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63 साल की महिला को 15 साल से जोड़ों और घुटनों में दर्द हो रहा है, इसका इलाज कैसे करें?
Orthopedic Disorders
परामर्श #57077
84 दिनों पहले
55

63 साल की महिला को 15 साल से जोड़ों और घुटनों में दर्द हो रहा है, इसका इलाज कैसे करें? - #57077

Client_5b262c
$3

मैं जोड़ों के दर्द, घुटनों के दर्द और शरीर में दर्द से परेशान हूँ। मैं 63 साल की महिला हूँ और मेरा वजन 66 किलोग्राम है। यह समस्या पिछले 15 साल से है।

How would you describe the intensity of your joint and knee pain?:

- Severe — significantly limits movement

When did you first notice the joint and knee pain?:

- More than 10 years ago

Does the pain worsen at certain times of the day?:

- No specific pattern

Have you noticed any activities that make the pain worse?:

- Walking or standing

How is your overall energy level during the day?:

- Moderate — some fatigue

Have you tried any treatments or remedies for your joint pain?:

- Natural remedies or supplements

Do you have any other health conditions or medications?:

- No other health conditions

डॉक्टरों की प्रतिक्रियाएं

Dr. Shashank Aggarwal
Bachelor of Ayurvedic Medicine and Surgery
84 दिनों पहले
4.99

I understand how frustrating it can be to live with knee pain, joint pain, and body aches for 15 years. At 63 years of age, these symptoms are most commonly related to age-related joint degeneration (osteoarthritis), but other factors such as chronic inflammation, calcium/Vitamin D deficiency, excess body weight on the knees, or metabolic conditions can also contribute. The good news is that with a proper Ayurvedic approach, many patients experience meaningful reduction in pain, stiffness, and improvement in mobility. From an Ayurvedic perspective, this pattern commonly suggests Vata aggravation with Asthi Dhatu (bone and joint tissue) depletion, leading to Sandhivata (osteoarthritis-like condition). The long duration and involvement of multiple joints make degenerative changes more likely than an acute inflammatory disorder, although conditions like rheumatoid arthritis should be excluded if there is significant swelling, warmth, or morning stiffness lasting more than an hour. I would suggest the following Ayurvedic management: Internal medicines 1)Yograj Guggulu – 2 tablets twice daily after meals with warm water for 2–3 months. Helps reduce joint pain, stiffness, and supports joint function. 2)Mahayograj Guggulu (if pain is more severe) – 1 tablet twice daily after meals under physician supervision. 3)Dashmool Kwath – 15–20 ml with equal water twice daily before meals for 6–8 weeks. Helps reduce Vata-related pain and body aches. 4)Lakshadi Guggulu – 2 tablets twice daily after meals for bone and joint nourishment. External therapy Daily gentle massage of knees and painful joints with Mahanarayana Taila or Ksheerbala Taila, followed by mild warm fomentation for 10–15 minutes. If symptoms are significant, Panchakarma therapies such as Janu Basti, Patra Pinda Sweda, or Matra Basti can provide substantial relief and improve joint mobility. Diet and lifestyle Prefer warm, freshly cooked foods, soups, moong dal, sesame, and adequate protein. Ensure sufficient calcium- and Vitamin D-rich foods. Avoid cold foods, excessive curd at night, deep-fried foods, and prolonged sitting. Gentle walking, knee-strengthening exercises, and yoga practices such as modified Tadasana and chair-supported exercises can be beneficial. I would also recommend checking Vitamin D, Vitamin B12, calcium levels, thyroid profile, and an X-ray of both knees if not done recently, as deficiencies often worsen chronic joint pain. Seek prompt medical evaluation if you develop marked joint swelling, redness, fever, sudden worsening pain, or difficulty walking. With regular treatment and lifestyle measures, improvement is usually noticed within 4–8 weeks, while long-standing cases often require 3–6 months of consistent management.


0 उत्तर
Dr. Ravi Chandra Rushi
Master of Surgery in Ayurveda
84 दिनों पहले
5

For a 63-year-old woman with chronic knee pain, joint pain, and body ache for 15 years Take • Yogaraj Guggulu 2 tablets twice daily after food with warm water. • Maharasnadi Kwath 20 ml mixed with 20 ml warm water twice daily after food. • Ashwagandha Churna 3 grams with warm milk at bedtime. External application: • Massage knees and painful joints with Mahanarayana Taila or Kottamchukkadi Taila daily, followed by mild hot fomentation. Diet and lifestyle: • Prefer warm, freshly cooked foods. • Avoid cold foods, refrigerated items, and excessive sour foods. • Gentle walking and knee-strengthening exercises as tolerated.


0 उत्तर
Dr. Aishwarya Jain DP
Bachelor of Ayurvedic Medicine and Surgery
84 दिनों पहले
5

Based on the symptoms provided, this appears to be a chronic degenerative joint condition affecting the knees and possibly other joints. – Probable Ayurvedic Diagnosis - Sandhigata Vata (osteoarthritis-like condition) - Vata predominance due to age-related tissue degeneration - Asthi and Majja Dhatu Kshaya (degeneration of bone and joint-supporting tissues) – Ayurvedic Assessment - Factors supporting this assessment: - Age: 63 years - Joint and knee pain for 15 years - Severe pain limiting movement - Pain aggravated by walking and standing - Generalized body ache - Moderate fatigue - Long-standing chronic course –Ayurvedic Medicines (internal) 1. Yogaraj Guggulu - 2 tablets twice daily after meals with warm water - Duration: 8–12 weeks (Traditionally used to support joint comfort, mobility, and Vata balance). 2. Maharasnadi Kwatha -15–20 ml with equal quantity of warm water twice daily after meals- Duration: 8–12 weeks (Traditionally used in chronic musculoskeletal and Vata-related disorders). – External Therapies 1. Mahanarayana Taila - Gentle massage over knees and painful joints once or twice daily followed by mild warm fomentation. Benefits may include : Reduction in stiffness, Improved circulation, Better joint mobility. – Panchakarma Considerations : For long-standing Sandhigata Vata, the following therapies are traditionally considered: * Janu Basti (localized oil retention over the knees) * Patra Pinda Sweda * Nadi Sweda * Matra Basti * Kala Basti These therapies aim to reduce Vata, improve lubrication, and support joint function. —Diet (Pathya) - Recommended : * Warm freshly prepared meals* Moong dal * Vegetable soups * Cooked vegetables * Sesame seeds in moderation * Garlic and ginger * Adequate protein intake * Small amounts of ghee if digestion is good * Warm water Avoid—* Cold and refrigerated food * Excess dry foods * Excessively spicy and fried foods * Frequent fasting * Packaged and highly processed foods. – Lifestyle Recommendations : * Avoid prolonged standing when possible. * Gentle daily walking within comfortable limits. * Chair-supported exercises and stretching. * Quadriceps strengthening exercises for knee support. * Maintain a healthy body weight. * Ensure 7–8 hours of restful sleep. — Additional Evaluation Given the long duration and severity of symptoms, it would be useful to know: * Whether there is morning stiffness * Presence of knee swelling * Any deformity of the knees * Previous X-ray findings * Vitamin D and calcium status. From an Ayurvedic perspective, this presentation is most consistent with chronic Sandhigata Vata. Long-term management generally focuses on Vata pacification, joint nourishment, appropriate exercise, external oil therapies, and maintaining digestive strength to support healthy aging and mobility.


0 उत्तर
Dr. Suraj Amber
Bachelor of Ayurvedic Medicine and Surgery
83 दिनों पहले
5

Hi, Dealing with joint pain and restricted mobility for 15 years is undoubtedly challenging, but it is important to understand that your body can still find deep relief, lubrication, and structural strength. At 63 years of age, your body is in a natural phase where the lubricating fluids in the joints tend to dry up. By addressing the root cause through Ayurveda—focusing on reducing inflammation, nourishing the bone tissues, and managing weight strain—we can help restore your mobility and significantly decrease your daily body aches. Below is the comprehensive Ayurvedic analysis, customized medicinal approach, and targeted diet plan for your recovery: 1. Pathophysiology & Root Cause (Samprapti) Sandhigata Vata (Osteoarthritis): Your symptoms point toward a chronic presentation of Sandhigata Vata. Over the last 15 years, an imbalance in Vata Dosha has progressively depleted the Shleshaka Kapha (the protective, cushioning synovial fluid inside your knee joints). This leads to friction, pain, and limited movement. Chronicity & Tissue Wasting (Dhatu Kshaya): Because the condition has persisted for 15 years, the imbalance has moved deeper into the Asthi (bone) and Majja (marrow) Dhatus, causing structural weakness and generalized body ache (Angamarda). Mechanical Load: Carrying a body weight of 66 kg against weakened, unlubricated knee joints creates constant mechanical stress, accelerating joint degeneration and worsening the pain during movement. 2. Ayurvedic Treatment Principles (Chikitsa Siddhanta) Our clinical protocol focuses on a multi-dimensional healing path: Vata Shamana & Shoola Hara: Directly pacifying the localized and systemic Vata to eliminate pain and body aches. Snehana & Sandhi Tarpan (Lubrication): Replenishing the lost moisture and cushioning within the knee joints internally and externally. Asthi-Majja Pushti: Nourishing the bone and degenerative cartilage tissue to improve structural stability. Mridu Amapachana: Clearing any subtle metabolic toxins (Ama) that may be causing stiffness in the mornings. 3. Suggested Medicinal Treatment (Aushadhi Protocol) The following traditional formulations are selected to target long-standing joint degeneration: Yograj Guggulu or Trayodashang Guggulu (Potent Anti-arthritic & Vata Shamak) Dosage: 2 tablets twice a day. Anupana (Vehicle): To be taken with lukewarm water, 45 minutes after meals. Action: Strengthens the joints, reduces deep-seated Vata in the musculoskeletal system, and directly alleviates body aches. Shallaki Tablet (Boswellia serrata - Natural Anti-inflammatory) Dosage: 1 tablet twice a day after meals. Action: Acts as a safe, natural pain-reliever that improves blood supply to the joints and reduces swelling and stiffness without causing any gastric irritation. Ashwagandha Churna or Gandha Thailam Capsules (Bone & Tissue Rejuvenator) Dosage: 3 grams of Ashwagandha powder (or 1 capsule of Gandha Thailam) at bedtime. Anupana: With a glass of warm milk. Action: Nourishes the Asthi Dhatu, improves muscle strength around the knees, and helps the body cope with chronic pain fatigue. External Application: Mahanarayan Taila blended with Sahacharadi Taila Usage: Warm the oil slightly and apply it gently over the knees and aching joints in a downward direction. Do not massage vigorously. Fomentation: Follow the oil application with a gentle warm water compress or a dry heating pad (Nadi Sweda style) to help the oil penetrate deeply. 4. Specialized Diet Plan & Lifestyle Instructions (Ahara & Vihara) To stop further joint degeneration and gently manage weight, your diet must be strictly anti-Vata (warm, nourishing, and easily digestible). Dietary Rules (Ahara Plan): What to Eat (Vata-Pacifying Foods): Focus on freshly cooked, warm, semi-solid meals. Incorporate 1–2 teaspoons of pure cow’s ghee daily in your soups, dals, and khichdi; ghee acts as an internal lubricant for dry joints. Use warming spices in cooking: Ginger, turmeric, fenugreek (methi), cumin, and asafoetida (hing) to digest internal toxins. Include soaked almonds, walnuts, and sesame seeds (til) in your daily routine to naturally strengthen bones. What to Avoid (Vata-Aggravating Foods): Strictly eliminate cold, dry, stale, and processed foods. Avoid gas-producing foods that increase Vata, such as kidney beans (rajma), chickpeas (chole), refined flour (maida), and brassica vegetables like cabbage, cauliflower, and broccoli. Completely avoid raw salads and sprouts; vegetables should always be well-cooked with a small amount of oil or ghee. Lifestyle Rules (Vihara): Keep Joints Warm: Avoid direct exposure to cold air or sitting directly underneath air conditioners or fans. Keep the knees covered. Gentle, Non-Weight-Bearing Movement: Do not walk for long periods or climb stairs unnecessarily, as this strains the joints further. Instead, practice gentle joint-rotation movements (Sukshma Vyayama) while sitting on a comfortable chair to maintain joint flexibility. Hydration: Sip lukewarm water throughout the day. Avoid drinking ice-cold water entirely, as it immediately aggravates Vata.

• Rasnasapthakam Kwath (200 Ml) - Kerala Ayurveda (Rasnasapthakam Kwath 200 Ml) — x3 • Yograj Guggul (120 N) - Planet Ayurveda (120 N) — x1 • Ashtavargam Kwath (200 Ml) - Kerala Ayurveda (Ashtavargam Kwath 200 Ml) — x2


0 उत्तर
Dr. Soukhya Hiremath
Bachelor of Ayurvedic Medicine and Surgery
82 दिनों पहले
5

Hi maa this is Dr soukhya by considering the your issue…i clear one thing ma it is completely based on your age issue…and it’s body mechanism deplies it’s work…you just maintain further damaging… And you please you go near by ayurveda hospital and get treatment of panchakarma procedure like Basti AND JANU BASTI bcs age is not really supportive for more strong medicine…

Orally you can take T Brihatvata chintamani rasa 1-0-1 after food T yogaraja guggulu 1-0-1 after food Mahanarayana taila apply over joint before bath follow it regularly if any issues kindly let me know


0 उत्तर
Dr. Harsh Khandelwal
Bachelor of Ayurvedic Medicine and Surgery
84 दिनों पहले
5

From an Ayurvedic perspective, a 15-year history of joint pain and body aches in a 63-year-old woman strongly points toward a severe imbalance of Vata Dosha, specifically presenting as Sandhigata Vata (which closely correlates with Osteoarthritis) coupled with systemic Vata propagation causing the body aches. At this stage of life (Vardhakya Avastha), Vata naturally dominates the body, leading to Dhatu Kshaya (depletion of tissues, especially bone and cartilage) and Shunya Sandhi (emptiness or lack of lubrication in the joints). ••Clinical Assessment & Modern Visual Context In Sandhigata Vata, the essential Sleshaka Kapha (the protective, lubricating fluid in the joints) dries up due to the rough and dry qualities of increased Vata. This leads to structural changes that can be clearly visualized on an X-ray. ••As shown in the clinical image above, the gradual loss of cartilage results in joint space narrowing (indicated by the arrow). When the protective cushion disappears, bone rubs against bone, leading to inflammation, severe pain, stiffness, and the characteristic crepitus (crackling sounds) during movement. Before outlining a comprehensive line of management, we must rule out any metabolic or inflammatory complications. Have you had recent blood tests for Rheumatoid Factor (RF), Anti-CCP, Serum Uric Acid, Erythrocyte Sedimentation Rate (ESR), and Vitamin D3? Knowing if there is morning stiffness that lasts more than an hour or any swelling in the small joints of the fingers would help me differentiate between pure Sandhigata Vata and underlying Amavata (Rheumatoid Arthritis). Proposed Ayurvedic Line of Management To address a chronic, 15-year-old Vata condition, a multi-pronged approach focusing on Nidana Parivarjana (removing causative factors), Abhyantara Chikitsa (internal medicines), and Bahya Chikitsa (external therapies) is required. Here is a structured, classical protocol designed to pacify Vata, nourish the Asthi-Majja Dhatus (bone and marrow tissues), and reduce pain: ••1 Deepana & Pachana (Igniting Digestion) Days 1 to 7 Before introducing heavy nourishing herbs, we must ensure the digestive fire (Agni) is clear of toxins (Ama). Panchakola Churna or Shunthi Churna: 1-2 grams with warm water twice daily before meals. Drink lukewarm water throughout the day to support metabolic clearance. •2 Abhyantara Chikitsa (Internal Vata-Pacifying Medicines) Ongoing / Long-term Once digestion is optimized, specific herbo-mineral formulations are introduced to reduce inflammation and strengthen bones. Guggulu Formulations: Yogaraj Guggulu or Trayodashanga Guggulu (2 tablets twice daily after meals with warm water). Guggulu acts as a potent anti-inflammatory and targets the skeletal system. Kashayam (Decoctions): Maharasnadi Kadha or Rasnasaptak Kwath (15-20 ml mixed with an equal quantity of warm water, taken on an empty stomach in the morning and evening). Asthi-Poshaka Herbs: Lakshadi Guggulu or pure Ashwagandha Churna (3 grams) at bedtime with warm milk to combat tissue depletion. 3 Bahya Chikitsa & Localized Snehana-Swedana Clinical or Home Care External lubrication is vital to restore the lost Kapha qualities in the knees. Janu Basti: A specialized clinical procedure where a reservoir of warm, medicated oil (like Mahanarayana Taila or Ksheerabala Taila) is pooled over the knee joints for 30 minutes. This deeply nourishes the cartilage. Patra Pinda Sweda: Fomentation with heated herbal poultices to relieve stiffness and body aches. Home care alternative: Gentle, downward application of warm Mahanarayana Taila followed by a warm water compress. Avoid vigorous massaged directly over inflamed bones. 4 Virechana & Matra Basti (Panchakarma Cleanse) Under Direct Supervision Because the colon is the primary seat of Vata, systemic elimination is the ultimate treatment for chronic joint pain. Mridu Virechana: Mild purgation using Gandharvahastadi Eranda Taila (Castor oil refined with herbs) taken with warm milk to clear the downward channels (Anulomana). Matra Basti: Daily administration of small, safe amounts of medicated oil (e.g., 30-50 ml of Sahacharadi Taila) via the lower bowel to systematically eliminate rooted Vata. ••Dietary and Lifestyle Modifications (Ahara & Vihara) Given your weight of 66 kg at 63 years old, managing the mechanical load on your knees is important, but it must be done through Vata-pacifying, nutrient-dense foods rather than fasting. Ahara (Diet): Focus on warm, freshly cooked, and easily digestible meals containing healthy fats like cow’s Ghee. Incorporate spices like turmeric, ginger, fenugreek (Methi), and cumin. Strictly avoid cold, dry, stale, and gas-producing foods (such as raw salads, potatoes, chickpeas, and refined flour), as these immediately aggravate Vata. Vihara (Lifestyle): Rest during acute flare-ups. Avoid sitting cross-legged on the floor or using low chairs, which increases the mechanical stress angle on the knees. Engage in gentle, non-weight-bearing joint movements (Sukshma Vyayama) to maintain mobility without degrading the cartilage further.


0 उत्तर
Dr. Khushboo
Bachelor of Ayurvedic Medicine and Surgery
82 दिनों पहले
5

As we age, the Vata Dosha naturally increases in the body, leading to dryness and a reduction in the protective, lubricating fluid within the joints. Because this has been ongoing for 15 years, it has caused structural wear and tear, which is why you experience severe pain and fatigue during weight-bearing activities like standing or walking. 👇👇👇👇👇👇👇👇👇👇 1) Yogaraj Guggulu - 2 tablets twice a day (after meals) 2) Maharasnadi Kadha- 15-20 ml with an equal quantity of lukewarm water, twice a day (before meals) 3) Ashwagandha Choorna - 1 tsp at bedtime 4) mahanarayan taila - gentle local application over the affected joints two times a day followed by mild hot water fomentation. 👇👇👇👇👇👇👇👇👇👇👇👇👇 Do’s 1) Include freshly prepared, warm, and easily digestible foods. Use healthy fats like cow’s ghee and sesame oil in your cooking to counter internal dryness. 👇👇👇👇👇👇👇👇👇 2) While walking causes pain, gentle, non-weight-bearing joint movements (like ankle rotations and gentle leg extensions while sitting) are highly recommended to prevent stiffness. 👇👇👇👇👇 Don’ts 1) Strictly avoid stale food, cold drinks, raw salads, sprouts, and dry snacks (like chips or puffs), as they severely increase Vata and worsen pain. 👇👇👇👇👇👇😑 2) Avoid prolonged standing, lifting heavy weights, or squatting on the floor. Use a high chair or an elevated toilet seat to minimize stress on the knee joints. 👇👇👇👇👇👇👇👇👇👇 3) Do not suppress natural urges (Vega Dharana), especially gas and bowel movements, as this further vitiates Vata.


0 उत्तर
Dr. Aparna Varshney
Bachelor of Ayurvedic Medicine and Surgery
68 दिनों पहले

Joint pain khana thik se na digest hone ke karan hota h … Sabse pahale apko khana time pr lena h or leg fold krke nhi bethna Yoga ke sath medicine leni hogi taki medicine kam kr sake Yograj guggulu din m do bar lukewarm water se Rasnadi kashyam din m do baar with 15 ml medicine 15 ml water Pinda taila for external use Agar poti thik nhi ati to Satasakar churna with warm water Ashwagandha churna withwarm milk in night


0 उत्तर

उपचार का कोर्स रोगी के निजी संदेशों में भेज दिया गया है।


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Thanks a lot for breaking it all down so clearly! Definitely needed the extra advice on lifestyle changes too.
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This answer was super helpful and put my mind at ease. Appreciated the detailed and practical advice on what to actually try. Feeling more informed! Thumbs up!
This answer was super helpful and put my mind at ease. Appreciated the detailed and practical advice on what to actually try. Feeling more informed! Thumbs up!