Question #23844
49 days ago
190
"How to reduce inflation from backbone and knee joint" - #23844
Suniya
MRI L- S spine reveals spondylo-disco- degenerativechanges. L4 vertebral height is slightly reduced with fatty marrow changes without retropulsion or canal compromise old benign minimal vertebral collapse. Diffuse posterior disc bulge with mild ligamentum flavum thickening and facetal hypertrophy at L4/5 disc level causes mild compression over the respective bilateral exiting nerve roots.
Age: 58
Chronic illnesses: Spinal problems and knee joint pain
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Doctors’ responses
Take yograj guggul 1-0-1
Ekangvir ras 1-0-1
Astiposhak tablet 1daily
Laxadi guggul 1-0-1
All medicines after food with water
Apply mildly kshirbala oil + dhanvantrum oil on back - spine area
Once pain reduces do back strengthening yogasana & exercises.
Wear lumbar sacral waist belt during the day.
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Understanding the complexities of spine issues like yours is crucial. What you described with spondylo-discо-degenrative changes and vertebral alterations at L4 is quite common as we age. In Ayurveda, these symptoms can be related to an imbalance in Vata dosha, which influences joint health and mobility.
One ayurvedic approach to addressing this condition involves strengthening the tissues and balanceing Vata dosha. To start, you may look into incorporating a diet rich in warm, nourishing, and easily digestible foods. Think of consuming cooked vegetables, whole grains, and healthy fats like ghee and sesame oil, which can soothe Vata dosha and lubricate the joints. Avoiding processed and cold food, as well as excessive caffeine, can benefit too.
Herbal remedies can offer support as well. Ashwagandha and Guggulu are widely recognized for their ability to reduce inflammation and promote tissue strength. You could consider having Ashwagandha churnа with warm milk at night, and guduchi or Guggulu formulations under a practitioner's guidance.
Regular, gentle yoga tailored to your condition could enhance flexibility and ease discomfort. Poses such as Bhujangasana (Cobra pose) and Salabhasana (Locust pose) can be helpful, but ensure you practice under a knowledgeable instructor to avoid aggravation.
You might also explore Panchakarma therapies like Abhyanga (oil massage) with medicated oils like Mahanarayanа oil, which can be massaged gently onto the back. Basti (medicated enema) could aid in eliminating toxins, but this requires professional supervision.
Ensure a well-balanced lifestyle. Take adequate rest, moderate exercise, and manage stress through meditation or Pranayama (breathing exercises), particularly Nadi Shodhana and Anulom Vilom, which help in calming the nervous system.
Always monitor symptoms closely, and don't hesitate to seek medical intervention if necessary. This includes sudden severe pains, significant mobility reduction, or disturbing neurological signs, as these need urgent medical attention to prevent complications.
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Hello Suniya
" NO NEED TO WORRY "
UR ISSUES
1 ) Spondylo-disco- degenerative changes = Lumbar Degenerative Spondylosis
2 ) L 4 Vertebra Displacement
3) Old Benign Vertebral Collapse
4 ) L4 -L5 Disc Bulge with Bilateral Nerve Root Compression
5 ) Mild ligamentum flavum thickening and facetal hypertrophy
6 ) OA Knee Joint
PROBABLE CAUSES
-Age related Osteoarthritis -Calcium Vit D Deficiency -Inflammatory Improper Diet
-Metabolic Bone Issues
-Sedentary lifestyle
-Lack of Physical Activities -Stress
-Mechanical Injury
-Imroper Postures
-Lifting Weights
AYURVEDIC APPROACH
* Vat Kapha Imablance at Level of Knee Joint
* Vata Leads Degeneration Displacement Obstruction & pain
* Kapha Lead Swelling Heaviness Stiffness
HOW AYURVEDA HELPS IN UR PROBELM ?
Ayurveda Surely Helps
* Arrest ongoing Degeneration speed
* Recover maximum possible
* It maintains Joint Physiology Strengthen Joints and Articular Structures like Joint Fluids Ligament tendons discs Nerve Muscle Functions
* Reduces Pain Stiffness Inflammation
* Improves Flexibility Mobility
AYURVEDIC TREATMENT
" NOTE - TAKING ONLY INTERNAL MEDICINES IS NOT ENOUGH TO SOLVE UR ISSUES"
• IN MY CLINICAL PRACTICE I HAVE SEEN BEST PROMISING RESULTS BY COMBINING FOLLOWING TREATMENTS
" Identifying & Correcting Cause + Ayurvedic medicine + Proper Diet + Specific Yoga + Special Exercise+ Lifestyle Modifications+ Stress Management+ Regular Monitoring "
HIGHLY EFFECTIVE RESULTS ORIENTED IN MY CLINICAL PRACTICE
( Minimum Medicine Easy to take Quick Instant Results )
U MUST TRY
( Back Knee Pain Stiffness Relieves Easy mobility In Just 20 Days )
* Cap.Rumartho Gold Plus ( Baidyanath Pharma Compulsory) 1 -0- 1 After Food
* Tab.Trayodashang Guggulu ( Dhootpapeshwar Pharma Compulsory) 2 -0-2 After Food
* Tab.Nucort OA (Gufic Pharma) 1 -0- 1
* Cap.Spondylon ( Nagarjuna Pharma) 1 -0-1 After Food v
* Rumalaya Liniment ( Himalaya Pharma) For Local Application Followed By Mild Massage and hot water bag Application/Fomentation
* Tab.Triphala ( Himalay Pharma) 1 Tab Night After Food
AYURVEDIC PANCHAKARMA HOME BASED
* Kati Janu Abhyanag (Self Masaage) - Mild Mahanarayan Taila massage over Affected Joint 30 mins Before Bath
* Kati & Janu Sweda Mild Hot Fomentation or Hot Water bag Application
* Kati Basti & Janu Basti with Mahanarayan Tailam for 30 mins Daily
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
* Avoid Going Sleepary areas to avoid falls and injury
* Maintain Healthy Weight
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 FOR BONE JOINT SPINE 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
DIET
TO TAKE
* Prefer Alkaline Nutritious Leafy Vegetables Fruits salads sprouts Fibers etc
* Cereals:- Wheat Jawar Bajra Ragi Oats
* Fruits :- Apple Pomegranate Guava Banana Sapota
* Soaked All Dry Fruits
* Flaxseed Sunflower Seeds
* Moringa
* Milk Products
* Gond Gum Resins
* Flaxseed Correction in
TO AVOID
* Avoid Too Acidic Spicy Salty Sour Masala Fried
* Fast Juck Foods
* Bakery Foods
* Fermented Foods
* Soda Vinegar
* Stimulants like Tea Coffee
* Cold Beverages
* Packed Canned Processed Foods
GENERAL EXERCISE
* Mild Walking
* Mild Mobility Flexibility Exercise
SPECIAL EXERCISES
Under Guidance of Physiotherapy
* Neck Back 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.
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Mahayograj guggul (2-0-2)
Asthiposhak vati (1-0-1) with milk
Rasnasaptak kwath- 15ml twice a day.
Avoid-
,Prolonged sitting or standing in one position ,Lifting heavy objects,;Forward bending, twisting, or sudden jerky movements.
Sleeping on a soft mattress (use a medium-firm mattress instead)
###Home-based Exercises (Daily – 15–20 min).
Exercise Benefit
Pelvic tilts Strengthens lower back and abdomen
Knee-to-chest stretches Eases spinal tension
Cat-Cow stretch Improves spinal flexibility
Bridge pose Strengthens back and glutes
Cobra pose (Bhujangasana) Opens the spine and reduces disc pressure
Panchakarma therapy will also help
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Avoid sour and fermented food.
Exercise under Guidance of Physiotherapist.
Cap.Stresscom
1-0-1
Cap.Artilon
2-0-2
Cap.Lumbagest
1-0-1
1488 answered questions
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You should go for kati basti therapy at Nearby panchkarma center for permanent cure
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Trayodashanga guggulu-
Peedantaka vati
One tablet after food with warm water
Dashamoola aristha-4 tsp with equal quantity of water twice after food
Mahanarayana taila -gentle massage to be done
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Don't worry suniya
🌱 REHAB and internal medicine and rasayana
💠 Maintain pathya
💠 Nutritional support
💠 Pranayama
🌸 CAUSES
Gel in the nucleus tears through more layers of the ring
* Pain - ache or a tight feeling starts to develop, 1st in the buttock, then radiating down the leg
* Frequent driving
💠 Management
* Rest at home , movements with care
* Avoid weight lifting, two wheeler
* Avoid continuous sitting, exercise
* Rest with pathya ( 20 days)
* Avoid using indian toilet
* Avoid pungent, sour, hot foods
* Avoid travelling
* Sleeping in hard surface and prone position
* Avoid deep fried oily food items
* Avoid Standing , sitting for prolonged time
* Avoid Bending backwards, excessive walking
💊 MEDICINES 💊
Ayurveda point of view
* Deepana pachanam
* Shophahara oushadha
* Lepana
1. Rasnasapthakam kashayam - 15 ml
Yogaraja gulgulu gulika - 1
15 ml kashayam with 1 gulika, 60 ml boiled hot water morning and evening before food (empty stomach)
2. Dhanwantaram ( 101) cap. - 1 - 0 - 1 with kashayam
3. Shaddaranam tab - 1 - 0 - 1 after food
4. Gandha tailam cap. - 2 - 0 - 2 After food
5. Vaishwanara choornam - 1 tspn with warm water night after food
6. Dashamoola harithaki lehyam - 1 tspn with warm water at bed time
🌱 EXTERNAL 🌱
1. Dhanwantaram thailam+ sahacharadi thailam - apply
2. Nagaradi choornam with egg white make paste and apply affected area
In later phase - after 1 month
1. Kokilakshakam kashayam - 15 ml with 60 ml boiled hot water morning and evening before food
2. Guggulu thikthakam ghrtam - 10 ml with milk at night
🍀 Intake cucumber, gooseberry, pomegranate, papaya, banana, pumpkin, curry leaves, green leafy vegetables
* If not relieved, IP treatment is better
💠 Marma therapy is better
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Divya PEEDANTAK KWATH=100gm
Divya nirgundi kwath=100 gm
Divya parijaat kwath=100 gm..mix all in a jar take 1 tsp boil 200ml of water till reduces 100 ml strain and take empty stomach twice daily
Divya peedanil gold tab=2-2 tab before meal twice daily
Divya TRYODASNG GUGULU
Divya ORTHOGRIT TAB
DIVYA CHANDRABHABHA VATI=2-2 tab after meal twice daily..
Mahavishgarbh oil for massage of back and knees
AVOID heavy meals/spicy/ maida/packed food/sour food/achar/khatayi
Do suksm asana and Pranayam like=kapalbhati/BHRAMRI UDGEETH regularly
You can definitely cured
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Hello suniya
I can understand your concern regarding your back pain and we are here to help you out.
**YOUR CONCERN**
MRI show of degenerative changes with disc bulge
You have not mentioned what symptoms you feel like
Considering your symptoms related to mri report i will plan the treatment
**PANCHAKARMA THERAPY**
I will strongly advise you to go for panchakarma theraoy from nearby panchakarma center
Tell them to do follwing panchakarma therapies
Sarvanga abhynga with mahanarayana thaila follwed by dashmool parishke
Kati basti with kottamchukaadi taila+ mahanarayana taila
Janu basti with same above oil
Sarvnaga patra pinda sweda
Yog basti niruha - erandamooladi niruha basti
Anuvasana- panchtikta guggulu ghrita 70 ml
**INTERNAL MEDICATION**
Gandha taila 10 drops with warm milk morining empty stomach
Nucart OA 2-0-2 after food
Lumbatone plus 1-0-1 after food
Zeotone plus 1-0-1 after food
GT CAP 2 at bed time
**EXTERNAL TREATMENT**
Mahanaryana thaila - warm oil apply on lower back and knees and massage for 15 mins daily follwed by hot water bath
** Diet advice**
Avoid urad dal, curd, fermented food, reheated, fried foods
Take more of millets, buttermilk, ragi, fruits
Hope you found this helpful!!!
Wish you a good health😊
Regards
Dr snehal Vidhate
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Hi, kindly reduce your weight if you are obese, if you are having stiffness and swelling then apply grihadhoomadi choorna lepam mixed with hot water on affected site and remove after one hour.
It's better to consult nearby ayurvedic doctor and do ayurvedic treatments such kativasti kashayabasthi will do wonders
Avoid spicy ,oily foods
Do yogas like bhujangasana,dhanurasana
Internally rasnasaptakam kashayam 15ml twice daily before food dilute with45ml lukewarm water, yogarajaguggulu one tab twice daily before food
Punarnavasavam 30ml twice daily after food
Gokshuradiguggulu one tab thrice daily
Trayodasangaguggulu one tab twice daily after food
Thankyou
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HELLO SUNIYA,
-Degenerative changes in lumbar soine(spondylo-discogenic degeneration)
-L4 vertebral body collapse(old,benign)
-Disc bulge at L4/5 causing mild bilateral nerve root compression
-Ligamentum flavus thickening, facet joint hypertrophy
-Associated knee joint pain
According to ayurveda, this condition involves vata vyadhi, particularly Sandhigata Vata(degeneration/inflammation of joints) and Katigraha(low back pain). Vata imbalance leads to dryness, degeneration, and nerve involvement
TREATMENT GOAL
-pacify aggravted vata
-nourish asthi dhatu(bones) and majja dhatu(marrow/nerves)
-reduce inflammation and pain
-rejuvinate disc and joint tissue
-prevent further degeneration
INTERNAL MEDICATIONS ADVISED
1)TRAYODASHANGA GUGGULU(baidyanth/dootpapeshwar)- 2 tabs daily twice after food with warm water
2)MAHARASNADI KASHAYA(arya Vaidya sala/ AVP/ kottakal)- 25 ml with equal quantity of water before meals twice daily
3)LAKSHADI GUGGULU(baidyanath/zandu)- 2 tabs after food twice daily with warm water
4)OSTEOSEAL CAPSULE(charak pharma)- 1 cap at bedtime daily
5)RUMALAYA FORTE(himalaya)- 1 tab twice daily after meals
6)SHALLAKI CAPSULE(himalaya)- 500 mg cap twice daily after food
7)KSHEERBALA 101 CAPSULE(AVP/ arya Vaidya sala)- 1 capsule at bedtime
DURATION = 3-6 MONTHS
EXTERNAL THERAPIES
1)GENTLE MASSAGE WITH MAHANARAYAN TAILA- DAILY OR THRICE/WEEK
=it improves circulation, vata pacification
2)STEAM AFTER MASSAGE WITH HOT WATER BAG
DIET TO BE FOLLOWED
-cooked warm food with ghee
-use sesame oil for cooking
-include bone broth(if non veg), milk with turmeric and ashwagandha
-soups made of green gram, horse gram or barley
-fresh fruits- bananas, avocados, cooked apples
-spices- ginger, garlic, cumin, ajwain, fennel
-drink warm water infused with ginger
AVOID STRICTLY
-dry, cold and raw foods
-fermented, sour, and carbonated drinks
-overexertion, late nights, excessive travel
-cold exposure-especially to lower back and knees
-sitting for long hours without support
-curd, refrigerated food
LIFESTYLE RECOMMENDATIONS
SLEEP= go to bed before 10pm, maintain routine
POSTURE=sit straight with back support , avoid slouching
MOVEMENT=avoid jerky, twisting motions of spine
EXERCISE= begin gentle yoga after 4 weeks of therapy
HYDRATION= warm water sips throughout day
WEIGHT MANAGEMENT= reduces excess body weight gradually if applicable
STRESS MANAGEMENT= practice massage, pranayam, meditation
RECOMMENDED YOGA ASANA AND PRANAYAM(start after a month when pain subsides)
-Bhujangasana= spinal extension
-Makrasana= lumbar relaxation
-Setu bandhasana= strengthens lower back
-Uttanpadasana= strengthens core and spine
-Anulom vilom= nervine balance
-Bhramari= relaxation and sleep
AVOID- forward bands like paschimottanasana, deep twists and sudden jerky movements
TIMELINE OF RECOVERY
ACUTE PHASE= 1-2 weeks- pain control and anti-inflammation
REBUILDING PHASE= 36 weeks- disc and bone support, reduce vata
STRENGTHENING PHASE= 2-3 months- rejuvination, nerve support
MAINTENANCE= long term- lifestyle and supportive therapy
DO FOLLOW CONSISTENTLY
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
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NAMASTE SUNIYA JI,
Based on the MRI findings and symptoms described this case involves chronic degenerative spinal and knee joint issues-likely part of age- related osteoarthritis and spondylosis . The inflammation affecting the spine and know joints is common in such cases.
SUMMARY OF MRI:-
-spondylo-disc degeneration at L4/5
-fatty marrow changes, suggestive of aging
-mild disc bulge, ligamentum flavus thickening, and facet joint hypertrophy
-mild nerve root compression
AYURVEDIC MANAGEMENT PLAN
Ayurveda views such conditions under Sandhivata (degeneration of joints) and Katigraha(lower back stiffness/pain). The goal is to reduce inflammation, strengthen joints, balances vata dosha and relieve nerve compression.
INTERNAL MEDICATIONS
1)RASNA SAPTAKAM KASHAYA- 15ml + 45 ml of water twice daily before meals
=anti inflammatory, relieves vata in joints and nerves
2)YOGARAJ GUGGULU- 2 tabs twice daily after meals with warm water
=joint pain, stiffness, strengthens musculoskeletal system
3)TRAYODASHNAG GUGGULU- 2 tabs twice daily after meals
=supports nerve function, relieves sciatica, back pain
4)ASHWAGANDHA CHURNA- 1 tsp with warm milk at bedtime
=strengthen muscles, anti-inflammatory, supports nervous tissue
5)DASHMOOLARISHTA- 15ml+15ml water after meals twice daily
=general anti-inflammatory avd vata pacifier
EXTERNAL APPLICATIONS
1)OIL MASSAGE - Mahanarayan taila
-warm oil, apply generously on spine and knees, gentle massage for 15-20 min
daily or at least 4 times/week
PANCHAKARMA ADVISED- HIGHLY RECOMMENDED FOR LONG TERM BENEFITS
-ABHYANGA+SWEDANA- daily or 5time/week= improve circulation, reduce stiffness
-BASTI= daily for 7-14 dats- deep vata pacification, nerve health
-PATRA PINDA SWEDA- alternate days= relieves pain and stiffness
DIET GUIDLINES
-warm foods, soups, gheee, herbal tea
-cooked vegetables
-turmeric, ginger, garlic
-warm milk with turmeric at night
AVOID
-cold, dry, frozen, fermented foods
-raw salads, gas forming foods
-red chilli, sour pickles, excess salt,
-cold milk, yogurt at night
GENTLE YOGA
-bhujangasana
-makarasana
-shavasana
-pawanmuktasana
-vajrasana
-leg rotation
-Avoid sitting for long periods or standing still for too long
-use firm mattress, avoid very soft bedding
-warm water bath daily for joints
-avoid excessive bleeding, lifting, or sudden twisting movements
DO FOLLOW CONSITENTLY TO GET RESULT
THANK YOU
DR. HEMANSHU MEHTA
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