This is osteoarthritis You can take Yograj guggul 1-0-1 Maharasnadi ghanvati 1-0-1 After food with water and Ashwagandha tablet 0-0-1 at bedtime with water Pidantak vati 1-0-1 after food with water Pidantak oil for applying on affected area Avoid sour fermented foods, citrus fruits Prasham tablet 0-0-2 at bedtime with water Slowly do knee strengthening yogasana, exercise Walk on straight surface Wear knee cap during the day.
Hello, Age 54, diabetes, hypertension, and symptoms like kat-kat noise, chronic pain, joint stiffness, and borderline uric acid
PROBABLE AYURVEDIC DIAGNOSIS - Sandhigata Vata- Vata dosha lodged in the joints, leading to -pain -stiffness -Kat kat sound -decreased synovial fluid -degeneration of cartilage
In your case , chronic Vata aggravation is compounded by- -Ama(toxins) due to digestion/metabolism issues (common in diabetes) -Medo dhatu vitiation(obesity or lipid imbalance) - Early signs of Shotha (inflammation) due to borderline uric acid
#MODERN DIAGNOSIS AND JOINT CONDITION based on your symptoms and lab findings - OSTEOARTHRITIS= cartilage wear-> bone friction-> kat kat noise and pain - REDUCED SYNOVIAL FLUID= causes dry joints, worsens friction and pain - BORDERLINE URIC ACID= May trigger acute flare ups or secondary gouty arthritis -DIABETES AND BP= reduce tissue healing and increase inflammatory markers
#TREATMENT GOALS
1) LUBRICATE JOINTS=Snehana(internal and external) 2) REDUCE STIFFNESS= Sweating therapy, yoga, vatahara herbs 3)DETOX JOINTS= ama pachana and mild virechana if needed 4)REBUILD CARTILAGE= rasayana +dhatu poshak herbs 5) CONTROLS DIABETES AND BP= with safe supportive herbs
#FULL AYURVEDIC TREATMENT PLAN(safe with diabetes + Bp)
Internal medicines 1)yogaraj guggulu - 1 tab twice daily after meals for 3 months continues=reduces Vata in joints
2) TRAYODASHANG GUGGULU- 1 tab twice daily after meals for 3 months = work on nerve and bp issues
3) MAHARASNADI KASHAYA- 15 mL with warm water before meals for 3 months= reduces and nourishes joints
3) SHALLAKI CAPSULE- 1 cap twice daily after food 3-6 months= Anti inflammatory cartilage safe
4) SIMHANAD GUGGULU- 1 tab at bedtime for 1 month = removes toxins supports joint mobility reduce stiffness
5) DASHMOOLRISTA(sugar free) - 15 mL with water after meals for 1-2 months= anti inflammatory, support digestion
#EXTERNAL THERAPY - MURIVENNA /PINDA TAILA APPLICATION- warm and gentle massage 10 min daily- it reduces inflammation and lubricates
-Kottamchukkadi taila - good If there is stiffness for kat-kat nose - improves flexibility
- Dashang lepa/Masha lepa- apply as pack 30-45 min on joints - relieves chronic stiffness
#IF YOU HAVE ACCESS TO PANCHAKARMA very helpful in reversing early joint damage
JANU BASTI - Warm oil is held over knee in dough ring 7-10 session PATRA PINDA SWEDA- herbal bolus fomentation 7-14 sessions MATRA BASTI(oil enema) - if you are constipated/dry joints 5-7 times VAITARAB BASTI- Detoxifying basti with sour agents
These therapies help in deep synovial nourishment, improved joint motion, ans long term relief
#DIET INCLUDE- - warm khichdi, methi lauki sabji - steamed veegies -moong dal toor dal - soaked almonds(3), walnuts (2), raisins (5) - methi seeds soaked overnight - herbal teas
# AVOID - curd buttermilk panner =increases stiffness, toxins - tomatoes , brinjal, potatoes= inflammatory, acidic - cold water , Ac food= Vata provoking - packaged food maida bakery= heavy+ toxin forming - red meat , seafood = may increase uric acid - excess tea/coffee= dries up synovial fluid
#YOGA AND PHYSIOTHERAPY GENTLE MOVEMENTS -Tadasana -Ankle rotations -knee cap tightening -Setu bandhasana -Sukshmavyayama for legs
Avoid- high impact jumping exercises Squats or sitting cross legged for too long
Make this mix at home Ashwagandha churna-50gm Dry ginger-25 gm Gokshura-50gm Methi powder- 20 gm Guduchi-40 gm Mix well and store in airtight glass jar Take 1 tsp with warm water after breakfast Best and very effective
#lifestyle guidances - wake up by 6 am -walk 30 min daily with orthopaedic footwear -avoid long sitting or squatting on floor -hot water bag therapy at night- not directly on skin -early dinner before 8 pm- improves joint detox at night - sleep by 10 pm - helps in body joint repair cycle
Do follow consistently for 3 months and see results
Hope this might be helpful
Thank you
Dr. Maitri Acharya
Alkaji Your problem is vata vyaadhi, you consult a panchakarma therapist for proper snehan and swedan, it will help Medicine - 1.Yograj Guggulu -2 tabs twice daily after meals. 2. Rasnadi Guggulu 1–2 tabs twice daily 3. Punarnava Mandur 1 tab twice. 4.Dashmool Kwath/Arishta 20 ml twice daily
To apply use- Mahanarayan Taila or Dhanwantharam Taila Warm it slightly.
Regularly abhyang swedan is necessary for it So visit nearby panchkarma center for abhyang swedan chikita along with basti chikitsa
Hello Alka Diwan
"NO NEED TO WORRY "
" I WILL HELP YOU TO RECOVER OSTEOARTHRITIS ISSUES SAFELY EFFECTIVELY"
• UR ISSUES
Knee Joint Pain Stiffness Cracking Sound less Synovial Fluid Borderline Uric Acid
• MEDICAL HISTORY
Hypertension Diabetes
• MY ASSESSMENT
* Osteoarthritis
* Inflammatory Joint Disorder
* Menopause Osteoarthritis
• PROBABLE CAUSES
Menopausal Arthritis Age related Osteoporosis Calcium Vit D Deficiency Inflammatory Improper Diet Sedentary lifestyle Lack of Physical Activities Stress Mechanical Injury Overweight Obesity
• AYURVEDIC APPROACH
* Vat Kapha Imablance at Level of Knee Joint * Vata Leads Degeneration Obstruction & pain * Kapha Lead Swelling Stiffness
• TREATMENT GOALS
* To Arrest Ongoing Degeneration * Recover Reversible damage * To maintains Joint Physiology Strengthen Joints and Articular Structures like Joint Fluids Ligament tendons discs etc * To Improve Quality of Life & Mobility
• INVESTIGATION FOR CAUSES IDENTIFICATION
SPECIFIC TESTS TO DO ( To Ascess Joint Damage status and other effects)
Calcium Vit D CRP RA CRP Uric Acid Vit D B MRI Spine Radiological X Ray/CT / MRI Specific Affected Joint
" NOTE - TAKING ONLY INTERNAL MEDICINES IS NOT ENOUGH TO SOLVE OA "
• FOR GOOD RESULTS IT NEEDS COMBINATION THERAPIES AS FOLLOWING
" Identifying & Correcting Cause + Ayurvedic medicine + Proper Diet+ Yoga + Exercise+ Lifestyle Modifications+ Stress Management+ Counselling+ Regular monitoring "
• AYURVEDIC MEDICINES
( Minimum Medicine Easy to take Quick Instant Results )
U MUST TRY
( Knee Pain Stiffness Relieves Easy mobility)
* Tab.Peedantak Vati ( Patanajali) 2 -0- 2 After Food * Tab.Mahayograj Guggulu ( Dhootpapeshwar Pharma ) 1 -0- 1 * Tab.Nucort OA (Gufic Pharma) 1 -0- 1 * Cap.Gandha Tailam ( Kottakal Pharma) 1 -0-1 After Food * Rumalaya Liniment ( Himalaya Pharma) For Local Application Followed By Mild Massage and hot water bag Application/Fomentation * Tab.Triphala ( Himalaya Pharma) 1 ½ Tab Night After Food
• AYURVEDIC PANCHAKARMA HOME BASED
* Janu Abhyanag - Mild Mahanarayan Taila massage over Affected Joint * Janu Sweda Mild Hot Fomentation or Hot Water bag Application
• INSTRUCTIONS MUST TO FOLLOW
* Don’t Do Postures that cause pain * Practice Good Posture Corrections * Stay Active Regular Mild Physical Mobility Exercises reduce pain helps Flexibility * Avoid Long Frequent Travelling Driving * Avoid Excessive Tea Coffee acidic foods Inflammatory foods * Maintain Good Sitting standing Sleeping Spine Postures * Avoid Heavy Exersise like Running fast Heavy Physical Strain causing pain etc * Avoid lifting heavy weights or Heavy Gym Training * Avoid Going Sleepary areas to avoid falls and injury
• DELICIOUS HOME MADE DETOX TEA FOR PAIN SWELLING STIFFNESS
Hing 3 Pinches+ Jeera 1 Tsf+ Ajwain ⅕ Tsf+ Dry Ginger 5 Pinches+ Pure Turmeric 5 Pinches+ Khas Khas ¼ Tsf + Sendha Namak 2 Pinches+ ½ Elayachi+ Lemon Grass Leaves 3 in Number + 1 Glass of Water ----- Boil on Mild Flame till Reduce & Filter ½ Glass ---- Drink Luke Warm like tea twice a Day
• DELICIOUS HOME DRY FRUIT LADDO TO RECOVERY FASTER
Dry Fruits Mixes ( Kaju badam Pista Akrod Kishmish Khajoor Anjeer) + Seed Mix ( Sesam Flaxseed Pumpkin seeds Sunflower Seeds) + Dry Mashed Coconut+ Gond+ Jaggery+ Pure Cow Ghee — Prepare Laddo —Have 1 to 2 Laddo with 1 Glass of Luke Warm milk
• HOME MADE MEDICATED MILK IN SPONDYLITIS TO TAKE EVENING
Ashwagandha Churna 1 Tsf + Dry Ginger ½ Tsf+ Pure Turmeric ¼ Tsf + 1 Elayachi + ⅛ Tsf Khas khas+ 1 Tsf Mishri + 1 Glass Milk + 1 Glass Water ----> Boil on Mild Flame till Reduce 1 Glass —> Filter it & Drink Luke Warm Milk
• NORMAL DIET ( Less Oily, Less Spicy Sour Salty, Well Cooked )
* MORNING DRINK - Ginger Elaichi Turmeric Milk + Above Laddo
* BREAKFAST - Rava Ragi Bajra Oats Items/ Fruits Salads/ Home made Soups
* LUNCH - Roti ( Non Gluten) Jwar/ Bajara/ Ragi + Leafy Vegetable like Palak Methi+ Green Salad Rayta + Any Sabji+ Fresh Butter Milk with Cream + Rice + Dal
* DINNER - Half of Lunch Quantity/ Fruits Salads/ Light Diet
* NIGHT DRINK - Medicated Milk As Suggested Earlier
DO’S - Prefer Alkaline Nutritious Leafy Vegetables Fruits salads sprouts Fibers etc Milk Products Gond Gum Resins Flaxseed Correction in Neck Back Postures Physiotherapy under Guidance Mild Mobility Flexibility Exercise Dhyan Meditation
DON’TS - Avoid Too Acidic Spicy Salty Sour Masala Fried Fast Juck Foods Bakery Fermented Sedentary Lifestyle Stress Bad Body Postures
GENERAL EXERCISE
Mild Walking Mild Mobility Flexibility Exercise
SPECIAL EXERCISES
Under Guidance of Physiotherapy Neck Mobility Stretch Exercise Heat Therapy Ultrasound Masaage
YOGA
Tadasan Vrikshasan Urdhva Hastasan Balasan Marjarsan Paschimottanasan
ANTISTRESS REGIME Dhayn Meditation
REGARDS
Dr Arun Desai
God Bless You 😊 🙏
If you have any questions u can ask me .I will answer to the level of your satisfaction.U have text option here.
Thank you, Alka ji for reaching out this platform and sharing what you’re going through. I understand that living with knee pain for the first four years must be taking a tall, not only on your physical moment, but also on your confidence, energy levels, and daily comfort when he joined becomes Steve and painful and starts making sounds like kat kat It clearly shows that the cushioning inside the joint synovial fluid is getting reduced, and the space between the bones is narrowing. This is what often leads to friction stiffness and clicking or grinding sound.
The fact that your uric acid is borderline and you also have diabetes and high blood pressure makes it even more important to approach your joint problem carefully and holisticlly
The knee joint depends upon proper circulation, lubrication strength in the supporting muscles and good metabolism to stay healthy… when the body’s natural lubrication system slows down with eight or illness, the joint start drying out the cartilage between bones begins wearing down. Add to this long-standing issues like diabetes and high blood pressure which affect blood flow and cellular repair and the problem becomes more complex, but the good news is that your body still has the ability to repair and support your knees. it does need regular and appropriate help in the form of circulation and gentle strengthening…
Let’s begin with what is happening inside the loss of food and joint business in defect that your body is not producing enough internal lubrication. This usually happens when the metabolism slows down and tissues begin drying out. This is common after the age of 50 especially in women and becomes worse. If digestion is weak, physical activity is reduced or if the diet is heavy in salty sore or oily foods, the borderline uric acid shows that there is some inflammation or toxin accumulation happening inside the joints, even if it is not showing as high level at your diabetes adds to this dryness because of high blood sugar affects the quality of circulation and delays healing in joint tissues. So, our first aim is to reduce in inflammation, improve internal, lubrication support, digestion, and gradually bring strength and warm to the knees. This is a step by step process. It doesn’t happen overnight, but many people experienced significant relief within 3 to 4 months of consistent Care. You have to give your knees, a chance to recover by supporting your whole body, not just treating the pain locally
Start your morning with a glass of warm water, not hot, not cold with a few drops of lemon juice and a pinch of dry ginger powder. The cells clear out my toxins and support blood sugar levels to avoid tea or coffee on an emptied stomach. Breakfast should be light and warm something like moong dal Chilla. Vegetable Upma or soft cooked oats with spices, like cumin and black pepper, avoid curd, cold meal, confide items in the morning as they slowdown, circulation and increase stiffness.
Your lunch should be the main meal of your day. Use freshly cooked food with cooked vegetable, some rice or soft roti and a small amount of GHEE, ghee taken in small amounts is excellent for joint lubrication, especially if it is cow, GHEE. Avoid too much salt. So pickles and heavy gravy at night. Eat early and keep your dinner like a soft vegetable soup or rice with lightly spice, Dal is ideal. Don’t sleep immediately after consuming food. Take care, slow 10 to 15 minutes. Walk indoors to help digestion and circulation
For the knee specifically, you can start massaging it daily with warm oil. Use sesame oil. If you don’t have anything medicated eat the oil slightly. Apply generously to the knee and massage gently for 10 to 15 minutes, using circular moments around the kneecap and straight strokes along the thigh and calf after massage, apply a warm compress using a hot water bottle wrapped in a soft cloth. This improves blood flow to the joint and supports healing. Do this daily for at least one month without fail.
Gentle moment is important, even if there is pain and try doing slow leg lifts while sitting on the bed or chair. Do not keep the knee idle for long periods Movement increases the flow of nutrients into the joint. You can also sit on a chair and roll your feet in circles or lift your leg and hold for a few seconds. This simple exercise done daily can prevent the joint from stiffening further.
Drink warm water throughout the day by it helps with uric acid balance supports digestion and reduces overall dryness. You can also boil a few coriander seeds and fennel seeds in water and drink that once or twice a day, the spices help produce inflammation and improve fluids balance in the joints.
Since you also have diabetes and high blood pressure controlling, those will also help your knee indirectly. Monitor your blood, sugar and pressure regularly and avoid salty snacks and preserved food. Use more steamed vegetables in your meals. Avoid white sugar, completely and reduced rights and potatoes if you crave sweets, eat a small piece of jaggery with roasted fennel seeds after lunch.
Sleep is another important. Expect try to sleep before 10 PM at night and avoid using your phone or watching TV in bed. Good quality. Sleep helps in tissue repair blood, sugar, balance, and hormonal regulation. All of which support joint healthy few struggle with sleep. Take a warm shower in the evening and drink a cup of turmeric milk made with low fat milk, and a pinch of nutmeg before bed
Alka ji, I truly believe that if you stay committed to this small daily habits, your knee will begin to feel more stable, flexible and less painful. The clicking may not go away completely. In the beginning, lubrication improves and tissues get stronger, it will reduce pain and stiffness. Also, go down, and you start moving more freely.
You do not need complicated treatments are strong, painkillers. Your body just needs gentle, regular support. I am here to guide you if you decide to follow this natural path with discipline and care you it sometime and you will see the difference.
Let me know if you’d like to add an Ayurvedic medicine plan or home based remedies in your next response
From an Ayurvedic perspective, your symptoms point to an imbalance, primarily involving the vata dosha, which may be contributing to the stiffness, pain, and the kat-kat sounds in the knees. Addressing vata is crucial, alongside managing your diabetes and high blood pressure safely.
Firstly, for the knee pain and vata balance, gentle oil massage with warm sesame oil can be soothing. Apply it around the knee joint at least once a day, followed by a warm compress. This practice can help with lubrication and might reduce the stiffness and noises you hear. Consistent application is key.
In terms of diet, consider incorporating more warm, moist, and nourishing foods like cooked vegetables, whole grains, and legumes. Avoid cold, dry, and raw foods as they can aggravate vata. Also, vata-pacifying herbs such as ashwagandha or turmeric may be supportive, but it’s important to consult with an Ayurvedic practitioner for personalized dosage, especially considering your other health conditions.
Since your uric acid is borderline, it might be wise to limit red meat and high-purine foods to avoid exacerbating any potential gout. Staying hydrated is important, but moderate fluid intake, tailored to your blood pressure management, is crucial too – don’t overdo it.
For blood pressure and diabetes, continuous monitoring and following your current medical treatment plan is essential. Ayurveda can supplement your management strategy – incorporating yoga and meditation can enhance your overall well-being and help manage stress levels, indirectly benefiting your heart and sugar levels.
As your knees are experiencing a lack of synovial fluid, remaining physically active—within pain limits—is helpful. Low-impact exercises like walking or swimming could be beneficial if done regularly.
While these recommendations are supportive, regular follow-up with your healthcare providers and perhaps an Ayurvedic expert familiar with managing multiple chronic conditions is vital. Keep track of any changes, and adjust the approach as needed with professional guidance.
