HELLO,
You had kneee cap replacement surgery one month ago. Even though the damaged bone is replaced, the body is still healing internally
WHY PAIN AND STIFFNESS ARE MORE IN MORNING? -during night, movement is less, circulation slows -the knee joint becomes dry and stiff -surgical trauma disturbs the body’s natural balance In Ayurveda, this condition is mainly due to Vata dosha aggravation
According to Ayurveda, -Asthi dhatu (bone tissue) and Majja dosha(marrow and nerves) were disturbed during surgery -surgery causes dryness, and inflammation -vata, dosha which controls movement and pain becomes aggravated
This leads to -pain -stiffness -difficulty in movement -delayed lubrication of joint This condition resembles abhigataja sandhivata (post traumatic joint disorder )
TREATMENT GOALS -pacify aggravated vata -reduce inflammation and stiffness -improve joint lubrication -strengthen muscles and ligaments -support bone and nerve healin -prevent long term stiffness or implant related discomfort
INTERNAL MEDICATIONS
1) YOGARAJ GUGGULU= 1 tab twice daily after meals for 3 months =best medicine for joint stiffness and vata disorders, reduces inflammation and improves mobility
2) MAHAYOGARAJ GUGGULU= 1 tab twice daily after meals for 3 months =strengthens bones, nerves and muscles, very useful after orthopaedic surgeries
3) ASHWAGANDHA CAPSULES= 1 cap twice daily after meals with warm milk for 3 months = enhances tissue repair, improves muscle strength, reduces post surgical weakness
4) SHALLAKI CAPSULE= 1 cap twice daily after meals for 8 weeks = natural anti inflammatory, reduces joint pain and swelling
5) DASHMOOLA KASHAYA= 20 ml + equal water twice daily with warm water before meals for 2 months = reduces deep seated pain, improves circulation around the joint
EXTERNAL THERAPIES
1) OIL MASSAGE= MAHANARAYAN TAILA -gentle massage around knee (avoid scar) -once daily, preferably morning = reduces dryness, improves blood flow, nourishes joints tissue
2) SWEDANA (fometation) -warm towel or steam for 10-15 min -after oil massage = relieves morning stiffness, enhances movement
LIFESTYLE CHANGES -keep knee warm -avoid exposure to cold air -avoid sudden movements -use knee support if advised -do not sit cross-leged -avoid squatting -avoid long standing -avoid cold baths -avoid jerky exercises
YOGA ASANAS -tadasana with support -vajrasana short duration only if comfortable after meals -straight leg raises physioapproved
PRANAYAM -Anulom vilom= 10 rounds -Bhramari= 5 rounds =improves healing, circulation and pain tolerance
DIET -warm cooked food -milk with turmeric -ghee -moong dal -vegetable soups -ginger, garlic
AVOID -cold food and drinks -curd at night -bakery items -excess tea/coffee -dry packaged food
HOME REMEDIES -turmeric milk at night -warm sesame oil massage -ginger decoction small quantity -castor oil 5-10 ml once weekly if digestion allows
-One month after knee replacement is still early healing phase -Pain and stiffness are common and reversible -Ayurveda works best when combined with physiotherapy -Consistency is key- results are gradual but long lasting -Avoid self medication, supervision is important
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
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
🧘♀️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💊
Tab. Ampachak Vati. 2 tabs twice a day before food. Tab. Sinhanad Guggul 2 tabs twice a day before food. 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. Shankhavati 2 tabs twice a day after food. Suck and eat like hajmola
Sunthi Siddh Castor Oil. 3 tsp at bed time with a cup of hot water.
Hi You can go for Local massage with mahanarayana oil After massage take hot fomentation with baluka
AFTER KNEE CAP REPLACEMENT SURGERY ONE MONTH BACK SEVERE EARLY MORNING STIFFNESS AND PAIN IS VERY COMMON DUE TO RESIDUAL INFLAMMATION MUSCLE TIGHTNESS REDUCED BLOOD FLOW AND INTERNAL DRYNESS AROUND THE JOINT, PIRANT TABLET CAN GIVE TEMPORARY PAIN RELIEF BUT IT DOES NOT SUPPORT INTERNAL HEALING OR LONG TERM JOINT RECOVERY AND DAILY DEPENDENCE SHOULD BE AVOIDED AT THIS STAGE, THE FOCUS SHOULD BE ON IMPROVING CIRCULATION REDUCING SWELLING NOURISHING JOINT TISSUES AND GRADUALLY RESTORING MOVEMENT AND STRENGTH
FOR INTERNAL SUPPORT TAKE YOGARAJ GUGGULU TWO TABLETS TWICE DAILY AFTER FOOD WITH WARM WATER,
DASHMOOLARISHTA TWENTY ML TWICE DAILY AFTER MEALS MIXED WITH EQUAL WARM WATER,
RASNASAPTAK KASHAYAM FIFTEEN ML TWICE DAILY BEFORE FOOD WITH EQUAL WARM WATER,
ASHWAGANDHA TABLET ONE TABLET TWICE DAILY AFTER MEALS WITH WARM MILK OR WARM WATER
MASSAGE THE KNEE AND SURROUNDING MUSCLES WITH MAHANARAYAN OIL OR KSHEERABALA OIL TWICE DAILY MORNING BEFORE BATH AND NIGHT BEFORE SLEEP, AFTER MASSAGE APPLY HOT WATER BAG OR WARM FOMENTATION FOR TEN TO FIFTEEN MINUTES, DO NOT APPLY STRONG PRESSURE DIRECTLY OVER THE SURGICAL SCAR
PHYSIOTHERAPY SHOULD BE CONTINUED DAILY WITH PAIN FREE RANGE OF MOTION, AVOID FORCEFUL BENDING JERKY MOVEMENTS TWISTING SITTING ON FLOOR SQUATTING OR USING INDIAN TOILET, USE A CHAIR WITH ARM SUPPORT, WALK SHORT DISTANCES MULTIPLE TIMES A DAY INSTEAD OF LONG WALKS, DO NOT KEEP THE KNEE COMPLETELY STILL FOR LONG HOURS
EARLY MORNING STIFFNESS CAN BE REDUCED BY APPLYING WARM FOMENTATION BEFORE GETTING OUT OF BED AND DOING ANKLE AND KNEE MOVEMENTS WHILE LYING DOWN, AVOID COLD EXPOSURE FAN OR AC DIRECTLY ON THE KNEE
DIET SHOULD BE WARM FRESH AND EASY TO DIGEST, USE RICE WHEAT MOONG DAL VEGETABLE SOUPS STEWED VEGETABLES COOKED GREENS, ADD SMALL QUANTITY OF GHEE DAILY, USE TURMERIC GINGER CUMIN AND GARLIC IN COOKING, AVOID CURD AT NIGHT COLD FOOD ICE CREAM REFRIGERATED FOOD SOUR FERMENTED FOOD BAKERY ITEMS AND DEEP FRIED FOOD, MAINTAIN ADEQUATE HYDRATION WITH WARM WATER THROUGH THE DAY
SLEEP SHOULD BE REGULAR WITH EARLY BEDTIME, KEEP A PILLOW UNDER THE CALF NOT DIRECTLY UNDER THE KNEE TO AVOID FLEXION CONTRACTURE, MENTAL STRESS AND FEAR OF MOVEMENT ALSO INCREASE STIFFNESS SO CONFIDENCE AND REGULAR ROUTINE IS IMPORTANT
WITH CONSISTENT INTERNAL SUPPORT LOCAL CARE PROPER DIET AND CONTROLLED EXERCISE MORNING STIFFNESS AND PAIN WILL REDUCE GRADUALLY AND JOINT CONFIDENCE WILL IMPROVE OVER THE NEXT FEW MONTHS
Hello I get it, that pain and stiffness after knee surgery can be a real drag, especially first thing in the morning. But dont worry we are here to help you out 😊
YOUR CONCERN You had knee surgery a month ago, and now you’re dealing with really bad pain and stiffness every morning.
Getting around after you wake up is tough. You’re also asking about this PIRANT tablet for the pain.
PROBABLE CAUSES
Modern take:
–After knee surgery, the tissues around your knee are still healing, so they’re a bit stiff. Also, there’s less of that natural grease in your joint overnight. – You might have some scar tissue forming, and the muscles around your knee could be a bit weak. It’s totally normal to feel stiff in the mornings for a couple of months after this kind of surgery.
Ayurvedic take:
This is kind of like a Vata prakopa in Sandhi problem – basically, an imbalance of air energy in your joint. It could be from the surgery itself (a type of injury), or a lack of natural lubrication. This Vata imbalance can cause pain, stiffness, and that tight feeling.
ABOUT PIRANT TABLETS
–PIRANT is mainly for muscle relaxation and pain relief. –It might help you feel better for a bit, but it doesn’t fix the actual problem.
TREATMENT GOAL 1. Stop that Vata-related stiffness. 2. Get your joint nice and lubricated again. 3. Make the muscles around your knee stronger. 4. Help your surgery heal well.
AYURVEDIC PLAN OF. TREATMENT
INTERNAL MEDICATION
1.Yograj Guggulu: Take one tablet twice a day after food ( It helps with stiffness and joint pain.)
2.Rasnadi Kashayam Mix 15 ml with an equal amount of warm water, twice a day. (This is great for stiffness after surgery.)
3.Dashmool Haritaki (if you’re constipated):** One teaspoon at bedtime with warm water.
Do this for about 6-8 weeks.
EXTERNAL CARE
1.Daily oil massage (Abhyanga): Use Mahanarayan Taila or Dhanwantaram Taila. Gently rub it on your knee and thigh muscles. Do this in the morning or before you shower.
2.Warm compress (Nadi Sweda / hot towel): Do this after your oil massage. It’s super helpful for morning stiffness.
LIFESTYLE AND EXERCISE
* Keep doing your physical therapy like clockwork. * Do gentle exercises to move your knee. * Don’t sit cross-legged or squat. * Don’t stay still for too long.
DIET PLAN
✅INCLUDE
* Warm, freshly cooked meals. * A teaspoon of ghee every day. * Milk, lentils, rice, veggies. * A little bit of turmeric and ginger.
❌AVOID
* Get too cold. * Eat cold food or drinks. * Walk too much or put too much strain on your knee. * Sit on the floor.
PIRANT might give you some quick relief, but it’s not the whole story.
Getting over knee surgery takes 3 to 6 months. The best way to get better is to do those oil massages, your physical therapy, and follow the Vata-balancing advice.
With good care, your stiffness will slowly go away, and you’ll move better.
Warm Regards Dr. Snehal Vidhate
Hlo,
After knee cap (patella) replacement, early-morning pain and stiffness at 1 month is common due to post-surgical inflammation, muscle tightness, and slow healing.
About PIRANT tablet - PIRANT is NOT a standard orthopedic or post-surgery medicine. - It is not commonly recommended after joint replacement. - Do not take it without surgeon/physician approval, especially after implant surgery.
Safe Ayurvedic Prescription (Post-Surgery Friendly) 1️⃣ Yograj Guggulu 👉 Dose: 1 tablet twice daily after food ✔ Reduces stiffness, improves joint mobility
2️⃣ Maharasnadi Kwath 👉 Dose: 20 ml + equal warm water, twice daily ✔ Best for early-morning stiffness & post-operative pain
3️⃣ Shallaki (Boswellia) Capsule 👉 Dose: 1 capsule twice daily after meals ✔ Anti-inflammatory, safe for implants
4️⃣ Dashmool Capsule / Kwath 👉 Dose: 1 capsule twice daily ✔ Reduces deep muscular pain
External Application (Very Important) 🟡 Mahanarayan Taila Gently massage around (not directly on scar) Follow with warm fomentation Once daily, preferably morning
Daily Care Tips ✔ Continue physiotherapy strictly ✔ Warm water bath in morning ✔ Avoid cold exposure to knee ✔ Do NOT sit cross-legged or squat
⚠️ Avoid ❌ Strong painkillers without surgeon advice ❌ Excess guggulu doses ❌ Raw cold foods at night
Expected Improvement 🕒 2–3 weeks: stiffness ↓ 🕒 4–6 weeks: pain ↓, movement ↑
Tq
It is common due to post-op inflammation, scar tissue & Vata aggravation. It improves gradually with time, physio & medicines. Pirant Tablets is very helpful & safe. It reduces swelling, pain & stiffness fast.
Safe Dosage Pirant – 2 tablets morning + 2 tablets night after food with warm water Continue minimum 60–90 days (safe longer if needed)
Best Combination for Faster Relief Pirant Tablets – as above (main for pain & stiffness) Yogaraja Guggulu – 2 tablets morning + night after food Dashmoolarishta – 20 ml + 40 ml warm water after lunch & dinner
Oil (must use daily) Warm Maharasnadi Taila OR Dhanwantaram Taila , apply gently on knee massage nightly followed by hot water bag 15 min
Daily Must-Do Continue physiotherapy strictly (range of motion exercises) Legs elevated 20 min twice daily No squatting/cross-leg sitting
Diet Give daily: moong khichdi + ghee, pomegranate, coconut water Avoid completely: curd, cold drinks, spicy/sour
Regards Dr Gursimran Jeet Singh MD Panchakarma
1.Mahayograj guggulu 2 tab twice daily with water after meals 2.Shallaki tablets 2 tab twice daily with water after meals 3.Maharasnadi kwath 20 ml with 20 ml water twice daily after meals
Supportive Measures - Physiotherapy: Gentle stretching aur strengthening exercises bahut zaroori hain. - Hot fomentation (Nadi Swed / steam): Early morning stiffness ke liye helpful hota hai (But firstly consult with your doctor). - Diet: Warm, easily digestible food; avoid cold, heavy, oily items. - Yoga: Gentle movements jaise Pawanmuktasana series.
Yes you can take it for stiffness start with 1 tablet twice daily after food with warm water along with that take dashamoola kadha 15 ml with equal amount of water twice daily after meals Ajamodadi churna 1/4 tsp with warm water at bedtime
For post surgery knee pain Start with Yograj guggul 1-0-1 after food with water, will help make i in strengthening knee joint Mahavatvidhvansh vati 1-0-1 after food with water will help reduce pain& stiffness. Apply dhanvantrum oil+ mahanarayan oil on affected area twice daily. Avoid sour fermented foods. Wear knee cap during the day.
