Hello, Based on your history of chronic heel pain for 6–7 years, unbearable constant pain, worsening with walking/standing, and no nerve damage, this condition in Ayurveda closely correlates with Vatakantaka / Parshni Shoola (heel pain due to aggravated Vata with local inflammation).
Long-standing pain suggests Vata prakopa, associated Ama accumulation, micro-inflammation of ligaments/plantar fascia, and poor local tissue nourishment (Asthi–Majja dhatu kshaya).
Your treatment will focus on Vata shamana, inflammation reduction, Ama pachana, and strengthening of heel tissues.
🔎 Recommended Investigations (If not done in the last 6–12 months) 1. X-ray heel (lateral view) – to rule out calcaneal spur 2. ESR & CRP – to assess chronic inflammation 3. Vitamin D3 – deficiency commonly worsens heel pain 4. Uric Acid – to rule out inflammatory contributors
💊 Internal Medicines Phase 1 – 21 days (Pain control + Ama pachana + Vata balancing) 1. Yograj Guggulu – 2 tablets twice daily after meals 2. Rasnasaptak Kwatha – 15 ml with equal warm water, twice daily before meals 4. Shallaki plus(Boswellia) Capsules – 1 capsule twice daily after food
Phase 2 – 45 days (Tissue healing + strength + recurrence prevention) 1. Kaishore Guggulu – 2 tablets twice daily after meals 2. Ashwagandha Churna / Tablets – ½ tsp with warm milk OR 1 tablet at bedtime 3. Guduchi Satva – ½ tsp in warm water every morning 🌿 External & Panchakarma-Supportive Therapies 1. Abhyanga (Heel massage) – daily Use Mahanarayana Taila or Kottamchukkadi Taila Massage heel & sole for 10 minutes before bath 2. Nadi Sweda / Hot water fomentation – daily After oil massage, apply warm fomentation for 5–7 minutes 3. Upanaha Sweda (if possible at clinic) – 7–14 days Very effective for chronic plantar inflammation 4. At night Apply oil → wear cotton socks → rest
🥗 Diet & Lifestyle Recommendations ❌ Avoid (Aggravates Vata & pain) 1. Cold foods, ice water, refrigerated items 2. Excess dry foods, biscuits, bakery items 3. Tea/coffee excess 4. Walking barefoot on hard surfaces 5. Prolonged standing ✅ Include 1. Warm, freshly cooked food 2. Ghee – 1 tsp daily (lubricates joints) 3. Garlic, ginger, turmeric in cooking 4. Warm milk at night with a pinch of turmeric
👣 Foot Care & Support 1. Use soft cushioned footwear always 2. Silicone heel pad / orthotic support 3. Avoid hard floors & barefoot walking 4. Gentle stretching of calf muscles morning & evening
🧘🏻♂️ Yoga & Stretching (Pain-safe) 1. Tadasana 2. Vajrasana (only if pain allows) 3. Ankle rotations 4. Toe stretching exercises 5. Leg elevation for 10 minutes at night
Avoid high-impact yoga, jumping, or prolonged standing poses.
🕉️ Follow-up & Duration
• Pain relief usually begins in 2–3 weeks • Chronic cases need 8–12 weeks of regular treatment • External oil therapy is key — do not skip • Continue supportive herbs for 3 months to prevent recurrence
✨ With consistent Vata-pacifying treatment, local oiling, and foot care, even long-standing heel pain can significantly reduce and become manageable.
With kind regards, Dr. Sumi MS (Ayu)
Hlo, Tq for your question,
As per your query- -
Pain and abnormal sensations under the heel for many years are commonly due to chronic inflammation, plantar fasciitis, heel spur, or vata imbalance according to Ayurveda. Even when there is no nerve damage, long-standing dryness, strain, and micro-injury can cause such pain.
Ayurvedic approach for heel pain & inflammation 1️⃣ Externally- - Massage daily at night with Mahanarayan Taila or Ksheerabala Taila After massage, do hot water foot soak for 10–15 minutes Keep feet warm; avoid walking barefoot
2️⃣ Internal Ayurvedic medicines -
1) Mahayograj Guggulu 2 tab BD after meal with Luke warm water 2) Dashmool Kwath 20 ml BD with equal amount of water after meal 3) Ashwagandha churna 4 gm with milk at night
3️⃣ Local application (daytime) - Apply Rasnadi Lepam or Saindhavadi Lepam on the heel once daily
4️⃣ Simple home care advice - Avoid hard surfaces and prolonged standing - Use soft cushioned footwear - Do gentle calf and heel stretching exercises - Maintain regular sleep and digestion
Thanks Follow up after 15 days
Hello I can totally empathize with you. It must have been very difficult to endure painful heels for 6-7 years, and to be honest, I can hardly imagine how incredibly painful and irritating it must have been when the pain became so severe that it was unbearable to even walk or stand. Please be sure - we are ready and willing to assist you 😊
AYURVEDIC UNDERSTANDING OF YOUR CONDITION
Your history-based condition is the most representative example of the following:
Vatakantaka (Heel pain disorder described in Ayurveda)
Pathogenesis (Samprapti): – Constant impact on the heel – Aggravation of vata due to long-duration of standing or walking – Dryness, atrophy of the tissues surrounding the heel Inflammation of plantar fascia / calcaneal region
➡️ Causing deep, gripping, burning, and chronic heel pain of long duration
It is not nerve damage, but a musculoskeletal disorder involving Vata predominance in the most of the cases, followed by Ama (inflammation) coexistence.
AYURVEDIC TREATMENT PLAN
INTERNAL MEDICATIONS ( 6 weeks course)
1. Yograj Guggulu 1 tablet two times daily after meals with warm water Alleviates Vata, inflammation, stiffness
2.Dashmoolaristha 20 ml two times daily before meals (with an equal amount of warm water) (The most effective anti-inflammatory agent for chronic heel pain)
3.Rasnasaptak Kauhaya 20 ml two times daily after meals (Relieves deep-seated musculoskeletal pain)
4.Triphala Churna ½ teaspoon at night with warm water (Vata is corrected through bowel movement which is very important)
LOCAL TREATMENT (VERY IMPORTANT)
Daily heel care Abhyanga (local oil massage) with Mahanarayana Taila 👉 Massage the heel vigorously for 10–15 minutes After massage: Hot water fomentation OR Immerse the foot in warm water with rock salt
- Night application Put oil on → put cotton socks on → sleep
-Just about 40-50% of pain can be alleviated in 3–4 weeks by this alone
FOOTWEAR & ACTIVITY MODIFICATION
-Wear soft cushioned shoes -Apply silicon heel pad / orthotic support -Do not walk barefoot on hard surfaces -Do not stand for too long without taking breaks
DIET & LIFESTYLE (VATA SHAMANA)
INCLUDE: Warm, cooked food Ghee, milk, sesame oil Ginger, cumin, ajwain Sufficient water intake (warm water)
AVOID:
Cold food/drinks Excess tea/coffee Dry, packaged food Late nights
SUPPORTIVE PRACTICES
Gentle calf & plantar stretching Do not suddenly impact exercises Apply warm oil to the skin before taking a bath
EXPECTED RESULTS
Pain relief: 2–3 weeks Walking comfort improvement: 4–6 weeks Long-term stability: 3 months of regular treatment
⚠️ As your pain is long-term (6-7 years), being thorough is very important. Your situation can be managed and made better to a large extent without a surgical intervention, only if you consistently follow the above treatment
Warm Regards Dr Snehal Vidhate
1.Mahayograj guggulu 2 tab twice daily with water after meals 2.Ksheerabala 101 Capsules 1 cap twice daily with warm milk after meals 3.Maharasnadi Kwath 20 ml with 20 ml water twice daily after meals 4.Dhanwantharam Tailam or Mahanarayan Tailam: Warm oil massage on heel daily, followed by hot fomentation.
🍲 Diet Tips - Favor warm, nourishing foods: khichdi, moong dal, ghee, sesame seeds. - Avoid cold, dry foods: refrigerated items, excess pulses like chana/rajma. - Reduce sour and salty foods (they aggravate inflammation). - Drink warm water; avoid cold drinks.
🧘 Lifestyle Tips - Foot care: - Warm water + salt soak for 10 minutes daily. - Gentle stretching of calf and heel before walking. - Yoga: Vajrasana, Tadasana, Pawanmuktasana (gentle stretches). - Avoid standing for very long periods; use cushioned footwear. - Weekly Abhyanga (oil massage) for legs and feet.
I know how difficult it is to live with heel pain for so many years. When pain is there every day and becomes unbearable while standing or walking, it slowly affects both the body and the mind. The good part in your case is that there is no nerve damage, which means this pain is not permanent and the tissues can still heal.
In most long standing heel pain cases, the problem is due to chronic inflammation and strain over the heel area, gradually tissues become tight, weak, and poorly nourished. Painkillers usually suppress the pain for some time, but they do not repair the root problem, so the pain returns again and again.
For healing, focus on reducing inflammation and improving circulation. Ashwagandha capsule 1 Cap twice daily Yograj guggulu 1 tab twice daily Dashamoola kashayam 15 ml twice daily
massage the heel and sole with warm oil every night which will help to loosen tight tissues and improves blood flow. After massage, keeping the area warm for a few minutes gives better relief. Avoid walking barefoot, especially on hard floors, and wear soft, well-cushioned footwear even at home.
Soak your feet in warm water daily which will relax the heel and reduces pain
With regular care and patience, long standing heel pain will gradually improve. If the pain suddenly increases, swelling appears, or walking becomes very difficult, it is better to consult orthopaedician once
Heel pain and sensations over a prolonged period, can often relate to a dosha imbalance, primarily involving Vata dosha as it governs movement and nervous system in our body. First, let’s focus on some effective Ayurvedic practices that might assist you.
Abhyanga, or self-massage with warm oils like sesame or Mahanarayan oil, is excellent. Warm the oil slightly and apply it gently on your heel before bedtime and let it sit. This can help soothe Vata aggravation and reduce pain. Rhythm and even gentle pressure matter.
Diet plays a crucial role. Incorporate Vata-pacifying foods like warm, cooked meals. Avoid raw and cold foods. Ginger, garlic, and turmeric have potent anti-inflammatory properties - add them to your meals regularly. Turmeric can also be taken as a warm milk concoction; half teaspoon in a glass of warm milk before sleep can aid healing.
Consider herbs like Ashwagandha and Guggulu, known for their anti-inflammatory qualities. An Ayurvedic practitioner could prescribe the best dosage based on your constitution and needs.
Warm Epsom salt foot baths can relieve pain too. Add one to two tablespoons of Epsom salt in warm water, soak your feet for about 15-20 minutes daily.
Balance rest and activity – too much standing or walking aggravates this condition, take regular breaks to give your heels rest. Simple yoga postures like Vajrasana help improve circulation to the lower extremities.
Hydration is crucial in keeping Vata balanced, so drink warm water throughout day. However, if your condition persist or worsens, it’s vital to consult with a healthcare professional as an immediate intervention may be necessary.
Some regime you should follow
✔️Do’s:✔️ Eat freshly cooked food. Eat only fruit vegetables.
🧘♀️Yoga🧘♀️ Virabhadrasana Trikonasana Vrukshasan Prasavkonasan Bhujangasan Balasan Shavana
🧘♀️Pranayam🧘♀️ Anulom Vilom Bhastrika Kapalbhati
❌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 Tab. Mansapachak vati 2 tabs twice aday before food. Tab. Mahavatvidhvans Ras 1 tab twice a day before food. Syp. Punarnavasav 3 tsp twice a day before food.
Sunthi sidh castor oil 3 tsp at bed time with a cup of hot water.
If you have a panchakarma center near you, get agnikarma done. Else you can heat a cast iron pan, keep it upside down and hot foment your heal till you feel the heat. Walk immediately after you get the burning sensation.
Also daily apply hot sesame seed oil to whole of your feet below and above. After that dip in hot water for 20 mins.
Medicines Maharasnadi Kwath – 20 ml + 60 ml warm water morning empty stomach Yogaraja Guggulu – 2 tablets morning + 2 tablets night after food Gokshuradi Guggulu – 2 tablets morning + 2 tablets night after food Punarnavadi Mandoor – 250 mg morning + night after food Dashmoolarishta – 20 ml + 40 ml warm water after lunch & dinner
Oil (must use daily – most important) Warm Pinda Taila OR Mahanarayan Taila , gentle heel & calf massage nightly followed by hot water bag 15 min + wear cotton socks overnight
Daily Must-Do Soak feet 15 min in warm water + 1 tsp Triphala powder + pinch rock salt → twice daily No barefoot walking – wear soft cushioned slippers Legs elevated 20 min twice daily
Diet Give only: moong khichdi + ghee, pomegranate, coconut water Avoid completely: curd, cold drinks, fried food, excessive salt
Start oil massage + medicines tonight – relief begins from day 4–5.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Take Simha nada Guggulu 1tab bd, varanadhi kashayam 20ml bd,maha yoga Raja Guggulu with Gold 1tab, dashamoolarista 20ml bd,mana narayana tail external application, punnarvadi mandoor 1tab bd
Mahavatvidhvansh vati 1-0-1 after food with water Maharasnadi ghanvati 1-0-1 after food with water Soak your legs in warm salt water for 10-15 min. After dinner. Visit nearby ayurvedic clinic, opd treatment like Agnikarma treatment can help, fasten healing process. Avoid sour fermented foods. Wear soft heel comfortable shoes.
HELLO,
-Long standing heel pain with severe intensity indicates aggravated vata with kapha induced inflammation -Causes= overuse, long standing, dryness, improper footwear, age related degenration
INTERNAL MEDICATIONS
1) YOGARAJ GUGGULU= 1 tab twice daily after meals =reduces chronic pain, stiffness, inflammation
2) MAHARASNADI KASHAYA= 20 ml + equal water twice daily wafter meals =best for Vata-related musculoskeletal pain
3) SHALLAKI CAPSUELS= 1 cap twice daily after meals =strong anti inflammatory
4) ASHWAGADHA CHURNA= 1 tsp with warm milk at night =strenghtens muscles, nerves and tissues
EXTERNAL THERAPIES
1) OIL MASSAGE= daily on heel with mahanarayan taila
2) HOT WATER FOMENTATION after massage 5-10 min
3) HERBAL POULTICE= weekly if possible
LOCAL APPLICATION -At night apply castor oil + rock salt cover with cotton socks -OR VISHWGARBHA taila for severe pain
DIET AND. LLIFESTYLE -warm , cooked, oily foods -ghee, milk , soups, sesame seeds
AVOID -cold foods, dry snacks, excess tea/coffee -long standing, barefoot walking on hard floors
FOOTWEAR -soft cushioned footwear with heel support
SIMPLE YOGA AND EXERCISES -gentle ankle rotation, toe stretching -avoid jumping, running on hard surface
EXPECTED RESULTS -pain relief begins in 3-4 weeks -chronic cases need 2-3 months of consistence treatment
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
