in the knees, especially when combined with pain in the fingers, points to osteoarthritis, a common condition at your age. Considering your diabetes and hypertension, it’s essential to approach treatment with balance. In Ayurveda, osteoarthritis is related to ‘Vata’ imbalance. Let’s address this by focusing on diet, lifestyle, and specific therapies suitable for you.

Start with your diet. Favor warm, cooked foods and avoid cold, raw vegetables as they can aggravate Vata. Include ghee, sesame oil, and spices like ginger and turmeric, which have anti-inflammatory properties, in your meals—these can help reduce stiffness and pain. Cut down on processed foods and refined sugars as they can exacerbate your condition, and it’s also crucial for managing your diabetes.

Regarding lifestyle, moderate exercise is important, but it shouldn’t push through pain. Swimming or cycling can be gentler on the knees compared to walking or climbing stairs. Also, regular stretching can help; focus on stretches that enhance mobility in the knees and fingers, but do so within a comfortable range.

You might benefit from Ayurvedic practices such as Abhyanga (oil massage) using warm sesame oil or medicated oils like Mahanarayan oil. Applying gentle pressure during massage helps improve circulation and reduce Vata imbalance. Perform this consistently in the morning, but ensure the oil temperature is warm to enhance penetration.

Consider herbal supplements like Ashwagandha or Shallaki (Boswellia) after consulting with an Ayurvedic practitioner to verify compatibility with your current medications. These can aid in reducing inflammation and supporting joint health.

Keep in mind, the urgency of pain management should be balanced with ongoing safer management of your diabetes and hypertension. Ensure consistent follow-up with your primary healthcare provider, especially when integrating new herbs or therapies, to avoid any interactions or adverse effects.

Yograj guggulu Neemghan vati

1 tab twice daily after food with lukewarm water Mahanarayana taila- gentle massage over knees Avoid spicy Avoid spicy sour non veg foods

DEAR PROF. JAYASANKAR,

Thank you for your detailed information. Based on what you’ve described- age 62, long standing diabetes and hypertension, recent joint pain in the knees and fingers and radiographic evidence of Grade 1 osteoarthritis- your condition is consistent with early osteoarthritis likely complicated by diabetic joint changes and systemic inflammation.

Your symptoms corresponds with -Sandhivata=degenerative joint disease/osteoarthritis -Possibly with vatavyadhi and involvement of Ama (undigested toxins) due to metabolic sluggishness from diabetes

INTERNAL TREATMENT

1) HIMALAYA RUMALAYA FORTE= 1 tab twice daily after food =anti inflammatory, relieves joint stiffness and pain

2) AVN ARTHRONAV TABLETS= 1 tab twice daily in morning and night = vata related joint disorders, reduces degeneration

3) DHOOTPAPESHWAR RHUMAYOG GOLD= 1 tab twice daily after food =pain relief in osteoarthritis and rheumatoid arthritis

4) BAIDYANTH SANDHIVATI(WITH GUGGULU)= 1 tab twice daily before food = joint stiffness, early degeneration

5) CHARAK ARTHRELLA TABLETS= 2 tabs twice daily after food = osteoarthritis and other degenerative joint disease

6) IMPCOPS JOD RAKSHAK= 2 tabs twice daily in morning and night = joint protector, useful for degenerative arthritis

7) ZANDU ORTHO VEDIC CAPSULES= 1 cap twice daily after meals = pain, inflammation, stiffness

EXTERNAL THERAPIES

1) OIL APPLICATIONS= DHANWANTARAM TAILA =warm oil slightly add pinch of turmeric and rock salt and massage daily twice

2) STEAM= after massage take warm water bath or hot water dipped towel steam

3) PASTE= rasnadi churna+castor oil warm paste application for 30 minutes daily

DIET -warm, cooked, easy to digest foods - barley, horse gram, green gram - garlic, ginger, turmeric in food - lukewarm water daily

AVOID -cold, dry, or processed foods -excess curd, refrigerated items -sitting or standing for long hourd - excess stair climbing- consider lift usage if possible

GENTLE YOGA= pawanmuktasana, vajrasana, and mild joint rotations

PRANAYAM= nadi sodhana and Bhramari to reduce stress and improve circulation

TRIPHALA CHURNA= 1 tsp with warm water at night for mild detox and gut support

THANK YOU

DR. HEMANSHU MEHTA