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Arthritis, i am jayasankar, sixty two year old male, a professor in a college. I am diabetic and hypertensive.
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Orthopedic Disorders
Question #25597
20 days ago
188

Arthritis, i am jayasankar, sixty two year old male, a professor in a college. I am diabetic and hypertensive. - #25597

Jayasankar J

Both of my knees and fingers are paining for the last five weeks. I saw a modern medicine doctor he told me in the xray of knees he can see degeneration of first degree. Climbing stairs in the college is giving piercing pain

Age: 62
Chronic illnesses: Diabetic and hypertensive
300 INR (~3.51 USD)
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Doctors’ responses

Avoid sour and fermented food. Regular exercise. Increase intake of raw vegetables and fruits. Shallaki liniment for local massage. Cap.Stresscom 1-0-1 Tab.R compound 2-0-2 Tab.Rumalaya fort 1-0-1
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Hello Jayasankar ji, Thank you for sharing your concern. Based on your age and X-ray report, this sounds like early-stage osteoarthritis (Grade 1) a very common age-related condition in Ayurveda known as Sandhigata Vata. The piercing pain in knees and fingers, especially while climbing stairs, reflects Vata imbalance, joint degeneration, and loss of lubrication in the joints.But dont worry we are here to help you out 😊 **AYURVEDIC PERSPECTIVE** In Ayurveda, this condition is called: Sandhigata Vata Where Vata dosha localizes in joints (sandhi), leading to ➡️ Pain (shoola) ➡️Cracking sound ➡️ Stiffness ➡️ Swelling in some cases ➡️ Reduced mobility **AYURVEDIC TREATMENT** ✅ Internal Medicines 1 Trayodashang Guggulu 2-0-2 after food ( helps to Reduces joint pain & stiffness) 2 Maharasnadi kashaya Tablets 2-0-2 ( Vata balancing and anti-inflammatory) 3 Nucart Oa 2 tablets after lunch ( helps to regenerate cartilage between the bones ) 4 Dashamoolarishta 15ml-0-15ml after meals Anti-inflammatory and rejuvenating 5 GT 2 cap at bed time ( Reduces peripheral joint pain) ✅ PANCHAKARMA (for 7 days) 1 JANU ABHYNGA WITH MAHANRAYANA TAILA (oil massage on both knees with medicated oil ) 2 DASHMOOL PARISHEKHA ( medicated warm kashya pouring on the joint) 3 UPNAHA WITH PPS (will reduce local inflammation and sewlling 4 JANU BASTI WITH MAHANARAYANA TAILA ( oleation therapy locally) AS YOUR KNEES ARE ON FIRST STAGE OR EARLY STAGE OF DEGENERATION ITS BETTER TO GO FOR PANCHAKARMA FOR BETTER AND FAST RECOVERY ✅DIET MODIFICATION ✅ INCLUDE Warm, soft-cooked food Moong dal, barley, garlic, ginger Cow ghee, sesame oil, turmeric Soup made of drumstick, carrot, bottle gourd Lukewarm water throughout the day ❌ Avoid: Cold food or drinks Dry, spicy, or deep-fried items Curd at night Long periods of sitting without movement ✅Joint-Friendly TIPS ☑️Use knee cap or support while climbing stairs ☑️Do mild exercises in warm sunlight: like leg raising ☑️Avoid overexertion; take rest between tasks ☑️Perform gentle yoga You are at the right stage to reverse this without progressing the situation towards surgery. With conaistency and the right Ayurveda support, you can regain mobility, reduce pain, and keep your joints healthy for years to come. Wishing you a pain-free and active life Warm Regards Dr Snehal Vidhate
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First of all avoid vatavardhak ahar vihar like pea,brinjal,too spicy,bitter,astringent etc. And start taking1.Maharasnadi kwath 20ml with equal amount of Luke water empty stomach b.d. 2.mahayograj guggulu 1-0-1 for chewing 3.tab.Rumalya forte 1-1-1 HIMALAYA 4.JANU BASTI WITH KSHEERBALA TAILAM..... Follow up after 15 days 4.
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Regular abhyang (massage) of knee can reduce your problem Apply Mahanarayana Oil regularly Internally Mahayogaraj Guggulu 1-0-1 Mukta vati 1-0-1 Chandraprabha vati 1-0-1 Avoid spicy and junked food
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Arthritis is due to age factor..low level of vit d3/omega and calcium levels..due to heavy weight it's worsens sometimes ... But it's curable..please do:- Divya peedanil gold tab=1-1 tab before meal twice daily Divya ORTHOGRIT TAB Nutrela BONE HEALTH NUTRELA D2K k tab=1-1 tab each after meal twice daily... Erand paka =1 tsp with milk at night.. AVOID sour/chilled foods Do suksm yoga and Pranayam like= kapalbhati/bhramri/..brisk walk You can cured definitely
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Hi jayasankar this is Dr Vinayak as considering your problem.. These complaints are purely age related problems..just by medicine symptomatic management is done but for proper treatment you need to go through with BASTI procedure near by ayurvedic hospital That helps u the best to manage your problem Rx- T. Yogaraja guggulu 1-0-1 after food Rasnasaptaka kashaya 10ml twice before food Murivenna taila - external application around knee joint ( luke warm the taila gentle masage the warm water bath) This will helps to relieve your symptoms
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Dr. Neha Saini
I’m Vaidya Neha Saini, an Ayurvedic Physician with a strong foundation in classical Ayurveda and a passion for restoring health through natural and individualized care. I hold a BAMS degree from Shree Krishna Government Ayurvedic College, Kurukshetra, and completed my MD in Ayurveda from the esteemed Dr. D.Y. Patil Vidyapeeth, Pune. With over five years of clinical experience, I have dedicated my practice to helping patients manage chronic health conditions, lifestyle disorders, and long-standing imbalances through a holistic lens. My treatment approach integrates the timeless principles of Ayurveda with modern clinical sensibilities. I focus on addressing the root cause of illness rather than just alleviating symptoms. Over the years, I have supported patients suffering from joint and musculoskeletal pain, chronic skin conditions such as eczema and psoriasis, hormonal imbalances including PCOS and thyroid dysfunction, and neurological concerns like paralysis and post-stroke rehabilitation. Each case is treated with individualized Ayurvedic therapies that may include herbal medicine, Panchakarma detoxification, lifestyle restructuring, and personalized diet plans tailored to the patient's prakriti (body constitution) and vikriti (current imbalance). I provide both in-person and online consultations to make Ayurvedic care accessible and convenient for everyone. My goal in every interaction is to listen with empathy, guide with clarity, and offer treatments rooted in authenticity and clinical evidence. I firmly believe that true healing is a collaborative journey—where the patient and practitioner work in harmony to bring the body, mind, and spirit back into equilibrium. For me, Ayurveda is not just a profession—it is a way of life, a science of understanding human nature, and a philosophy of living in sync with the rhythms of nature. I am committed to walking this path with you, offering my knowledge, experience, and care at every step of your healing journey.
20 days ago
5
Based on your symptoms — persistent pain in both knees and fingers for the past 5 weeks, and X-ray findings indicating Grade I joint degeneration — this appears to be an early stage of Sandhivata (degenerative joint condition) as per Ayurveda. Since finger joints are also involved, we must consider the possibility of Aamavata (inflammatory arthritis caused by metabolic toxins), especially in the presence of digestive imbalance. Also noting your age (62 years) and history of Diabetes Mellitus (DM) and Hypertension (HTN), the treatment plan must be gentle, Vata-pacifying, and safe for long-term use. Recommended Tests for Confirmation Please get the following lab investigations done if not already completed: RA Factor Anti-CCP Antibody CRP, ESR Vitamin D3, Vitamin B12 Serum Calcium Serum Uric Acid These will help us confirm the diagnosis and rule out any underlying autoimmune or nutritional issues. Suggested Ayurvedic Treatment (Initial Plan) Internal Medicines (to be taken only after in-person Ayurvedic consultation): Trayodashang Guggulu – 2 tablets twice a day after meals Boniheal Tablet – 2 tablets twice a day Herbal Decoction (Bala, Erandmool, Ashwagandha, Rasna, Shatavari, Vidari) – 40 ml twice daily Praval Panchamrit – 1 tablet twice daily Avipattikar Churna – 3 gm at bedtime with warm water External & Panchakarma Therapies (if accessible): Snehana (medicated oil massage) Swedana (herbal steam) Janu Basti (oil therapy for knees) Mild Basti therapy (under medical supervision) Lifestyle Tips: Eat warm, freshly cooked food. Avoid curd, fermented items, and cold/raw food. Use ghee and digestive herbs (dry ginger, garlic, ajwain) in moderation. Gentle movement, such as slow walking or joint-friendly yoga, is beneficial. Important Advice Before Starting Treatment Since this is a chronic condition and you also have diabetes and hypertension, I strongly recommend meeting a nearby Ayurvedic doctor in person before starting the above medicines. This will help ensure proper assessment of your body type (Prakriti), current stage of disease (Avastha), and appropriate customizations in medicine and dosage. I trust this advice will be of benefit to you.
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Take yograj guggul 1-0-1 Mahavatvidhvansh vati 1-0-1 Maharasnadi ghanvati 1-0-1 All after food with water Apply warm mahanarayan oil on affected area twice daily Take laxadi guggul 1 -0-1 after food with water Avoid fermented foods like idli, dosa, ... Also sour foods like pickle, imli, sour curds, raw mango... Wear knee cap during the day can remove at bedtime. Do knee strengthening yogasana/ exercise.daily. Walk on straight and even surfaces.
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Dr. Manjula
I am a dedicated Ayurveda practitioner with a deep-rooted passion for restoring health through traditional Ayurvedic principles. My clinical approach revolves around understanding the unique constitution (Prakruti) and current imbalance (Vikruti) of each individual. I conduct comprehensive consultations that include Prakruti-Vikruti Pareeksha, tongue examination, and other Ayurvedic diagnostic tools to identify the underlying causes of disease, rather than just addressing symptoms. My primary focus is on balancing the doshas—Vata, Pitta, and Kapha—through individualized treatment plans that include herbal medicines, therapeutic diets, and lifestyle modifications. I believe that healing begins with alignment, and I work closely with my patients to bring the body, mind, and spirit into harmony using personalized, constitution-based interventions. Whether managing chronic conditions or guiding preventive health, I aim to empower patients through Ayurvedic wisdom, offering not just relief but a sustainable path to well-being. My practice is rooted in authenticity, guided by classical Ayurvedic texts and a strong commitment to ethical, patient-centered care. I take pride in helping people achieve long-term health outcomes by integrating ancient knowledge with a modern, practical approach. Through continuous learning and close attention to every detail in diagnosis and treatment, I strive to deliver meaningful, natural, and effective results for all my patients.
20 days ago
5
Hello, Hope your recent HbA1C is within normal limits. If your doctor has told you it is early states of arthritis the following will help you. Please use for 120 days 1. Cap. Zeotone plus(avn) 2---0---2 after food 2. Yogaraja Guggulu 2----0----2 crushed,mixed with medicine no.3 3. Rasnasapthakam kashayam 20ml---0--20ml with 80 ml of boiled cooled water at 0600AM and at 0600 PM 4. Apply the mix of following oil every day to all the joints after grating to luke warm. Muru enna+sahacharadi thailam
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Dr. Meenakshi
I am currently working as an Associate Professor and Ayurvedic Consultant at a reputed Ayurvedic medical college in Karnataka. My dual role in academics and clinical practice allows me to stay deeply connected with both the foundational principles of Ayurveda and their real-world application in patient care. With years of experience in teaching and treating patients, I have developed a strong grounding in classical Ayurvedic texts as well as hands-on expertise in managing a wide spectrum of health conditions. In my academic role, I am involved in mentoring undergraduate and postgraduate students, guiding them through theoretical understanding, clinical training, and practical application of Ayurvedic medicine. I actively participate in departmental research, workshops, and case discussions, fostering a learning environment that emphasizes both scientific inquiry and traditional wisdom. As a consultant, I provide holistic Ayurvedic care for chronic lifestyle disorders, musculoskeletal problems, women’s health issues, gastrointestinal diseases, and skin disorders. My treatment plans are deeply personalized, based on a thorough assessment of Prakriti (body constitution) and Vikriti (imbalance), integrating herbal medicine, Panchakarma therapies, dietary advice, and preventive health strategies. I strongly believe in the importance of patient education and preventive care. Whether I am managing a complex condition or offering day-to-day wellness support, my aim is always to treat the root cause and promote long-term healing. I also collaborate with fellow practitioners and students to stay updated with advancements in Ayurvedic research and contribute meaningfully to the field. My commitment lies in offering authentic, evidence-based, and compassionate Ayurvedic care while nurturing the next generation of Ayurveda professionals with the same values.
20 days ago
Hello sir.... Its purely due to age factor.... Like as Arthritis... Need warm compression & rest with supplements... You will be alright... No need to warry Visit near by Ayurvedic doctor & take treatment 👍 Nothing serious...
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HELLO JAYASANKAR SIR, Think of your knee joint as a cushion system where bones move smoothly over each other because of a slippery layer called Cartilage. This is a subtype of Vatavyadhi and correlates to osteoarthritis in modern terms -SANDHI= joint -VATA= dry, mobile, cold principle -SANDHIVATA= vata getting lodged in joints, leading to pain, stiffness, crepitus, degeneration your pain worsening while climbing stairs and in fingers indicates both gross joint involvement knees and small joint vata aggravation(fingers) COMPLICATING FACTOR -DIABETES(MADHUMEHA)-> causes dryness, tissue loss, and nerve sensitivity -> increase vata and slows tissue regenration -HYPERTENSION(raktagata vata/pittaja vyadhi)-> may contribute to stiffness , inflammation, and blood vessel changes. -Your age(62)-> jara janya vata vriddhi- age- related increase in vata naturally predisposes to degeneration so the pain, stiffness, and functional. limitation stem from a chronic, dry, degenerative vata pathology, compounded by impaired metabolism(from diabetes), circulatory issues (from bp), and likely ama(toxins/metabollic waste) in early stages. 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) SIMHANADA GUGGULU = 1 tab twice daily after meals = stiffness with ama 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 -PATRA PINDA SWEDA= reduces pain, stiffness, and inflammation 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 1 OA is curable easily 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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hello Jayasankar, Your joints are slowly wearing out that’s what first-degree degeneration means. It’s the early stage of osteoarthritis, where the cushion (cartilage) inside your knee joint starts thinning, and the bones begin rubbing more. In Ayurveda, this is known as Sandhigata Vata, where Vata dosha enters the joint spaces and dries up the lubricating fluids, causing pain, stiffness, and even finger joint discomfort.Diabetes and age both add to this dryness and degeneration. But the good news is since it’s early stage, we can control it well. The aim now is to reduce inflammation, strengthen the joints, and bring back lubrication so that your pain reduces and walking becomes easier. Ayurvedic Treatment Plan (Continue for 3–4 months) 1. Internal Medicines Yogaraja Guggulu – 2 tabs twice daily after food Simhanada Guggulu – 2 tabs twice daily after food Maharasnadi Kashayam – 15 ml with equal warm water before meals, twice a day Ashwagandha Churna – ½ tsp with warm milk at night Dashamoolarishtam – 15 ml after meals with equal water 2. External Treatment (Very important) Apply Dhanwantaram Taila or Pinda Taila warm on knees and fingers daily before bath Weekly Abhyanga (oil massage) and Swedana (steam) therapy will help a lot If nearby clinic offers it, Janu Basti on knees once a week for 4 weeks gives deep relief 3. Diet & Lifestyle Avoid curd, cold foods, heavy fried items Include warm water, ghee, garlic, methi, drumstick in diet Avoid sitting cross-legged or squatting Try to use elevator if pain is high while climbing Walk on flat ground daily for 15–20 mins (avoid stairs till pain reduces) This plan will reduce joint inflammation, nourish the tissues, and slow down further degeneration. If you continue steadily, climbing stairs and walking will become more manageable. If you have any doubts, you can contact me. Take care, regards, dr.Karthika
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Degeneration in the knees, especially when combined with pain in the fingers, points to osteoarthritis, a common condition at your age. Considering your diabetes and hypertension, it's essential to approach treatment with balance. In Ayurveda, osteoarthritis is related to 'Vata' imbalance. Let's address this by focusing on diet, lifestyle, and specific therapies suitable for you. Start with your diet. Favor warm, cooked foods and avoid cold, raw vegetables as they can aggravate Vata. Include ghee, sesame oil, and spices like ginger and turmeric, which have anti-inflammatory properties, in your meals—these can help reduce stiffness and pain. Cut down on processed foods and refined sugars as they can exacerbate your condition, and it's also crucial for managing your diabetes. Regarding lifestyle, moderate exercise is important, but it shouldn't push through pain. Swimming or cycling can be gentler on the knees compared to walking or climbing stairs. Also, regular stretching can help; focus on stretches that enhance mobility in the knees and fingers, but do so within a comfortable range. You might benefit from Ayurvedic practices such as Abhyanga (oil massage) using warm sesame oil or medicated oils like Mahanarayan oil. Applying gentle pressure during massage helps improve circulation and reduce Vata imbalance. Perform this consistently in the morning, but ensure the oil temperature is warm to enhance penetration. Consider herbal supplements like Ashwagandha or Shallaki (Boswellia) after consulting with an Ayurvedic practitioner to verify compatibility with your current medications. These can aid in reducing inflammation and supporting joint health. Keep in mind, the urgency of pain management should be balanced with ongoing safer management of your diabetes and hypertension. Ensure consistent follow-up with your primary healthcare provider, especially when integrating new herbs or therapies, to avoid any interactions or adverse effects.
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Yograj guggulu Neemghan vati - 1 tab twice daily after food with lukewarm water Mahanarayana taila- gentle massage over knees Avoid spicy Avoid spicy sour non veg foods
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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
16 days ago
5
DEAR PROF. JAYASANKAR, Thank you for your detailed information. Based on what you've described- age 62, long standing diabetes and hypertension, recent joint pain in the knees and fingers and radiographic evidence of Grade 1 osteoarthritis- your condition is consistent with early osteoarthritis likely complicated by diabetic joint changes and systemic inflammation. Your symptoms corresponds with -Sandhivata=degenerative joint disease/osteoarthritis -Possibly with vatavyadhi and involvement of Ama (undigested toxins) due to metabolic sluggishness from diabetes INTERNAL TREATMENT 1) HIMALAYA RUMALAYA FORTE= 1 tab twice daily after food =anti inflammatory, relieves joint stiffness and pain 2) AVN ARTHRONAV TABLETS= 1 tab twice daily in morning and night = vata related joint disorders, reduces degeneration 3) DHOOTPAPESHWAR RHUMAYOG GOLD= 1 tab twice daily after food =pain relief in osteoarthritis and rheumatoid arthritis 4) BAIDYANTH SANDHIVATI(WITH GUGGULU)= 1 tab twice daily before food = joint stiffness, early degeneration 5) CHARAK ARTHRELLA TABLETS= 2 tabs twice daily after food = osteoarthritis and other degenerative joint disease 6) IMPCOPS JOD RAKSHAK= 2 tabs twice daily in morning and night = joint protector, useful for degenerative arthritis 7) ZANDU ORTHO VEDIC CAPSULES= 1 cap twice daily after meals = pain, inflammation, stiffness EXTERNAL THERAPIES 1) OIL APPLICATIONS= DHANWANTARAM TAILA =warm oil slightly add pinch of turmeric and rock salt and massage daily twice 2) STEAM= after massage take warm water bath or hot water dipped towel steam 3) PASTE= rasnadi churna+castor oil warm paste application for 30 minutes daily DIET -warm, cooked, easy to digest foods - barley, horse gram,, green gram - garlic, ginger, turmeric in food - lukewarm water daily AVOID -cold, dry, or processed foods -excess curd, refrigerated items -sitting or standing for long hourd - excess stair climbing- consider lift usage if possible GENTLE YOGA= pawanmuktasana, vajrasana, and mild joint rotations PRANAYAM= nadi sodhana and Bhramari to reduce stress and improve circulation TRIPHALA CHURNA= 1 tsp with warm water at night for mild detox and gut support THANK YOU DR. HEMANSHU MEHTA
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