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Knee pain when climbing stairs and squats
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General Medicine
Question #25445
195 days ago
437

Knee pain when climbing stairs and squats - #25445

Sunita

Knee pain from pst 4 years.ultra sound shows mild osteoporosis. It pains while doing squata.Crackles when climbing stairs. I was deficient in vitamin d3 and b12 , taking supplement for both from past 1 month. Want to improve on knee health and pain.

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Doctors' responses

Avoid sour and fermented food. Regular exercise. Cap.Artilon 2-0-2 Tab.Asthishrinkhla 2-0-2

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Hello Sunita, Thank you for sharing your concern. I understand how persistent knee pain, especially with mild osteoporosis, crackling sounds, and discomfort during squats and stairs, can affect your daily life.But dont worry we are here to out 😊

** AYURVEDIC PERSPECTIVE** ☑️In Ayurveda, your symptoms reflect an imbalance in Vata Dosha (responsible for joints and bones) and Asthi Dhatu Kshaya (weakened bone tissue). ☑️Vitamin D3 & B12 deficiencies weaken Agni (metabolism) and reduce bone nourishment.

This treatment will help you to?.. ✅ Reduce inflammation and cracking ✅ Nourish joints and bones ✅ Prevent further bone loss ✅ Improve flexibility and pain-free movement

INTERNAL MEDICATION

1 Lakshadi Guggulu 1-0-1 after foods (Strengthens bones, supports calcium absorption) 2 Trayodashang Guggulu 1-0-1 (Reduces stiffness, improves joint mobility) 3 Ashwagandha Tablet 1 tab at night Reduces Vata, supports bone & muscle strength 4 Dashmoolaristha 15 ml-0-15ml with warm water (Anti-inflammatory, relieves joint pain)

❗Minimum 3–4 months of continuous use is recommended❗

✅External Treatment (daily)

☑️Oil Massage (Abhyanga): Use Mahanarayan Taila Warm slightly before use Massage knee joints in circular motion for 10–15 mins Followed by hot water fomentation (with a towel or steamer)

This improves circulation, reduces stiffness, and lubricates joints.

✅if pain is severe go for panchakarma it will significantly boast your recovery and improve your joint health

👉Let me know if you are willing then i will provide detail panchakarma therapies to be done

✅Diet modification for Bone & Joint Health

✅ Include

Warm, cooked food with ghee Ragi (nachni), sesame seeds, coconut Amla, drumsticks, dates, figs Cow’s milk (if digestible) or almond milk Methi, garlic, ginger (mildly)

❌ Avoid:

Cold, dry, processed food Deep-fried, bakery, soda Curd at night Excess tea/coffee

With the right combination of medications , food, external oiling, and mindful movement, your knees can regain their strength and flexibility. Wishing you healing, strength and steady steps ahead,

Warm Regards Dr. Snehal Vidhate

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Sunita
Client
195 days ago

Thanks for the reply. I have also asked another question for improving my period flow and was advised Ashokarishta. Can I take dashmoolarishta and ashokarishta together or should I finish one course first and start this. Could you please have a look at that question as well If there is way to combine the medications with this.

Also should I continue taking vitamin d3 and b12 as well with these medication.

I am out of India but I can go for panchakarma when I visit India or if we have centre here, please let me know the treatments.

Hello Thank you for your reply.

Q. Can ashokaaristha and dashmoola aristha can be mixed or not? 👉first finish the ashokaaristha ( if your period flow is still a problem) 👉or if it is improved you can take dashmool aristha 15ml with water in morning And ashokaaristha 15ml at night after food

Q can you continue your vitamins supplemnt with this? 👉yes continue your vitamin supplements with this medication just give gap of 20-30 mins

Q. Panchakarma therapy you can do pancha karma whenever you come to India. You can do it at any good panchakrama center near by your home.

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Sunita
Client
195 days ago

I am also having sleep issues due to overthinking and stress, it takes around 2-3 hours for me to sleep after going to bed. Does ashwagandha helps in that or is there any other treatment I can follow.

Knee pain can often be linked to underlying factors, in your case mild osteoporosis and the vitamin deficiencies you’ve mentioned. Since you’ve started supplements for Vitamin D3 and B12, it’s a step in the right direction. Continuing these supplements while regularly monitoring your levels with your healthcare provider will be helpful.

Let’s think about some Ayurveda-based adjustments could offer relief and strengthen your knees. First, including foods that pacify Vata dosha may be beneficial, as this dosha can exacerbate joint pain when imbalanced. Warm, cooked foods like soups and stews should be part of your diet. Add spices like turmeric and ginger, known for their anti-inflammatory properties, which could reduce joint discomfort. A warm, golden milk - prepared with turmeric, a small pinch of black pepper and warm milk (or an alternative) can be taken at night to support joint health.

You may also consider Ayurvedic herbs like Ashwagandha and Guggulu, which traditionally are used for strengthening bones and reducing inflammation. However, before starting any new herb, consulting an Ayurvedic practitioner to see if it’s suitable for your specific constitution (prakriti) could be of advantage.

In terms of lifestyle, gentle yoga and stretching exercises are good to keep the joints flexible without overstraining your knees. However, avoiding deep squats or high-impact activities that stress the knees will be wise at this stage. Instead, engage in low-impact activities like swimming or cycling, which don’t place direct pressure on your knees.

Regularly applying warm sesame oil onto the knee joint can improve circulation and provide some relief. Warm compresses could also serve as a soothing method for alleviating stiffness.

Ultimately, monitoring and adapting your diet and lifestyle consistently will support long-term improvements, but it’s important to keep a healthcare provider or naturopath in the loop regarding your progress, especially since you’re managing osteoporosis.

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Hello sunita,

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

You can definitely experience relief from pain, better mobility

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
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Dr. Suraj Amber
I am practicing Ayurveda for about 8 years now, feels strange saying that because honestly the learning never stops. My work is all about finding balance in the body, not in some abstract way, but literally working with each person’s unique prakriti and the vikriti they’re dealing with at that moment. I follow the classical principles — herbal formulations, Panchakarma therapies, diet corrections, lifestyle tweaks — but nothing is “one size fits all”. Each treatment plan is shaped by the person infront of me, their health history, and the small details you only catch when you really listen. Over time I’ve worked with people dealing with digestion troubles, joint pains, hormonal shifts, stress-related health dips, and even stubborn chronic stuff that didn’t respond much to other methods. My approach is to go for the root cause first, because treating just the symptoms feels like putting tape over a crack... it hides it for a while but doesn’t fix it. That’s also why I focus on prevention — if you stop the imbalance before it grows, you save a lot of pain later. I keep my learning alive by reading classical Ayurvedic texts and joining continuing education whenever I can fit it in (sometimes late nights with too much chai). And I try to pass that clarity on to patients, explaining why a certain herb or therapy is chosen, what changes they might notice, and how they can keep supporting themselves after treatment ends. For me, this is more than just work. It’s a way of living… making choices every day that keep the mind, body, and emotions in some kind of harmony. My goal is still the same as day one — offer care that’s authentic, safe, and actually works for the long run, while making sure the person feels heard and understood through the whole process.
5
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