Chronic Lower Back Pain and Sciatica Treatment Inquiry - #36168

Start with Trayodashang guggul 1-0-1 after food with water Ekangvir ras 1-0-0 after food with water Apply ashwagandha+ kshirbala oil on back and leg where there is pain Ashwagandha churan 0-0-1tsp at bedtime with warm water. Wear lumbo sacral waist belt during the day. Avoid sour fermented foods Once pain reduces start with back strengthening yogasana or exercises.gradually

Don’t worry take brihath vata chintamani ras 1tab bd,maha yoga Raja Guggulu with Gold 1tab bd,rasna sapthaka kashyam 20ml bd, vishagarbha tail+dhanwantari tail on kati vasti u ll get definitely relief

Hello, If there is facility to get ayurveda massages, let her take the following treatments after consulting the ayurveda doctor: 1. Patrapotali swedam for 7 days with murivenna and sahacharadi thailam

Internal medications: 1. Trayodashanga guggulu 2-----0----2 at 0600AM and at 0600PM + 2. Rasnairandadi kashayam15ml—0—15ml at 0600AM and 0600PM

3. Lumbaton capsules 2----0-----2 after breakfast and after dinner

1,2,3 for 45 days.

Exercise: Gentle yogasana postures under the guidance of teacher/physiotherapy

Take care, Kind regards.

Hello, For the medicine no.2 please add 45ml of boiled cooled water Take care, Kind regards.

Do a panchakarma therapy from nearby ayurvedic centre. It will helps in pain relief fast.

Otherwise took internal medicines. 1. Dasamoolam kashayam 15 ml+ 45 ml lukewarm water at morning half an hour before food. 2. Punarnavadi choornam 1 tsp boiled in half litre of water took frequently. 3. Trayodashanga guggulu 2-0-2 after food.

4. Dhanyamlam mixed with warm water for bath. For 3 days 5. Dhanwantaram tailam for massage all over body.

Take care. Do 4 th advice from today onwards you will definitely get result.

Dr. Shaniba

es, Trayodashang Guggulu is a well-chosen remedy. It’s traditionally used for: - Sciatica and lower back pain - Nerve inflammation and stiffness - Muscle weakness and joint pain It contains 13 herbs including Guggulu, Ashwagandha, Shatavari, Rasna, and Eranda, which work synergistically to reduce pain and strengthen nerves. ✅ Suggested Dosage - Trayodashang Guggulu: 2 tablets twice daily - Anupana (vehicle): Warm water or Dashmool decoction - Timing: After meals

Additional Ayurvedic Medicines for Chronic Pain & Sciatica 1.Rasnadi Guggulu 2 tab twice daily with water after meals 2.Dashmoolarishta 20 ml withh 20 ml water twice daily after meals 3.Shallaki capsules 2 cap twice daily with water after meals 4.Mahanarayan Taila-massage with warm oil

Lifestyle & Supportive Therapies - Nadi Swedana (localized steam therapy): Helps reduce stiffness and pain - Avoid cold exposure: Keep her warm, especially lower back and legs - Restorative yoga: Only under supervision—Shavasana, Viparita Karani, Balasana

Maharasnadi guggulu 1-0-1 Tagara tab 1-0-1 Dashamoola aristha 15-0-15 ml with equal warm water Ashwagandhadi lehyam 1 tsp with warm milk Kottamchukkadi tailam - gentle massage over back Avoid long sitting/ standing for long Avoid bending forward Sleep on firm mattress

No need to consume tryodshang start with these set of medicine 1. Amapachak vati 2BD B F for 3 days 2. Panchatikta ghrut gugglu 2BD A F 3. Tab shallaki plus 1 TID A F 4. Rhumalyan lin for local application. After 3 days of amapachak vati Start with 1. Cap kaheer bala 1 BD B F

<link removed> Take this medicine it will also give you the same results. I will suggest one more thing To go for panchakarma therapy 1. Kati basti with murivenn oil + Rhumalyan lin 2. Sarvang abhyang Followed by nadi savedana.

Trayodashang Guggulu, traditionally used for vata disorders, can be helpful in conditions like sciatica and chronic lower back pain. It aims to balance vata dosha, which may be responsible for pain and lack of mobility. Still, it’s important that she starts with a small dose to assess tolerability, typically 1-2 tablets thrice daily after meals with warm water. Monitor her response and consult with an Ayurvedic practitioner to adjust the dosage or complement with other treatments safely.

For her condition, others Ayurvedic formulations may support recovery. Consider Maharasnadi Kashaya, a decoction useful for vata imbalances and musculoskeletal pains. This might be taken 15-20 ml twice a day, mixed with equal amount of warm water. It’s crucial to ensure she doesn’t have any contraindications for these medications based on her overall health.

Diet, critical for managing vata, should include warm, cooked foods, with spices such as ginger and turmeric to improve agni. Avoid cold or raw foods that could aggravate vata. Introduce soothing herbal teas like ginger or ashwagandha at bedtime, to support sleep.

Therapeutic exercises, tailored to her current mobility, are vital too. Encourage gentle stretching and easy yoga poses, like Bhujangasana (cobra pose), performed with care, to enhance flexibility without straining her back. Consult a yoga therapist for guidance.

Additionally, hot fomentation with sandbags or hot water bottles may alleviate pain and inflammation. Use with caution to prevent burns, trying it for 15-20 minuted on affected areas.

If her pain does not improve, it is advisable to re-evaluate her condition with healthcare providers. Ayurveda complements modern medicine, but severe cases may need collaborative approaches. Always wor alongside a healthcare professional to ensure safety and efficacy in her treatment.

Trayodashang Guggulu indeed can be beneficial for managing vata imbalances that manifest as joint and nerve pain, like in sciatica. It’s her an excellent choice considering its traditional use for alleviating musculoskeletal discomforts. She should start with a dosage of 1–2 tablets, twice a day, after meals, with warm water or milk to aid digestion and absorption. Continue for 3 to 4 weeks but observe how her body responds.

In addition to trayodashang guggulu, think of adding Ashwagandha powder, half a teaspoon twice daily, mixed in warm milk. Ashwagandha can help strengthen her muscles, nerves, and promote relaxation. Since sciatica is largely a vata-related condition, avoid cold and raw foods - emphasize a warm, cooked diet rich in moong dal soups and rice. You might find the regular application of Mahanarayan oil beneficial; gently massage her lower back and leg daily, if possible.

Consider also your wife’s current lifestyle. Incorporating gentle yoga, especially poses like Bhujangasana (Cobra Pose), can improve flexibility and relieve pain. Always ensure she doesn’t push too hard and always respects pain limits, modifying or avoiding any positions that exacerbate her symptoms. Consistent pranayama (breathing exercises) will also prove effective in calming the vata imbalance, especially Anulom-Vilom twice a day for about 5 minutes.

Lastly, chronic pain linked to nerve issues like sciatica may occasionally need more immediate intervention. If her pain persists severely and limits daily activities, a consultation with a neurologist or a pain specialist might be essential to rule out any underlying issues or compressions not visible on the MRI.

HELLO JOHN,

Your wife symptoms- lower back pain, pain radiating to the left leg, stiffness, swelling near the pelvic and knee area, and difficulty being or sitting - all point toward sciatica, and chronic lower back Pain.

Although her MRI now shows no “slipped disc” or subluxation, the pain continues because -The nerves and muscles are still irritated or weak -The vata dosha (the energy that controls movement, nerves and dryness) is highly aggravated -When vata is disturbed in the kati (lower back) region, it travels along the sciatic nerve path (down the thigh, knee, and leg) , causing pain, tingling, burning, and stiffness

In Ayurveda, this condition is known as -Gridhrasi=sciatica pain radiating from back to leg -Kati shoola= lower back pain

TREATMENT GOALS -reduce pain and inflammation in the back, hip and leg - relieve stiffness and improve flexibility - restore proper nerve function and muscle strength -remove ama (toxins) and pacify aggravated vata - prevent recurrence by improving digestion, posture and daily habits

INTERNAL MEDICATIONS

1) TRAYODASHANG GUGGULU= 2 tabs twice daily after meals with warm water for 3 months =strengthens bones, muscles, nerves. reduces inflammation and stiffness. main medicine for sciatica and joint pain

2) DASHMOOLA KASHAYA= 20 ml + equal water twice daily before meals for 3 months =balance vata, releievs pain and reduces nerve irritation

3) MAHAYOGARAJ GUGGULU= 1 tab twice daily after meals for 2 months =works synergistically with trayodashang guggulu to improve circulation and remove ama (toxins)

4)ERANDA TAILA= 1 tsp at bedtime with warm milk once every 4 days for 1 month =gentle cleansing of colon- removes aggravated vata from its root

5) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime =strengthens nerves, improves sleep, and reduces stress

6) GANDHARVAHASTADI KASHAYA (only if constipation)= 20 ml twice daily after meals =regulates bowel movement ad relieves vata from colon.

EXTERNAL TREATMENT

1) OIL MASSAGE= MAHANARAYAN TAILA -warm slightly and massage lower back, hips, and leg for 15-20 min daily before a warm bath =improves circulation, relaxe muscles, nourishes nerves

2) Followed by slight steam all over body =deeply nourishes spinal tissues and give long lasting relief

DIET AND NUTRITION -warm, cooked, slightly oily foods -ghee, sesame oil, milk, soups, lentils , rice, moong dal - steamed vegetables- bottle gourd, pumpkin, carrot, spinach, beetroot - herbal teas= ginger, cumin, coriander, ajwain -fruits= bananas, papaya, pomegranate, dates

AVOID -cold foods and drinks -dry, fried, and very spicy oil sour foods -processed and fermented foods -caffeine, smoking, alcohol -long lasting or skipping meals

YOGA ASANAS -makarasana= relaxes the spine - bhujangasana= strengthens back muscles -setu bandhasana= improves flexibility of lower spine - pawanmuktasana= reduces stiffness -tadasana= improves posture and balance

Avoid forward bending or twisting until pain reduces significantly

PRANAYAM -Anulom vilom= calms the nervous system, balance vata -Bhramari= redues stress and helps sleep - deep diaphragmatic breathing= improves circulation and reduces tension

HOME REMEDIES -warm oil massage daily before bath -turmeric milk at night- 1 cup warm milk + 1/2 tsp turmeric - fenugreek seeds soaked overnight and eaten in morning - reduces inflammation - dry ginger powder + jaggery small ball daily- aids digestion and pain relief -hot compress on lower back and thigh for 15-20 min daily

-Chornic pain often continues even when imaging looks normal- it’s functional and energetic imbalance more than structural -Ayurveda treats from the root by balancing vata, nourishing tissues, and improving digestion. -consistency is key= results builds slowly but deeply

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Hello

Kindly start,

Mahayogaraj guggulu= 1 tab twice daily after meals

Rasnasaptaka kashaya= 20 ml twice daily after meals with warm water

Ekangaveer rasa= 1 tab twice daily after meals

Trayodashanga guggulu= 1 tab twice daily after meals

Apply Nirgundi taila externally Followed by steam fomentation

Thank you

Dr Hemanshu Mehta