Do you have medicine for OA which is older 3 years - #25258

Please mention do you have any swelling over your knees?

In OA we need medication for inflammation and for rejuvenation also.

Internally 1.Rasnasapthakam kwatham tablet 2-0-2 before food 2.Sallaki plus 1-0-1after food 3.Yogarajaguggulu 1-0-1after food 4.Murivenna +Rhukot liniment- for ext.application twice daily

Suggested Ayurveda external therapies like Kizhi Treatments (potli), Abhyanga(oil massage), Pizhichil, Januvasthi(Medicated oil holding around knees) ,etc Please do visit an Ayurvedic treatment center nearby .

Avoid *Continues standing, sitting /walking *Avoid strenuous activities *Please do knee strengthening exercises

Yogaraja guggulu- Peedantaka vati- 1 tab twice daily after food with warm water Mahanarayana taila- Gentle massage over knees

hi srrenijesh , You are likely dealing with Grade 3 Osteoarthritis (OA) of the knee, where the cartilage has significantly worn down, causing pain, stiffness, and limited mobility even walking short distances like 20 meters becomes difficult. At this stage, joint space is reduced, and friction increases, leading to inflammation and discomfort. However, many patients recover well without surgery when treated early with the right combination of therapies and care.

Internal Medications (Duration: 6 weeks initially) 1.Yogaraja Guggulu – 2 tablets twice daily after food with warm water 2.Shallaki Capsules (Boswellia serrata) – 500 mg, one capsule twice daily after food 3.Ashwagandha Churna – 3 g at bedtime with warm milk or water 4.Dashamoola Kwatha – 15 ml with 45 ml warm water twice daily before food (optional if stiffness/swelling present)

External Treatments (Preferably done as a short therapy course 7–15 days) 1.Abhyanga with Mahanarayana Taila – gentle warm oil massage over knee joint, daily or alternate days 2.Janu Basti – 30–40 min oil retention therapy on knee with warm medicated oil, minimum 7 sessions .3.Pinda Sweda (Podikizhi) – 15–20 min fomentation over the knee using herbal bolus, after oil massage

Surgery is not the first option at this stage unless pain is unbearable or there’s total joint collapse. Lifestyle changes are equally importantavoid squatting, stair climbing, cold exposure, and follow a warm, vata-pacifying diet. With dedicated Ayurvedic care, timely treatment, and patience, it is very much possible to manage Grade 3 OA without an operation and restore your ability to walk and move more freely.

THANK YOU REGARDS - DR.KARTHIKA

Don’t worry Srrenijesh, First of all avoid pea, brinjal,excessive spicy,cauliflower, ladyfinger etc… And start taking1.Maharasnadi kwath 20 ml with 30 ml of lukewarm water empty stomach twice in a. 2.Mahayograj guggulu 2-0-2 for chewing. 3.Tab.Rumalya forte 1-1-1 HIMALAYA 4.JANU BASTI WITH KSHEERBALA OIL FOLLOWED BY MILD FOMENTATION WITH DASHMOOL KASHAYAM… follow up after 15 days…

Regularly massage of Mahanarayana and mahamash tailam at least for 2 month Shallaki tab 1 tab twice a day Mahayogaraj guggulu 1 tab twice a day Arogyavardhini vati 1 tab twice a day

For Grade 3 Osteoarthritis (OA) of the knee with severe pain and walking difficulty, surgery (like knee replacement) is one option, but Ayurvedic treatment can often help manage and delay surgery, especially if you respond well.

🔹 Internal Ayurvedic Medications: Trayodashang Guggulu – for joint repair and nerve support

Simhanad Guggulu – reduces joint inflammation and stiffness

Maharasnadi Kashayam / Kwath – improves circulation and relieves pain

Shallaki (Boswellia) capsules – natural anti-inflammatory

Ashwagandha or Rasna Erandadi Kashayam – for strength and joint lubrication

🔹 External Treatments: Murivenna or Kottamchukkadi Taila – warm oil application + gentle massage

Janu Basti (Oil pooling therapy) – highly effective for OA

Lepa (herbal paste) – on painful joint for relief

Steam therapy (Nadi Swedana) – to ease stiffness

🔹 Duration: 3–6 months of continuous treatment is ideal initially

Improvement seen within 3–4 weeks if followed regularly

Panchakarma therapies may be added in a clinical setting for long-term benefit

🔹 Should You Opt for Surgery? If severe structural damage + no response to therapy + daily life severely affected, then surgery is a valid option

But if pain is inflammatory and stiffness-dominant, Ayurvedic care can give significant relief

With proper care, many Grade 3 OA patients avoid or delay surgery successfully.

DIVYA PEEDANTAK KWATH=100GM DIVYA NIRGUNDI KWATH=100GM DIVYA MAHARASNADI KWATH=100GM…MIX ALL IN A JAR TAKE 1 TSP BOIL 200ml of water TILL REDUCES 100ML STRAIN AND TAKE EMPTY STOMACH TWICE DAILY

DIVYA PEEDANIL GOLD TABLET=1-1 TAB BEFORE MEAL TWICE DAILY

DIVYA ORTHOGRIT TAB=2-2 NUTRELA BONE HEALTH=1-1 DIVYA LAKSADHI GUGUGLU=2-2 …TAB AFTER MEAL TWICE DAILY …

COLD PRESSED MUSTURD OIL=10ML CONSUME EARLY MORNING WITH WORM WATER …ITS VERY MIRACULAR EFFECTS…

AVOID HEAVY MEALS/CITRUS / SPICY

DO SUKSM VYAMA REGULARLY

YOU CAN CURED DEFINITELY

HELLO SRRENIJESH,

Think of your knee joint as a cushion system where bones move smoothly over each other because of a slippery layer called Cartilage. In osteoarthritis, especially at Grade 3, this cartilage is significantly worn down so, -the bones start rubbing against each other - you feel pain, stiffness, swelling, and sometimes a crackling sound - walking, bending, or even standing becomes painful - your muscles around the knee weaken, worsening the pain - the joint may also look swollen or slightly bent

In Ayurveda, this is seen as Sandhivata, where Vata dosha(the energy controlling movement and dryness) becomes imbalanced, drying up the natural lubrication of joints.

WHAT GRADE 3 MEANS -cartilage is mostly damaged -joint space is narrowed -pain is constant during movement - swelling or inflammation may be visible - may start affecting posture or balance -you may still avoid surgery with strict and consistent treatment

ACCORDING TO AYURVEDA, this condition occurs due to -vata aggravation-too much dryness and coldness in the body - low digestion power(agni) leading to toxin (ama) formation -weak joints and bones - asthi dhatu kshaya - lifestyle habits that dry out the body and increase wear and tear

INTERNAL MEDICATIONS

1) YOGARAJ GUGGULU= 2 tabs twice daily after food with lukewarm water = anti-inflammatory, vata balancing

2) MAHARASNADI KASHAYA= 15 ml with warm water twice daily before meals =joint pain and stiffness

3) SHALLAKI= 1 tab 500 g twice daily after meals with lukewarm water = natural painkiller slows cartilage loss

4) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime =strengthens bones, muscle relaxant

5) GUDUCHI CAPSULES = 2 cap daily in morning = immunomodulatory, detoxifier

6) PUNARNAVA MANDUR= 1 tab twice daily after meals = reduces swelling improves circulation

EXTERNAL TREATMENT

1) OIL MASSAGE= MAHANARAYAN TAILA -warm oil application with gentle massage daily -promotes circulation and reduces stiffness

2) STEAM THERAPY -after massage give steam for better absorption -reduces inflammation, opens channels

PACHAKARMA ADVISED -BASTI THERAPY= most effective vat treatment, lubricates joints internally -JANU BASTI= warm medicated oil is retained over nee joint

DIET -warm, cooked food only-never eat cold or raw food -Ghee- 1 tsp / day(natural joint lubricant) - soups- bone broth, vegetables or moong dal soup with ginger - green vegetables= steamed or lightly sauteed -grains= wheat, rice, barley, millets- warm and soft - Milk- warm cows milk with turmeric or ashwagandha -spices= turmeric, ginger, garlic, cumin, ajwain= helps digestion and inflammation -Fruits= ripe bananas, papaya, apples-stewed, figs

AVOID THESE STRICTLY -cold items= refrigerated food, cold water, ice cream -dry foods= popcorn, dry toast, chips, crackers -sour curd and yogurt= especially at night(it increases inflammation) -too much salt or sugar - nightshade vegetables in excess= like brinjal, tomato, potatoes -alcohol and smoking-they dry joints and worsen degenration -fermented food- pickles, vinegar

LIFESTYLE- DAILY HABITS -gentle walking or yoga every day- keep moving but avoid strain -use knee cap for support if walking is painful -take warm water sips throughout the day-helps vata and digestion -keep body warm-avoid exposure to cold air or water -practice slow deep breathing or meditation-reduces pain sensitivity -sleep early-helps tissue repair

AVOID -sitting in the same position for too long -high-impact exercises= like jumping, running, stairs - sleeping late at night -daytime naps= especially after heavy meals - sudden jerky movements -stress=it increases pain perception and vata imbalance

HOME REMEDIES -turmeric milk= 1 cup at bedtime -fenugreek seeds soaked overnight= eat in the morning -garlic in ghee= chew 1-2 cloves cooked in ghee = good for joints -castor oil= 1 tsp before bed once a week as mild detox

YOGA ASANA -tadasana -vrikshasana -setu bandhasana -supta padangusthasana -ananda balasana -marjariasana

SIMPLE STRENGTHENING EXERCISES -quad sets=10-15 reps -heel slides=10 reps each side - seated leg raises= 5-10 reps - ankle rotations -wall support squats

GRADE 3 OA does not mean surgery is your only option. but it does require consistent effort in: -Diet -Daily movement -Ayurvedic medicines -Local external therapy

You can definitely experience relief from pain, better mobility and delay or avoid surgery for years if you manage it and follow this consistently

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

To address severe knee pain, especially when walking is limited, Ayurveda offers a holistic approach. For osteoarthritis (OA) of the knee, particularly at a 3rd grade level, a personalized plan is crucial, but let’s focus on some general actions you might find helpful.

Internally, Ayurvdic medicines like Shallaki (Boswellia Serrata) and Guggulu (Commiphora mukul) may help reduce inflammation and relieve pain. These should ideally be taken under the guidance of an Ayurvedic practitioner to determine appropriate dosages based on your dosha and individual needs. Additionally, consuming Ashwagandha (Withania Somnifera) can help improve joint strength. Take with warm milk at night to support ojas (vital energy).

Externally, using medicated oils for Abhyanga (oil massage) can support joint health. Oils like Mahanarayan or Sahacharadi have warming properties and may alleviate stiffness. Apply gently to the affected area for 15-20 minutes daily, followed by a warm compress for added relief.

In terms of diet, focus on a Vata-pacifying diet. This includes warm, cooked foods, plenty of stews and soups with spicies like turmeric and ginger to boost agni (digestive fire) and reduce inflammation. Avoid cold, processed, or excessively dry foods that may aggravate Vata dosha.

Certain yogic exercises like mild leg stretches or swimming can be beneficial without putting undue stress on the joint. However, with such advanced OA, physcal activities should be guided professionally to prevent further damage.

For grading 3 OA, surgical intervention might be recommended when pain severely affects quality of life. A consultation with an orthopedic specialist will provide clarity on surgery’s necessity and its implications.

Continuously evaluate your condition with a healthcare provider to decide if an Ayurvedic regimen is suiting your body or if surgical intervention becomes necessary. The goal is pain relief and increased mobility, tailored to your lifestyle and health.

HELLO SREENIJESH,

For a 65 year old patient with severe knee pain and grade 3 OA, ayurvedic treatment focus on reducing pain and inflammation, improving mobility and prevent further degeneration.

AYURVEDIC MANAGEMENT

1) EXTERNAL TREATMENT

OIL MASSAGE= PINDA TAILA -daily or attest 4-5 times a week =reduces stiffness and improves lubrication of joints

POTALI SWEDANA -use herbal poultice prepared with erandamoola, nirgundi, area leaves -apply after oil massage =enhances circulation and reduces swelling

JANU BASTI(oil pooling on knee joint) -oils= ksheerbala taila -for 7-14 days regularly =created deep tissue nourishment and pain relief

INTERNAL MEDICATIONS

1) SHALLAKI = 1cap twice daily after meals =anti inflammatroy

2) MAHAYOGARAJ GUGGULU= 1 tab twice daily after meals = useful in chronic joint pain

3) DASHMOOLA KASHAYA= 30 ml twice daily before meals with warm water = reduces inflammation

4) RASNADI KASHAYA= 15 ml twice daily after meals with warm water =helps in pain and swelling

5) ASHWAGANDHA CHURNA= 5 gm with warm milk at night = strengthens muscles ,reduces stress

6) TRAYODASHANGA GUGGULU= 1 tab twice daily after meals =strengthens joints, relieves stiffness

PANCHAKARMA IF FEASIBLE -basti chikitsa -kati basti -janu basti -virechana

LIFESTYLE AND DIET DO’S -Warm foods, soups, herbal teas - cooked vegetables with ghee -gentle yoga= pawanmuktasana, tadasana, setubandhasana -keep knee warm, avoid exposure to cold

DON’TS - avoid curd, refrigerated food, fried food, and sour substances - avoid excessive walking or climbing stairs - avoid sitting on floor

If denerative degeneration, joint deformity, and unmanageable pain persist after 3-6 months of this treatment TOTAL KNEE REPLACEMENT may be considered

TREATMENT DURATION

initial relief= 2-4 weeks sustainable improvement= 3-6 months of consistent therapy maintainance- long term support with diet and rejuvination

THANK YOU

DR. HEMANSHU MEHTA