Knee swelling and pain in my left leg - #24713

Please do a bloodtest of Vitamin D, Calcium, ESR, and Haemoglobin

Meanwhile you can have 1.Rasnasapthakam kwatham tablet 2-0-2 before food 2.Kaisora guggulu 1-0-1after food 3.Sallaki XT 1-0-1after food 4.Murivenna+ Rhukot liniment for ext.application, twice daily

🌸 Do appropriate exercises and physical therapy

🌱 Maintain appropriate weight

🌱 avoid salty, sour, pungent foods

🌱 Avoid daysleep 💠 Intake green leafy vegetables, jeeraka, ginger, cucumber, gooseberry 💠 Need few days of rest 🌱 Avoid excessive walking, exercise, travel

💊 MEDICINES 💊

1. Rasnerandadi kashayam 10 ml Punarnavadi kashayam - 10 ml Yogaraja gulgulu gulika - 1

Each kashayam 10 ml ( total 20 ml , one gulika with 80 ml boiled hot water morning and evening before food .

2. shaddaranam tab - 1 - 0 - 1 twice daily after food

3. Balarishtam - 30 ml Navayasam choornam 30 ml arishta mixed with 1 tspn choornam morning and night after food

4. Dhanwantaram gulika - 1 - 0 - 1 after food

5. Hinguvachadi choornam - 1/2 tspn with warm water at night after food

6. Dashamoola harithaki lehyam - 1 tspn with warm water at bed time

💠 In later phase :

1. Gandha tailam cap - 1 - 0 - 1 after food 2. Rasna guggulu 1 - 0 - 1 after food 3. Dadimadi ghritam - 1 tspn with warm water morning and evening empty stomach

🍁 EXTERNAL APPLICATION 🍁

1. Nagaradi choornam+ karutha vattu gulika mixed with egg white make paste and apply the affected area - 5 days

* After 5 days

2. Karpooradi thailam+ murivenna - apply affected area

Once x ray should be done So kindly go for Xray

HELLO BHAVIK,

At your age 27, the most common causes of knee pain and swelling include :

1) SOFT TISSUE INJURY -ligament strain, meniscus tear, or tendon inflammation due to overuse, improper posture , or injury -often causes swelling, pain or movement, and stiffness

2) PATELLOFEMORAL PAIN SYNDROME -common in young adults due to muscle imbalance or improper tracking of the kneecap - pain increases with stairs, squatting, or sitting long

3) BURSITIS OR SYNOVITIS -inflammation of the fluid-filled sacs or synovial membrane -leads to swelling, warmth, and pain

4) EARLY DEGENRATIVE CHANGES- -sometimes start earlier in active individuals, especially with a history of injury. -causes stiffness, dull ache, and swelling

Inflammation or fluid accumulation in the joint(called an effusion) can cause both pain and visible swelling, which worsens with movement or weight bearing .

In Ayurveda, knee pain with swelling is typically due to vata-kapha imbalance , especially involving the joints

When vata aggravated due to cold weather, stress, poor diet, overexertion, it dries out the joint lubrication causing -pain -crackilng sound -stiffness -movement restriction

When kapha is involved, it adds -swelling -heaviness - coldness in the joint

If toxins from poor digestion is present, it makes things worse by blocking micro channels and causing inflammation.

TRATMENT GOAL is to reduce inflammation, restore function -balance vata -remove toxins - strengthen joints

INTERNALLY START WITH

1) YOGARAJ GUGGULU- 2 tabs twice daily after food for 4-6 weeks =relieves vata, reduces pain and stiffness

2) MAHARASNADI KASHAYA- 20 ml with warm water twice daily before meals for 4-6 weeks =redcues inflammation, relieves muscle/joint pain

3) SIMHANADA GUGGULU- 1 tab twice daily after food for 4 weeks =removes toxins, anti-rheumatic

4) SHALLAKI MR CAPSULES- 500mg twice daily after meals for 4-8 weeks = anti-inflammatory , improves joint mobility

5) ASHWAGANDHA CHURNA- 1 tsp with warm milk at bedtime for 4 weeks =reduces inflammation, strengthens muscles

6) DASHMOOLARISHTA- 15ml with equal water after meals for 4 weeks =vata kapha pacifying, anti-inflammatory

IF THERE’S HEAVINESS OR STIFFNESS START -Trikatu- 1/4 tsp with warm milk before meals for 7 days -TRIPHAALA- 1 tsp with warm milk at night for 7 days

then take above medications

EXTERNAL TREATMENT

1) OIL MASSAGE -MAHANARAYAN TAILA-excellent for pain and stiffness -warm the oil, apply over knee, massage gently for 10-15 minutes -followed by hot fomentation

2) HERBAL PASTE APPLICATIONS -DASHANGA LEPA- mix with warm castor oil and apple for 30 minutes once daily= anti inflammatory

-NIRGUNDI LEAVES PASTE- crush fresh leaves with sesame oil apply for 30 minutes cover with cotton = pain relieving

DIET RECOMMENDATIONS -warm, cooked, light meals -moong dal , old rice, barley, wheat -steamed vegetables with ginger, garlic, turmeric -herbal teas- dry ginger+ajwain+fennel -cows ghee (small quantity-lubricates joints) -turmeric milk at night

AVOID STRICTLY -curd- especially at night - cold drinks and cold food -proccessed or junk food - excess spicy, sour, fermented foods - heavy pulses like chana, rajma - night shades vegentables= potato, tomato, brinjals if inflammatory signs are strong

LIFESTYLE AND PHYSICAL RECOMMENDATIONS

DO’S -rest the knee but don’t immobilise completely Practice gentle yoga like -Pawanmuktasana series- joint rotations -Vrikshasana- if balance permits -Setubandhasana- bridge pose

-use hot water bag compress for 15 minutes -keep the leg elevated if swollen

AVOID -prolonged sitting cross- legged - squatting or using Indian toilet -running, jumping, or climbing stairs repeatedly -exposure to cold or damp weather

SIMPLE HOME REMEDIES

1) TURMERIC+DRY GINGER POWDER -1/2 tsp turmeric + 1/4 tsp dry ginger with warm water twice daily -acts as a natural anti-inflammatory

2) FENUGREEK SEED PASTE -soak 1 tsp methi overnight-> grind to paste -> apply on knee 15-20 mins daily

3) CASTOR OIL DETOX -1 tsp warm castor oil before bed= once a week - helps removes vata and relieve constipation

DO FOLLOW CONSISTENTLY

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

VISIT AN ORTHOPEDIC DOCTOR AND CONSIDER X-RAY OR MRI FOR PROPER DIAGNOSIS

Hi Bhavik this is Dr Vinayak ,by considering your problems First you should maintain proper weight according to your body If swelling is seen there is inflammation or any soft tissue damage Rx - yogaraj guggulu 1-0-1 after food Rasna saptaka kashayam 10ml twice before food Application of murivenna taila and then hot water bath

Better once knee x ray should be done to know proper diagnosis

Take gokshuradi guggul 2-0-0 after food with water Yograj guggul 1-0-1 after food with water Divya Pidantak vati 1-0-1 after food with water Pidantak oil for local application on pain areas twice daily. Avoid sour fermented foods, avoid pickles . Walk on straight surface.

Swelling and pain in the knee generally indicates an imbalance in the body’s doshas, particularly Vata and Pitta. In Ayurveda, managing this condition involves a wholesome approach catering to diet, lifestyle, and maybe some therapeutic procedures.

First, considering diet, it’s beneficial to focus on anti-inflammatory foods. Incorporate items like turmeric and ginger in your meals as their anti-inflammatory properties may help in reducing swelling. Avoid foods that are aggravating to Vata and Pitta, such as spicy, acidic, and overly processed foods as they could worsen the swelling. Drink warm water and herbal teas to support digestion and reduce inflammation; avoid cold drinks.

Regarding your lifestyle, rest is essential. Avoid excessive walking or standing, since these activities can worsen the pain. Gentle yoga postures that focus on flexibility without overextending the knee joint could be helpful. Consider “Pawanmuktasana” or “Ananda Balasana” for mild stretching but avoid anything too demanding on the knees.

You can also try an Ayurvedic therapy called “Abhyanga,” which is massage with warm sesame oil or Maha Narayana taila. Gently massage around the knee area; this could soothe pain and promote circulation. Do this at least twice a day. You might also consider applying a warm herbal paste made of turmeric and aloe vera gel to the affected area for relief.

Lastly, practices such as pranayama can help regulate your breathing and calm the mind, which is useful for healing. Should the swelling persist or get severe, it’s wise to consult a healthcare professional to rule out any underlying conditions that may require further attention. Ideally, combining these ayurvedic suggestions with proper medical advice ensures a balanced approach to health management.

HELLO BHAVIK,

Based on your description of knee swelling and pain during walking or movement, this could be due to several orthopaedic issues like a ligament strain, meniscus injury, early osteoarthritis or bursitis. Since you’re 27 and have no chronic illness, it’s likely to be degenerative, but injury, overuse, or imbalance can still cause inflammation.

LIEKLY AYURVEDIC DIAGNOSIS - Sandhivata =joint pain due to vata imbalance - Ama vata= if there is inflammation/swelling along with pain - Vata rakta= if pain is sharp and associated with color changes

AYURVEDIC MANAGEMENT

WHAT TO DO

1) REST AND GENTLE MOVEMENT -avoid overuse of the knee. -gentle movements like slow walking or light yoga(without strain) can maintain circulation.

2) LOCAL OIL APPLICATION

-MURIVVENA OIL(Kerala based) =for injury, swelling, muscle or ligament tears =warm slightly , apply as gentle massage or cotton soaked bandage over the knee twice daily

-PINDA TAILA -best when pain is associated with burning sensation, redness, or inflammation warm and massage lightly; can be alternated with Mahanarayan taila for 2-4 weeks

3) LAKSHADI TAILA -strengthens bones and joints, especially after trauma gente massage with warm oil, daily before bath for 4 weeks

HERBAL PASTE

-RASNADI CHURNA= warm castor oil mix and apply for 20 mins= reduces pain and swelling

-NIRGUNDI CHURNA= warm water and apply = pain and muscle tension

-KOTTAMCHUKADI CHURNA= with tamarind leaf juice= muscular/joint inflammation

3) WARM COMPRESS -use hot water bag on the affected knee 2-3 times daily to reduce stiffness and pain

4) INTERNAL MEDICATIONS

-TRAYODASHANG GUGGULU= 2 tabs twice daily after meals for 4-6 weeks = chronic vata disorders, joint pain, nerve involvement

-PUNARNAVA MANDUR= 2 tabs twice daily after meals with warm water for 4 weeks =reduces inflammation and swelling, improves kidney function and reduces fluid accumulation In joints

-RASNASAPTAK KASHAYA= 20 ml with equal water before meals twice daily for 6 weeks = anti inflammatory specifically for joint disorder

-GANDHA TAILA CAPSULE= 2 soft gel capsules with warm milk daily at night for 6 weeks =bone joint and ligament strengthening post injury care

- VATARI GUGGULU= 2 tabs twice daily after food for 6 weeks =osteoarthrtis, stiffness and swelling.

DIET ADVISES -avoid cold, dry and processed foods - eat warm, cooked, easily digestible meals like khichdi, soups -include turmeric, ginger, garlic in diet

-Avoid cold exposure or washing legs with cold water -don’t climb stairs or do squatting exercises -avoid legumes, curd at night, cold drinks, and fried or fermented foods -avoid high impact activities like running, jumping

ADVICE FOR X-RAY

THANK YOU

DR. HEMANSHU MEHTA