Question #25258
24 days ago
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Do you have medicine for OA which is older 3 years - #25258
Srrenijesh
Severe pain on knee joint camnnot walk for 20 meter what are the treatme thst you can suggest me internal medications and external treatment how long should i take is the oa knee is 3rd grade or should i opt operation?
Age: 65
Chronic illnesses: OA
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Doctors’ responses
Avoid sour and fermented food.
Exercise under guidance of Physiotherapist.
Cap.Artilon
2-0-2
Cap.Stresscom
1-0-1
Tab.Shallaki XT
1-0-1
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Namaste Srrenijesh ji🙏
Thank you for sharing your concern. I can understand your concern of experiencing such severe knee pain that you cannot walk even 20 meters. Since you are 65 and already diagnosed with Osteoarthritis (OA) Grade 3 as you mentioned.But Dont worry we are here to help you out 😊
Ayurveda offers various panchakarma therapy and internal medication and with consistent treatment you will definately able to change your 3 rd grade OA to 2-1 stage.
**FIRST AND FOREMOST**
Is Surgery needed???
You can delay your surgery if you
☑️You're not completely bone-on-bone (Grade 4)
☑️Still able to stand, walk a bit, bend knees
☑️Want to manage with consistent, natural therapy
You may think of Surgery if
☑️There’s severe deformity or no gap at all in the knee
☑️You have night pain, bone grinding, or can’t bear weight at all
☑️Ayurveda fails after 3 months of disciplined treatment
My Advice-
If you’re still able to stand, walk slowly, bend, and want natural healing — start Ayurveda now and observe your response for 3 months
** AYURVEDIC PERSPECTIVE**
In Ayurveda, this is a classic case of Janu Sandhigata Vata-
☑️Vata dosha dries out the lubricating fluid
☑️Leads to cartilage degeneration, joint space narrowing
☑️Causes pain, stiffness, and restricted walking ability
☑️Possibly swelling or crepitus (grating sound) in the joints
Surgery (Total Knee Replacement ) can be postponed or avoided if you follow a structured Ayurvedic plan for at least 3 months.
** PANCHAKARMA THERAPY IS MUST IF YOU WANT TO DELAY OR AVOID SURGERY**
** PANCHAKARMA MUST BE DONE ONCE IN 6 MONTHS THEN ONCE A YEAR**
**PANCHAKARMA THERAPY**
1 janu abhynga with Chinchadi taila+ Dhanwanthram taila
2 janu basti with same oil
3 Patra pinda sweda on janu
4 janu upanaha with PPS drugs
5 Eranda mooladi niruha basti ( enema therapy)
6 Anuvasna with Panchtikta guggulu ghrita 70ml ( this will pacify the aggrevated vata and help to strengthen the joints internally)
✅Local treatments will relieve pain, inflammation
✅Nourish and strenthen the joints
✅INTERNAL MEDICATION
1 Nucart OA 2-0-2 after food ( helps to improve cartilage between the joints )
2 Sahacharadi kashyam 15ml-0-15ml + 45 ml water after food ( helps to pacify vata )
3 GT Cap 2 at bed time
✅These help control degeneration, reduce pain, and build strength.
✅ External Treatments
✅Daily at Home:
Mahanarayan Taila or Dhanwantharam Taila – warm oil
Massage gently on both knees
Followed by hot fomentation (steam or towel) for 10–15 mins
✅ 3. Diet and Lifestyle for OA
✅ Include:
Ghee (1–2 tsp daily in warm meals)
Methi seeds, sesame seeds, soaked almonds
milk boiled with turmeric + ashwagandha
Warm soups, barley, moong dal, cooked veggies
❌ Avoid:
Cold water, curd at night, AC directly on knees
Tomatoes, brinjal, potatoes (inflammation-causing)
Deep-fried, maida, bakery items
Sitting or walking for too long at one stretch
How Long Should You Take Medicines
1 month ➡️ noticeable pain reduction
3 months ➡️improved strength, better movement
6 months ➡️ progression slowed, surgery may be avoided
This is the normal progression of treatment whicb we see in the patients but it may differ person to person
Wishing you strength and strong joints
Warm Regards
Dr.Snehal Vidhate
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You have to take
Yograj guggul 1-0-1
Maharasnadi ghanvati 1-0-1
Mahavatvidhvansh 1-0-1
Local application mahanarayan oil twice daily.
Apply alternative hot and cold packs.
Knee joint strengthening yogasana learn and do it daily.
Take castor oil 5ml. Add a pinch of sry ginger powder and take it daily at night.
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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
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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
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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..
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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
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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.
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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
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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
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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.
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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
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