This is a complex case (history of Multiple Myeloma + severe knee pain) Main cause of pain may be bone weakness, degeneration, or myeloma-related lesions, so aim is pain control + strength + comfort, not aggressive treatment Mahayograj Guggulu 1 tablet twice daily after food Lakshadi Guggulu 1 tablet twice daily (for bone support) Ashwagandha Churna ½ tsp with warm milk at night 👉 If digestion weak give with warm water instead of milk Shallaki (Boswellia) capsule – 1 capsule twice daily → Good natural pain reliever for joints If pain severe Trayodashang Guggulu – 1 tablet twice daily External Application Mahanarayan Taila massage (gentle) Follow with warm fomentation (hot cloth / steam) → 2 times daily If swelling / stiffness present Dashmool Kwath – 15 ml + water, twice daily Avoid heavy massage (bones may be fragile in myeloma) Avoid strong Panchakarma / detox Ensure calcium + vitamin D support (continue) Keep movement gentle (not complete bed rest)
The history which you provided above is pointing towards the asthigata vata that affects the bone marrow and also depletion of the tissue So we will have to focus on vata shamana and asthi majja pushti or Nourishing bone and Marrow tissue. 👇👇👇👇👇👇👇👇👇👇👇 1) Ksheerabala (101) Capsules- 1 capsule twice a day with warm water or milk 2) Valiya Rasnadi Kashayam- 15 ml with 45 mm lukewarm water twice a day empty stomach 30 minute before food 3) lakshadi Guggulu-2 tablet twice a day after food with warm water 4) Gandha Thailam (Capsules)-1 capsule once a day with warm milk 5) Kottamchukkadi Thailam- local application gently twice a day follow with mild steam 👇👇👇👇👇 Include red rice wheat millets Ragi in your diet include vegetable like Karela Lauki drumsticks and carrot Include cow ghee in your daily diet Warm milk with A Pinch of turmeric and dry ginger Include sweets ripe seasonal fruits and dates Avoid cold dry Frozen Food excessive salty and fried food 15 to 20 minutes of mild morning sunlight Practice Pranayam like anulom vilom daily
Hello, Given the complex history of Multiple Myeloma, the severe knee pain is likely due to a combination of Sandhigata Vata (osteoarthritis) and potential bone density loss (common in long-term Myeloma). Since surgery is not an option, the goal is Vedana Shamana (pain management) and Asthi-Majja Pushti (nourishing the bone and marrow) using authentic In Ayurveda, this condition represents a high Vata state where the Shlesaka Kapha (synovial fluid) has depleted, leading to bone-on-bone friction. Given her history, we must balance Vata without being too heavy on the digestive system. Medicine : 1. Pinda Thailam (External): Apply gently over the knee joints twice daily. This is specifically indicated for pain associated with inflammatory conditions and bone weakness. Do not massage vigorously; use light circular strokes. 2. Ksheerabala (101) Capsules: Take 1 capsule twice daily before food. This is a potent “Avartana” (fortified) preparation that nourishes the nerves and bones, helping to reduce “Vata” related neuralgic and joint pain. 3. Yogaraja Guggulu Tablets: Take 2 tablets twice daily after food. This is the gold standard for joint pain and helps in clearing toxins from the musculoskeletal system. 4. Dhanwantharam Kwath (Tablet form): Take 2 tablets twice daily before food. It acts as a complete systemic tonic for the nervous and skeletal systems, particularly beneficial for those with long-standing chronic illness. 5. Kottamchukkadi Choornam: Mix this powder with warm water or tamarind leaf juice to make a paste. Apply as a “Lepa” (poultice) over the knees, leave for 30 minutes, and wash off with lukewarm water to reduce localized swelling and acute pain.
hello, ii would like to see her full reports including RA reports if you have done one. aside from knee joints what other joints does she have pain? is there any swelling, pain worsening in morning, stiffness? how is her appetite and what all medicies are she taking now? and whats her current diet like? also for a slight pain releif topical use mix 1 big spoon f the powder with 1 glass warm water and cook it over a tove till a paste consistancy. apply it iover the knees and other joints. add in a 1/2 a teaspoon of salt if there is swelling. wrap the knees with a kotton cloth after applying for atleast 6 hours. better to do that in the night and keep it wrapped over night, the results are better if you can cover the joint with arka patra or erand patra before wrapping. the other time apply the second lepa over the joints in a thick layer. internal medicines can only be advised after her reports are reviewed and hiostory is taken properly. continue these local treatments for 14 days and there will be good relief.
Your mother has a long history of illness (18+ years), and now she is experiencing severe knee pain and body pain. At this stage: The body tissues (especially bones and joints) have become weak and depleted Vata dosha is highly aggravated, which is the main cause of: Severe pain Difficulty in walking Low energy In simple terms: The joints have become weak and dry, so pain is more intense and recovery is slower. It is important to be clear and practical here: Complete reversal or cure of the joint condition may not be possible at this stage The main goal now is: ✔ Pain reduction ✔ Improving comfort and mobility ✔ Enhancing quality of life This is called palliative care — focusing on comfort and relief What Can Be Done Now? Since she is already taking multiple internal medicines, more medicines alone may not give sufficient relief At this stage, external and procedure-based therapies are more helpful Consult a nearby experienced Ayurvedic physician for procedure-based pain management: Marma Therapy → reduces pain and improves joint function Viddha Karma → helps relieve deep, chronic pain (or) Agnikarma → very effective for severe knee pain relief Keraliya panchakarma procedures -> helps reduce vata dosha, local lubrication improves. Supportive Measures at Home Gentle oil application (like Mahamasha Taila) Warm fomentation (heat) to knees Avoid excessive walking or strain At this stage: Right therapies + pain management = better comfort Rather than trying many supplements, focused local treatment will give better results With the right Ayurvedic procedures, pain can be reduced and daily comfort can improve, even if complete cure is not possible.
Hello, Your mother has been living with Multiple myeloma for 18 years- which itself speaks to her increadible strength and resileince . Multiple myeloma is a condition where certain cells in the bone marrow (the soft tissue insides bones) starts multiplying abnormally. In Ayurveda this is Asthi majja gata vata- vata has penetrated the deepest tissues causing pain, nerve damage, and depletion. Knee surgery being ruled out means we focus entirely on pain relief, nourishment and quality of Life Internal medications 1) Rasnasaptakam kashaya= 15ml + 45 ml warm water twice before meals =best for deep bone joint vata pain 2) Ksheerbala 101 capsules= 1 cap twice after meals with warm milk =nerve repair + bone nourishment 3) Ashwagandhadhi lehyam= 1 tsp twice daily with warm milk =rebuilds ojas, energy, immunity 4) Dhanwantaram gulika= 1 tab twice daily with water after meals =chronic vata joint pain 5) Mukta sukhti bhasma= 125 mg twice daily with honey =ayurvedic calcium for bones External therapies Daily warm Murivenna oil massage around knee- 20 mins, then warm towel compress Diet- keep it simple EAT= warm rice with ghee, moong dal -warm milk with turmeric -sesame seeds -cooked vegetables -bone broth/soups -ginger in all foods Avoid -cold food. drinks -raw salads -cauliflower, beans -packaged foods -skipping meals Golden rules= Ghee in medicines= add to every meal generously Nightly must Do -warm milk + 1/2 tsp turmeric + pinch black pepper + 1 tsp ghee = every night before sleep Yoga and pranayam -Anulom vilom= 10 min= directly calms vata, reduces pain -Bhramari= 5 min daily= nervous system relief, reduces chronic pain -Lying leg raises. + ankle rotations= gentle daily, seated or lying only -Yoga nidra= reduces chronic pain Lifestyle -keep knees warm always- use knee warmers -sleep with small pillow under knees -use a walking sticks to reduce joint load -avoid stairs squatting floor sittin -short walks 5-10 min on flat ground- dont stop moving entriely Get these done -vitamin d3 and b12 -serum calcium -CBC + kidney function -SPEP 18 years of fighting- she is strong, The goal now is comfort, nourishment, and dignity. You’re doing the right time Do follow Hope this might be helpful Thank you
• Rasnasapthakam Kwath (200 Ml) - Kerala Ayurveda (Rasnasapthakam Kwath 200 Ml) — x2 • Ksheerabala 101 Avarti Capsule (100 Nos) - Kerala Ayurveda (Ksheerabala 101 Avarti Capsule 100 Nos) — x1 • Ashwagandhadi Lehyam (Aswagandhadi 500 Gm) - Kerala Ayurveda (Aswagandhadi Lehyam 500 Gm) — x1 • Dhanwantharam Gulika (50 Nos) - Kerala Ayurveda (Dhanwantharam Gulika 50 Nos) — x1 • Murivenna - Kerala Ayurveda (Murivenna Thailam 450 Ml) — x1
🩺 Important Medical Checks (Very Important) If not done recently, please consider: X-ray / MRI of knee (to rule out bone lesions) Serum calcium levels Vitamin D & B12 Kidney function (important in myeloma patients) 👉 If pain is increasing, a hematologist review is strongly advised. 🌿 Ayurvedic Approach (Safe & Practical) 1. External Therapies (Most Effective in her case) These will give real relief: Abhyanga (oil massage) with: Mahanarayan oil Dashmool oil Janu Basti (highly recommended) → Warm medicated oil retained on knee joint → Excellent for severe pain Nadi Swedana (steam therapy) → Reduces stiffness + improves circulation 👉 If you run TRIPT AYURVEDA, you can easily incorporate these therapies regularly (3–5 times/week initially) 2. Internal Ayurvedic Medicines (Adjust carefully ⚠️) She is already taking many rasayanas, but I would suggest rationalizing instead of increasing: Continue: Ashwagandha (good for strength) Shatavari (if tolerated) Add (after consulting your physician): Yograj Guggulu → for Vata + joint pain Lakshadi Guggulu → for bone strength Dashmool Kwath → reduces inflammation ⚠️ Be cautious with: Excess Shilajit (can burden kidneys in myeloma) Multiple rasa preparations together (like Pushpadhanwa Ras) 3. Diet (Very Important) Focus on Vata-pacifying + bone nourishing diet ✔ Give: Warm, soft foods (khichdi, soups) Cow ghee (small amounts daily) Sesame seeds (til) Almond milk (if digestible) ❌ Avoid: Cold foods, curd at night Dry, stale food Excess raw salads 4. Simple Home Remedies Hot fomentation (daily) Castor oil + dry ginger paste (local application for pain) Turmeric milk at night (if digestion allows) 5. Gentle Movement (Don’t stop completely) Even with pain: Light movement is necessary Bed rest will worsen stiffness 👉 Try: Passive knee bending Supported walking (very short distance) 💊 Pain Relief (Don’t hesitate here) If pain is “very severe and unbearable”, Ayurveda alone may not be enough. 👉 It is completely okay to use: Mild painkillers (under doctor guidance) calcium + Vitamin d supplements Pain control = better healing 🚫 not to do don’t ignore worsening pain don’t do aggressive therapies or strong panchakarma in her condition
First—this is not just “normal knee pain.” In a case like long-standing Multiple Myeloma + age 60, this pain is usually due to: Bone weakness (asthi kshaya) Vata aggravation (especially Sandhigata Vata) Possible degeneration + marrow weakness So treatment should be pain relief + bone nourishment + Vata control. Stop random supplementation (important correction) You mentioned: Ashwagandha Shatavari Shilajit Pushpadhanwa Ras. Adv-X-ray or MRI of knee Serum calcium, ALP Myeloma status (if not checked recently)m yograj guggul 1bd Mahayograj guggul 1bd Lakshadi guggul 1bd dashmoolarishta 15ml bd Abhyang& swedan matra basti ,janu basti
I can help you with a safe, Ayurveda-aligned approach that focuses on pain relief, strength, and quality of life—while avoiding anything that could worsen her underlying condition. My only suggestion to you is refer good oncologist for this just because her pain worsen. RX- Tab. Mahayograj guggulu- 2 tablets twice a day after meal. Gomutra arka 20ml before breakfast. Shatavari kalp with warm milk at morning. Ashwagandha churna 1tsp with warm milk at bedtime. make a potli of hot namak and hot compress with it. Massage with mahanarayan tel+ vathar tel. If possible, Visit ayurvedic hospital and can have Patra pind sweda . Dr. Muskan Chopra Ayurvedacharyaa
Given her long history of multiple myeloma (18 years) and now severe progressive knee and body pain, this situation needs a very cautious approach. In such patients, knee pain is not always only “joint pain” — it can be due to: • bone weakening (myeloma-related changes) • osteoporosis or fragility fractures • degeneration + long-term treatment effects • vitamin/mineral imbalance So simply increasing supplements may not help and sometimes can worsen burden on body. First priority should be re-evaluation, especially: • CBC, calcium, vitamin D • Kidney function • Bone scan / X-ray knee if not done recently • Myeloma follow-up (to rule out activity) For symptom relief and support: Reduce load on knees. Avoid walking long distances or standing for long time. Use a walker or support if needed. Warm fomentation can help reduce stiffness. Gentle passive movements only, no forceful exercises. At home, light oil application with warm sesame oil around knee can help comfort. Keep joints warm and avoid cold exposure. Given her condition, avoid unnecessary heavy combinations. Keep treatment simple: • Dashmool Kwath – 15 ml twice daily with warm water • Rasna Saptak Kwath – 15 ml twice daily • Shallaki (Boswellia) tablet – 1 tablet twice daily after food Pain may not fully disappear quickly, but this can help reduce inflammation and improve mobility safely. If pain is constant and severe, pain specialist input is also important for quality of life support. Regards, Dr Raghuveer (Ayurvedacharya)
Hi Not to worry First of all plz go for Uric acid ,RA factor ,Vit D blood tests and share me the reports in personal consultation Now for her current condition you can take Tab tryodashang guggulu-2 bd Singhnad guggulu-2 bd Mahanarayana and mahamasha oil massage at joints thrice daily Avoid excess joint exertion and vata aggravating diet Medicines to be taken with warm water only
1.Mahayogaraj guggulu 2 tab twice daily with water after meals 2.Shallaki tablets 2 tab twice daily with water after meals 3.Ashwagandha capsuels 1 cap twice daily with warm milk after meals 4.Rasna saptak kwath 20 ml with 20 ml water twice daily after meals External Therapies- -Abhyanga (oil massage) with warm Mahanarayan Taila or Dhanwantharam Taila on knees and legs, followed by gentle fomentation (swedana). -Local lepa (herbal paste) with Eranda moola or Dashmool powders mixed in warm oil for pain relief. Diet & Lifestyle Warm, light, nourishing meals with ghee, moong dal, rice, cooked vegetables. Avoid cold, dry, and heavy foods. Turmeric milk (if digestion allows) for inflammation. Gentle yoga or chair-based stretches to maintain circulation without straining the knees. Stress reduction with pranayama (Anulom-Vilom, Bhramari). ADV- janu basti at a nearby panchkarma centre
