Osteoarthritis - #19197
My age is 59+, I am an osteoarthritis patient and my left Knee has been bent about 45 degrees and right knee 30 degrees, as well as synovial fluid has been damaged, can't walk properly. I need to go through Ayurveda Panchtherpy along with physiotherapy exercises instead of knee replacement surgery. May I recover like before? Can walk normally with as usual straighten by both knees? Presently I am using knee brace unloader on both knees for my support during walking.
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Doctors’ responses
Hello Jayanta, How long has your knee bending worsened, and do you experience more pain at night or stiffness in the morning? Your condition suggests severe osteoarthritis with knee deformity and synovial fluid depletion, likely due to Vata and Kapha imbalance. While Ayurvedic Panchakarma therapy combined with physiotherapy can significantly improve mobility, reduce pain, and slow degeneration, complete straightening of both knees may not be entirely possible. However, consistent treatment can help regain better function and reduce discomfort. Abhyanga (medicated oil massage), Swedana (steam therapy), Janu Basti (oil pooling on knees), and Basti (medicated enema) help lubricate joints and relieve stiffness. Take Mahayog Raj Guggulu and Lakshadi Guggulu (1 tablet twice daily) for bone strength, along with Dashmool Kwath 20 ml twice daily to ease stiffness. Apply Dhanwantharam oil or Mahanarayana oil for daily knee massage, followed by gentle heat therapy. Ashwagandha and Shatavari churna (1 tsp with warm milk) strengthen bones and muscles, while avoiding sour, processed, and cold foods can prevent further aggravation. Favor warm, nourishing foods like ghee, soups, and cooked vegetables. Regular physiotherapy, mild yoga, and water therapy improve flexibility, and using the knee brace unloader offers additional support.
Hi Jayanta,
Can you tell me if you experience any swelling, heat, or pain in the knees, especially after movement or at the end of the day? Also, how is your digestion and overall energy level—do you feel fatigued or weak, or is there any discomfort elsewhere in the body? Lastly, have you noticed any significant changes in your sleep or stress levels, as this can sometimes affect your healing process? This information can help me guide you towards a more tailored Ayurvedic and rehabilitative approach.
It’s great you’re open to exploring Ayurveda and physiotherapy. While it’s a complex situation with bent knees like yours, Ayurveda may certainly offer some relief and possibly help improve mobility. Recovery to the point of walking normally might not be guaranteed, but some improvement and pain management could be expected with a consistent approach.
Firstly, strengthening the supportive muscles around your knees is crucial. Physiotherapy exercises specifically designed to fortify the quadriceps, hamstrings, and calf muscles should be performed regularly. Ensure they are gentle yet effective, and ideally guided by a licensed therapist who understands your limitations.
In Ayurveda, we often consider osteoarthritis in relation to Vata dosha imbalances. Ayurvedic Panchakarma treatments, focusing on detoxification and rejuvenation, might be helpful. Specific therapies like Abhyanga (oil massage) with medicated oils such as Mahanarayan oil, can provide relief from stiffness. Vasti (medicated enemas) and Kati Basti (localized oil treatment) might be considered for deeper benefits, but ensure you work with a qualified practitioner.
A diet pacifying Vata dosha is crucial. Focus on warm, moist, and grounding foods. Include ghee in your diet - it nourishes the joints and tissues. Turmeric milk can act as an anti-inflammatory agent. Avoid cold, dry, and raw foods, as they can increase Vata and exacerbate symptoms.
An important aspect is maintaining a balanced routine. Ensure proper sleep, and manage stress through meditation or light yoga, modified to avoid strain on the knees.
Wearing a knee brace unloader as you are doing is supportive, but do ensure it fits comfortably and doesn’t impede circulation. It’s vital to keep realistic expectations and emphasize consistent, multi-faceted efforts. Regular check-ups with your healthcare provider is crucial to monitor changes. Stay patient, improvements can be gradual and require time and commitment.

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