Question #25445
10 days ago
91
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
10 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
10 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.
Yes Ashwagandha will help to reduce overthinking ans stress
If overthinking is to much you can also add 1 brahmi cap at night
311 answered questions
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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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Daily Routine shall help
🌞 Morning Warm water + calcium-magnesium supplement and Knee massage + gentle stretches
🍽️ Breakfast Vitamin D3, B12 supplements
Midday Warm sesame/ragi-based meal and Light walk
Evening Knee strengthening (10 mins)
Night Warm milk with turmeric + pinch of nutmeg.
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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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