HI,
For a bharatanatyam dancer , its really a conerned for chondromalacia patella, but no need to worry as u came across us we are here for your proper guideness and relief. you will defienetly get fine and can perform as earlier.
with oral medications you must have to visit panchkarma centre for 1) Janu basti with mahanaryal taila 2) Matra basti with sheerbala taila
for atleast 7 days
along with panchkarma therapy some oral medicines added-
1) Tab. Lakshadi Guggul 2 tabs BD after crush before food. 2) Asthiposhak Vati 1 tab twice a day after food. 3) Tab. Shallaki 2 tabs BD after food. 4) syp ojasvini 2 tsf with equal amount of water after meal 5) mahanarayan taila for local applivation gentle message
DON’T worry you will get ok soon, ayurveda will not dissapoint you.
THANKU
HELLO IT CAN BE MANAGED BY AYURVEDA RX SUMENTA TAB 1-0-1 SHALLAKI TAB 1-0-1 LAKSHADI GUGGULU 1-0-1 DASHMOOL KWATH 15 ML EMPTY STOMACH
APPY REGULAR WARM OIL MASSAGE LOCALLY WITH NIRGUNDI OIL AT LEAST FOR 1 MONTH AVOID SPICY,SOUR FOOD
✔️ Do’s: ✔️ Stay Hydrated. Drink buttermilk. Drink cow milk twice a day Home cooked meal that is a balanced diet. Include eggs, Ragi, Black eyed bean, rajgira (little millet) in your diet. ❌ Dont’s: ❌ Oily and Spicy food. Processed food. Preserved food. Packed and ready to eat items. Pickles Papad Dried Fish If possible avoid dancing for 21 days. Aramandalam may worsen the condition. Curd
💊 Medication: 💊
Tab. Lakshadi Guggul 2 tabs twice a day before food. Tab. Asthiposhak Vati 1 tab twice a day after food. Tab. Shallaki 2 tabs twice a day before food. Cap. Arnopen 2 caps twice a day before food.
If possible take all tabs with milk.
Get a jalaukavcharan done on the knee followed by janu basti with pind swed done for 15 days. If a center is not available you can do janu basti and pind swed at home as well.
Janu basti use warm sesame seed oil.
For pind swed: Take bala+ ashwagandha 1 tsp each in a glass of water and boil it till the water reduces to half. To this add 2 cups of milk and get it a boil.
Make 2 parts of this milk. Use one part to cook a handful of rice of which you will make a pottali.
In the other part of the liquid you dip the pottali and foment your knee for atleast 20 mins.
Hello I truly understand how distressing it must be to face severe knee pain, especially as a Bharatanatyam dancer but dont worry we are here to help you out😊
✅AYURVEDIC PLAN OF TREATMENT
✅ Ayurvedic Healing Plan( IMPORTANT)
☑️Local Therapies (Bahya Chikitsa) (To be done in nearby panchakarma therapy center)
These external treatments help in reducing inflammation, pain, and promoting cartilage repair.
👉 Janu Basti (Oil Pool Therapy on Knees) Use Kottamchukkadi Taila, or Mahanarayana Taila. Retain warm oil over the knee joint for 30 minutes daily for 7 days. (Deeply nourishes joint tissues and relieves pain.)
👉 Abhyanga (Therapeutic Oil Massage -massage knees and thighs gently with Dhanwantharam Taila or Mahamasha Taila before warm water bath daily.
👉 Swedana (Fomentation) After oil massage, apply warm towel or steam fomentation for 10 minutes. ( Enhances oil absorption and improves circulation.)
✅INTERNAL MEDICATION
1 Protect D 1 tablet twice daily after meals (Reduces pain & inflammation)
2 Mahayogaraj Guggulu 1 tablet twice daily after food (Rejuvenates joints & reduces stiffness)
3 Ashwagandha Churna ½ tsp with warm milk at bedtime (Nourishes muscle & bone tissue)
4 Lakshadi Guggulu 1 tablet twice daily after food (Promotes bone and cartilage healing)
These herbs help reduce pain, rebuild cartilage, and strengthen joint tissue
✅DIET MODIFICATION
✅ Include:
Warm, freshly cooked foods with ghee and sesame oil. Milk boiled with turmeric, Ashwagandha, and a pinch of dry ginger. Green gram (moong dal), cooked rice, wheat, sesame, almonds (in moderation). Herbal decoction of Guduchi (Tinospora cordifolia) and Shunthi (dry ginger) to reduce internal inflammation.
❌ Avoid:
Cold, dry, stale food, deep-fried snacks. Excessive pulses like chana, rajma, and spicy or sour items (pickle, curd at night). Prolonged sitting or exposure to cold air on knees.
✅ Rehabilitation & Strengthening Plan (for Dancers)
1. Rest Phase (First 2–3 Weeks):
Avoid squatting, knee bending, or dance practice. Gentle exercises (pressing the knee cap down against a rolled towel) 10–15 reps, twice daily. Light stretches for hamstrings and calves.
2. Strength & Recovery Phase (After Pain Reduces):
Practice Vrikshasana,Tadasana, Anulom Vilom pranayama. Avoid Vajrasana, Padmasana, and deep lunges until complete recovery. Gradually reintroduce dance movements after at least 6–8 weeks of pain-free mobility.
✅ Additional Home Remedies
Castor oil (1 tsp) + warm milk at bedtime – natural anti-inflammatory and Vata pacifier
Turmeric + black pepper + ghee daily for cartilage protection.
Warm Nirgundi oil or Mahanarayana oil compress on knee twice daily for 15 minutes.
Consistent care, proper rest, and Ayurvedic rejuvenation can not only heal the knee but also help you regain the power needed for your art form.
Warm regards, Dr. Snehal Vidhate
Don’t worry take ashtibala 1tab bd , ksheera bala tail 1tab bd, laksha Guggulu 1tab bd enough, makaradwaja 1tab bd enough
1.Tryodashang guggulu 2 tab twice daily with water after meals 2.Shallaki tablets 2 tab twic edaily with water after meals 3.Rasnadi kwath 20 ml with 20 ml water twice daily after meals 4.Ashwagandha churna 1 tsp at bedtime with warm milk
External Therapies (Highly Recommended) - Mahanarayan Taila Abhyanga: Warm oil massage on knees daily, followed by gentle heat fomentation (hot water bag or steam) - Bala-Ashwagandha Taila: For deeper muscle and ligament support - Nadi Swedana (herbal steam): 10–15 min after oil massage, 3–4x/week
Diet & Lifestyle Tips for Joint Healing ✅ Favor: - Warm, unctuous foods: moong dal, rice, ghee, root vegetables - Bone-nourishing foods: sesame seeds, soaked almonds, dates, figs - Spices: ginger, turmeric, ajwain, cumin - Herbal teas: Dashmool tea, ginger-fennel tea ❌ Avoid: - Cold, dry, or raw foods - Excess sour, fermented, or spicy foods - Overexertion, especially deep squats or jumps
Movement & Recovery - Avoid dancing until pain reduces significantly - Begin gentle physiotherapy: isometric quadriceps strengthening, patellar mobilization - Practice slow yoga: Vrikshasana, Tadasana, Supta Padangusthasana (under guidance) - Sleep early, reduce screen time, and manage stress to support tissue repair
Take Shallaki tablet 1-0-1 Hadjod tablet 1-0-1 Dashamoola aristha 20-0-20 ml Check once vit D and B12 Knee rest for atleast 4 to 6 weeks
Since the degradation of cartilage in chrondomalcia is irreversible the goal of treatment is to manage pain improve knee function and prevent further damage While natural remedies cannot heal the condition a combination of rest targeted exercises a supportive diet and other therapies can significantly strengthen the knee and reduce pain Start ion Mahayogaraja guggulu 1-0-1 Peedantaka vati 1-0-1 Kaishore guggulu 1-0-1 Dashamoola aristha 15 ml with equal water Do knee massage with warm Narayana taila Do not put pressure on affected knee
Start with Laxadi guggul 1-0-1 after food with water Astiposhak tablet 1-0-0 after food with water Apply mahanarayan oil on affected area twice daily Ashwagandha tablet 0-0-1 at bedtime with water. Gradually as pain reduces start with knee strengthening yogasana or exercises under expert guidance gradually increase. Avoid sour fermented foods. Wear knee cap during the day.
Chondromalacia patella, often linked with imbalanced doshas like Vata aggravation, requires a holistic approach to manage and strengthen your knees naturally. Since you’re a Bharatanatyam dancer, maintaining joint health is crucial. Incorporating certain Ayurvedic practices alongside your prescribed medications can be beneficial.
Firstly, diet plays a significant role. Include anti-inflammatory foods such as turmeric, ginger, and garlic in your meals. These are natural Vata pacifiers. Along with these, ghee is beneficial; it nourishes the tissues, or dhatus, and lubricates the joints. Try adding a teaspoon of ghee to your meals daily.
Further, gentle exercises supporting the knees are essential. Focus on low-impact exercises, like swimming or cycling, to build muscle around the knee without causing strain. Avoid intensive knee-bending activities during the recovery phase.
Massage is another supportive therapy. Gently massaging the knees with warm sesame oil can improve blood circulation and reduce stiffness. Apply light pressure in circular motions for about 10 minutes each evening.
Herbs like Ashwagandha and Boswellia can support joint health. Ashwagandha can help in muscle strength, while Boswellia may reduce inflammation. Consider these after consulting an Ayurvedic practitioner for the right dose.
Achieving balance in daily routine can help pacify aggravated doshas. Ensure adequate rest and avoid stress, as mental strain can exacerbate Vata.
Remember to wear supportive footwear, and try not to stand for prolonged periods without breaks. Initially, avoid jumping and instead focus on techniques that require less knee strain.
It’s vital to consult your healthcare provider before integrating any new therapy. Keep in touch with physical therapists who might offer specialized exercises suited for dancers. Adapt these recommendations to complement your current treatments and under any guidance of medical professionals to ensure safe recovery.
