NAMASTE JI,
Padmasini Iyer, a 58-yesr old diabetic female with intermittent, sudden and severe foot pain, alternately affecting both feet.
the ICD-10-CM code M79.67 corresponds to Pain in foot and toes which is appropriate here
In ayurveda foot pain in a diabetic patent may be viewed as madhumeha janya vata vyadhi , possibly involving padadaha, and padashoola or vata rakta
START TAKING THIS INTERNAL MEDICINES -NIRGUNDI TAILA EXTERNAL APPLICATION- twice daily it is anti inflammatory and pain relief
-MAHA YOGARAJ GUGGULU- 2 tabs twice daily after food =vata balancing joint and nerve support
-DASHMOOLA KASHAYA- 30 ml twice daily before meals with water =relieves pain and inflammation, reduces vata
-CHANDRAPRABHA VATI - 2 tabs twice daily after meals =useful in diabetes, neuropathy
-ASHWAGANDHA CHURNA- 1 tsp strengthens nerves, balances vata
DIET AND LIFESTYLE
DO’S- warm, freshly cooked vegetarian meals use of ghee, sesame oil in cooking gentle walking or yoga -adequate hydration-warm water
DONT’S -Avoid cold, stale, or dry foods -avoid excess fasting or skipping meals -avoid overexertion, standing long -avoid cold beverages or raw foods
Continue Gluconorm G1 as prescribed for diabetes monitor fasting and postprandial blood sugar regularly
do follow
thank you
DR. HEMANSHU MEHTA
ICD10-CM-M79.67 IS THE CODE OF WHO RECOMMEND SHIFTING PAIN OF FOOT DUE TO SOFT TISSUE INJURYOR INTERNAL LESION… ITS MANY FACTORES SUCH AS OLD TRAUMA AND DUE TO DIABETES…
TAKE… DIVYA SARWAKALP KWATH=100GM DIVYA CHIRAYA KWATH=100GM DIVYA GILOY KWATH=100GM… MIX ALL AND TAKE 1 TSP BOIL 200ML OF WATER TILL REDUCES 100ML STRAIN AMD TAKE EMPTY STOMACH TWICE DAILY
DIVYA PUNARNAWADI MANDOOR DIVYA KAISHORE GUGULU ASTHIPOSHAK TAB=2-2 TAB AFTER MEAL TWICE DAILY
SAINDHWADI OIL…FOR MASSAGE
AVOID SPICY/JUNK FOOD/MAIDA
YOU CURED DEFINITELY
Namaste ji Diet Recommendations (Vegetarian, Diabetic-friendly)
Increase:
B12 sources: Fortified cereals, dairy (milk, curd), nutritional yeast. Or use Methylcobalamin B12 1500 mcg daily.
Vitamin D: Get morning sunlight, or supplement with D3 60,000 IU once a week for 8 weeks (as per doctor’s advice).
Magnesium: Pumpkin seeds, spinach, sesame, bananas.
Anti-inflammatory foods: Turmeric, ginger, flax seeds, green leafy vegetables, methi seeds (soaked overnight), amla.
Avoid:
High purine foods (dal in excess, mushrooms, spinach) if uric acid is high.
Refined sugar and excess carbs (maintain HbA1c below 7%).
🌿 3. Natural and Ayurvedic Support take Only use under supervision alongside allopathic treatment
Ashwagandha tab- 2-0-2 Kaishore Guggulu 2-0-2 Giloy + Neem + Amla juice- mix 10 ml each and drink at morning empty stomach. 👣 4. Foot Care Routine
Daily inspection of feet for any cuts, swelling, or color changes.
Use moisturizer (not between toes).
Footwear: Well-cushioned, supportive, no barefoot walking.
Warm water soaks with Epsom salt (avoid if circulation is poor).
Take mahavatvidhvansh vati 1-0-1 Laxadi guggul 1-0-1 Can take tablet magnesium 200mg. Once daily after food Apply dhanvantrum oil for local application on foot.
Understanding your condition involves considering various factors that contribute to foot pain, particularly given your diabetes. Ayurvedically, foot pain can be related to Vata imbalance, often associated with dryness, and coldness in the body.
Incorporating regular foot massages with warm sesame oil or mustard oil can be beneficial. Massage increases circulation and helps retain warmth, which pacifies Vata. Apply gentle pressure starting from toes, moving to the heel, and cover each foot thoroughly for about 10 minutes daily, preferably in the evening. To enhance effects, soak feet in warm water with a teaspoon of rock salt before oil application for added relaxation and pain relief.
For dietary support, you might focus on including warming and easily digestible foods. Cooked vegetables, like carrots and squashes, seasoned with ginger and cumin, promote balanced digestive fire (agni). Ensure meals are regularly timed to prevent blood sugar fluctuations and manage Vata, minimizing snacks between meals if possible.
Avoid raw and uncooked foods as they may elevate Vata, contributing to discomfort. Incorporate ghee moderately in your meals, as it has therapeutic properties and can support tissue lubrication.
Practicing gentle yoga poses like Tadasana and Virasana can improve foot flexibility and circulation, but only if these don’t exacerbate pain. Perform these exercises cautiously, preferably under guidance initially, to ensure you maintain a balance.
Given your existing medication regime, continue monitoring blood glucose levels rigorously. Ensure any hormonal or metabolic imbalances are also being tracked, as they may play a role in foot pain. Note that any severe, sudden pain should be evaluated medically to rule out complications such as neuropathy or infections. If these Ayurvedic measures do not provide relief or if situations worsen, seeking conventional medical advice promptly is crucial.
HELLO PADMASINI,
A 58 year old vegetarian female, with controlled diabetes on Gluconorm G1 (2 tab/day), presenting with sudden , severe foot pain (alternating between right and left). the ICD-10-CM for her condition is M76.67(foot pain)
PROBABLE DIAGNOSIS
-PADADAHA/PADA SHOOLA(foot pain)- under the broad category of vata vyadhi
-May also be considered a prameha upadrava(complication of diabetes)
DOSHA INVOLVEMENT
-VATA DOSHA(predominant)- sudden onset, severe, prickling or shooting pain, movement-related
-PITTA(secondary)- if there’s burning sensation
-KAPHA(secondary)- if associated with stiffness or numbness
-vata aggravation is typical in post-menopausal elderly, and diabetic individual
AFFECTED TISSUES -rasa, rakta, mamsa, majja dhatu - blood, muscle, marrow, nerve tissue
-snayu(ligaments), asthi(bones), and majja (nerves) involved in chronic cases
CHANNELS AFFECTED -RAKTAVAHA SROTAS= circulatory channels -MAJJAVAHA SROTAS= nervous channels -PRAMEHA-RELATED SROTAS DUSHTI= urinary/ metabolic system
TREATMENT GOALS
1)VATA SHAMANA- pacify vata vitiated 2)SNAYU AND MAJJA DHATU POSHANA- nourish ligaments and nerves 3)SROTOSODHANA- cleanse obstructed channels(nerve/blood) 4)PRAMEHA PRATIKRIYA- support diabetes management 5)PAIN RELIEF- through internal and external therapies 6)STRENGTHEN LOWER LIMBS- improves quality of life
AYURVEDIC INTERNAL MEDICATION PLANNED FOR YOU
1)YOGARAJ GUGGULU- for vata pacification, 2 tabs twice daily after meals with warm water, for 6-8 weeks
2)ASHWAGANDHA CHURNA- nervine tonic, 1 tsp with warm milk in morning and night for 3 months
3)VATAGAJANKUSH RAS- neuropathic pain, 1 tab at bedtime for 6-12 weeks
4)SHALLAKI CAPSULES- anti-inflammatory, 1 cap twice daily after meals, for 2-3 months
5)NISHA AMALAKI CHURNA- blood sugar support, 1 tsp twice daily before food, long term use
6)DASHMOOLA KASHAYA- 40 ml twice daily before meals, vatahara kashaya, for 6 weeks
EXTERNAL THERAPY
1)daily massage with MAHANARAYAN TAILA on feet and legs for 15-20 minutes,
2)local steam with daashoola decoction after massage for 10-15 minutes
3)Apply erandamoola+warm castor oil paste on affected foot for 20-30 minutes
DIET -warm, soft , oily foods-ghee, sesame oil, moong dal khichdi -spices like ginger, cumin, ajwain, turmeric -millets- ragi, kodo, barnyard-low glycemic -steamed or sautéed veggies -warm herbal tea
SIP WARM WATER THROUGH THE DAY TO AID VATA BALANCE AND DIGESTION
AVOID -dry, cold, raw foods- increase vata -white rice, potatoes, sweets, fried items -fermented foods, curd at night -cold water, refrigerated items
LIFESTYLE MODIFICATIONS -Regular food massage= improves nerve health and blood flow -Warm baths for feet= relaxes muscles, pacifies vata -Avoid exposure to cold/wind= prevents aggravation of pain -Sleep by 10pm= helps maintain Doshi balance -Manage stress = use meditation, avoid mental strain
YOGA AND PRANAYAM -TADASANA= stretches feet, improves posture and balance -VRIKSASANA= builds leg strength, steadiness -SUPTA PADANGUSTHASANA= stretches leg muscles and nerves -ANULOM VILOM= Calms vata, balances nervous system -BHRAMARI PRANAYAM= calms mind and nerve impulses -VATA REDUCING MUDRAS= Vayu mudras-15 min/day
avoid high impact exercises. use a yoga mat or soft flooring to prevent injuries
In ayurveda, healing begins not just with hers- but with rhythm. consistency in daily habits, diet, and care with allow you to redcue pain, support nerves, enhance her overall vitiality
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
