HELLO UTTAM,
I understand how distressing chronic pain and discomfort can be, especially when it disrupts daily life.
You are suffering from -chronic pain in the left big toe-for 9 months -neck pain for 30 days -associated fibromyalgia - a condition that causes pain, fatigue, sleep problems
You mentioned that all test reports are normal, and painkillers only help temporarily
After a fever, your Vata dosha(the dosha responsible for movement, nerves, bones, joints) became disturbed. Also Ama(undigested toxins from poor digestion or post fever weakness) might have settled in your joints and muscles, causing pain and stiffness
You may have a combination of Amavata= pain due to toxin+vata buildup Vatarakta= vata+ blood impurities affecting small joints(like toe) Mamsa dhatu gata vata= when vata disturbs muscles, seen in fibromyalgia Visham jwara saakshat Jaya vyadhi= diseases triggered after irregular fever
GOAL OF TREATMENT -reduce pain and stiffness naturally -remove Ama(toxins) -Balance vata -strengthen nerves and muscles -prevent recurrence without painkillers
TREATMENT PLAN
1) AMA REDUCTION PHASE= FIRST 30 DAYS
-AMRITADI GUGGULU= 2 tabs twice daily after meals for 30 days =removes ama from joints
-SANJEEVANI VATI= 1 tab twice daily with warm water after meals =classic for post fever toxin removal
-SHUNTHI + GUDUCHI + PIPPALI CHURNA= mix equally and have 1 tsp with lukewarm water after food =improves digestion and removes Ama
2) VATA PACIFICATION+ NERVE STRENGTHENING(after 30 days)
-VATA VIDHWAMSA RASA= 1 tab twice daily after food with water for 2 months =powerful vata balancer in chronic pain
-ASHWAGANDHARISHTA= 2 tsp with equal water after meals for 2 months =nerve tonic, strength giver
-EKANGAVEER RAS= 1 tab twice daily after meals for 21 days =for radiating pain in neck, limbs, toe
-DASHMOOLARISHTA= 20 ml after meals with water for 1.5 month -anti inflammatory releievs stiffness
OPTIONAL= IF INSOMINA, ANXIETY PRESENT
-SARASWATARISHTA= 2 tsp after dinner for calming nerves
-JATAMANSI CAPSULES= 1 cap at night before sleeping =if sleep is disturbed
FOODS TO AVOID -cold, sour, fermented foods= curd, pickles, vinegar ,stale food -heavy foods = panner, fried snacks, refined flour, red meat -dry foods= popcorn, bread toast, biscuits -cold drinks, fridge water -excess tea,coffee
INCLUDE -warm, fresh, soft cooked meals -moong dal , khichdi, vegetables soup -ghee daily 2 tsp/day=helps vata -steamed vegetables= bottle gourd, ridge gourd, pumpkin -spices=ginger, turmeric, ajwain,cumin(help reduce toxin) -Herbal tea= dry ginger+ tulsi+ cinnamon in hot water
WATER -always drink warm water, avoid chilled drinks -you can injure water with ajwain or ginger
YOGA AND EXERCISE avoid intense workouts. Focus on gentle, vata pacifying yoga
-Makarasana= for spine relaxation -Setu Bandhasana= for back and neck -Bhujangasana= gently improves spine flexibility -Pawanmuktasana= removes gas, relieves joint stiffness
PRANAYAM -Anulom vilom= Balances Vata and calms nerves -Bhramari= for stress and neck relaxation -Ujjayi= helpful in fibromyalgia symptoms
Practic 15-30 minutes daily, ideally after light stretching
LIFESTYLE CHANGES
DO’S -wake up early, before 7 am -keep body warm, esp joints -apply mahanarayan oil daily before bath=light massage - take warm showers -keep a consistent daily routine
DON’TS -oversleeping or late nights -avoid cold weather, wet clothes -don’t skip warm oil massage -avoid bathing in cold water -avoid irregular eating/sleeping
HOME REMEDIES
1) TURMERIC + GINGER TEA -boil 1/2 tsp turmeric + 1/2 tsp dry ginger in water. add honey after cooling =drink twice daily to reduce inflammation
2) CASTOR OIL CLEANSE= ONCE WEEKLY -take 1 tsp castor oil with warm water before bed once weekly =helps clear toxin, Balances Vata
3) SALT+ AJWAIN COMPRESS= For local pain -heat rock salt+ajwain in a cloth, apply warm on neck/toe
4) MASSAGE WITH MAHANARAYAN TAILA -before bath, especially on toe, neck , back
INVESTIGATION= if not done already even though reports were normal, if not done, these test are useful -Vitamin D and B12= low levels worsen fibromyalgia -CRP, ESR= check hidden inflammation - RA factor, ANA profile= rule out autoimmunity -Thyroid profile= if energy is low -Uric acid= if toe pain mimics gout
You’re not alone and your pain is valid -your condition is real - even if reports are normal -ayurveda offers long term path to healing -avoid suppressing pain with only modern painkillers- focus on root cause -be consistent- it may take 2-3 months but natural relief is possible.
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
It sounds like you’re dealing with some chronic pain after a fever, concentrated mainly in your left big toe and neck. It’s promising to note that all your reports are coming back normal, but let’s see how ayurveda can provide some relief.
First, from an Ayurvedic perspective, pain can often result from vata dosha imbalance. Vata, associated with movement and dryness, could be creating this discomfort. One useful approach might be following a vata-pacifying diet—foods that are warm, moist, and grounding can help stabilize vata. Consider including dishes like kichari, soups, and stews with spices such as ginger, cumin, and asafoetida.
In terms of lifestyle, daily self-massage (abhyanga) with warmed sesame oil can be supportive. This practice not only nourishes the tissues (dhatus) but also calms the nervous system which might be exacerbating the pain. Focus especially on the areas where the pain is concentrated, but also be sure to apply oil to the entire body.
For external applications, preparing a poultice with warmed fenugreek paste on the affected big toe might reduce discomfort as fenugreek has anti-inflammatory properties. Meanwhile, applying a hot compress on the neck can ease tension and promote circulation.
Practicing gentle yoga exercises focusing on neck flexibility and lower extremity (for example, cat-cow stretchs and toe stretches) could offer additional relief. Start cautiously and see how your body responds.
Lastly, ensure to remain hydrated and minimize the intake of raw vegetables and excessively cold drinks as they can aggravate vata further.
Remember, it’s important to coordinate these suggestions with ongoing discussions with your healthcare provider to ensure they will not conflict with any treatments you are already undergoing. If pain persists or worsens, follow up with a health professional immediately.
I need your entire routine and food pattern Food timings , Bath timing If you are doing any exercise, are you drinking water during exercise? At time you sleep?
Don’t worry uttam, Start taking1.kbir liverzyme syp.20ml with equal amt. Of Lukewarm water just after having meal twice in a day. 2.Maharasnaadi kwath 20ml with equal amount of Lukewarm water empty stomach twice in a day. 3.Mahayograj guggulu 1-0-1 for chewing 4.Giloyghan vati 1-1-1 5.vednahar vati 1-0-1 **GREEVA BASTI ×15 DAYS… Follow up after 15 days…
Hello Uttam ji, Thank you for explaining your concern. Based on your symptoms ✅persistent neck and toe pain ✅normal reports ✅relief with painkillers, ✅a diagnosis of fibromyalgia this appears to be a chronic Vata-predominant disorder in Ayurveda, possibly Mansa Dhatu Gat Vata or Vata Vyadhi
PROBABLE AYURVEDIC DIAGNOSIS
Mansa Dhatu Gat Vata or Vata Vyadhi that is similar to fibromyalgia features
TREATMENT FOCUSES ON -
✔️Reduce pain and stiffness naturally ✔️Improve blood circulation and reduce nerve inflammation ✔️Correct Vata imbalance and reduce recurrence ✔️Rejuvenate muscles, joints, and nervous system
✅ INTERNAL AYURVEDIC MEDICINES
1 Trayodashang Guggulu 2-0-2 twice daily after food ( For nerve, joint, and muscle pain) 2 Maharasnadi Kashya 15ml -0-15ml +45 ml water after food (Reduces pain and stiffness) 3 Ashwagandha Avaleha 1 tsp with milk at bedtime (Muscle strength and anxiety)
➡️Take for minimum 2 months for visible effect.
✅PANCHAKARMA THERAPY
1 Mahanarayan Tail - SARVANGA ABHYNGA followed by DASHMOOL PARISHEKHA 2 MERU BASTI Local oil retention therapy over painful areas very effective 3 YOGA BASTI - ENEMA THERAPY
These therapies can be done at any authentic Ayurvedic center for 7 days
✅EXTERNAL TREATMENT AT HOME- 1 DAILY WARM OIL APPLICATION ON PAINFUL AREAS AND MASSAGING FOR 10-15 MIN FOLLWED BY HOT WATER BATH OR HOT FOMENTATION
✅LIFESTYLE & YOGA
✅ DO: Daily gentle neck stretching and foot mobility exercises Do Pranayama: Nadi Shodhana, Bhramari Maintain regular sleep
❌ AVOID:
Cold exposure Excess stress or over-exercise Fasting or irregular eating habits Cold water bath or AC/fan directly on body
✅DIET PLAN
Include: Warm cooked meals Moong dal, barley, ghee, drumstick, garlic, ajwain Dates, soaked almonds, Amla Cow ghee with warm water at night
❌Avoid: Cold items, curd at night, dry snacks Maida, bakery, excessive tea/coffee Leftover or reheated food
➡️2–3 weeks (Pain and stiffness will reduce) ➡️1–2 months(Muscle tone and flexibility improve)
➡️BONUS TIPS FOR YOU-
✅Turmeric + ginger tea daily ✅1 tsp castor oil with warm water at bedtime once a week – mild detox ✅Practice Abhyanga (self-oil massage) every Sunday
Uttam ji, your condition can be very well managed naturally. Just be consistent with your treatment you will definately see results
Wishing you complete recovery
Warm Regards Dr Snehal Vidhate
Daily Massage with MAHANARAYAN TAILAM followed by mild fomentation…
Makardhwaj vati - 125 mg 3 times a day Brahma rasayan 1 tsf with warm milk 2 times Ashwagandharishta 2tsf 3 times
Tadasana Shavasana (when needed) Pranayama Anuloma-Viloma Deep Breathing (15 minutes) Contraindications All Forward Bending Asanas, Sarwangasana, Halasana, Shirshasana (Head stand) & its variations
Fast Breathing, Left nostrill Breathing, Bhastrika Pranayama, any Pranayama with Kumbhaka.
Vamana Dhauti, Shankha Prakshalana (Laghoo / Purna)
Diet and Lifestyle Pathya (Do’s) Black gram, Horse gram, wheat, rice, gingili oil, mustard oil, ghee, milk, butter, sour fruits, Dry grapes, garlic, drumstick fruits and leaves, meat. Pouring of warm water, residing at non-windy place, gentle squeezing, rub bath, oil massage, application of hot & oily substances, covering the body with blankets.
Apathya (Don’ts) Potato, Cucumber, cold drinks, ice cream, Rajma, dry meat, etc. Bending, sudden stretching, weight lifting, long journey on two wheeler, sitting in abnormal posture, sitting for long time. Advice Keep a wide base in standing. Keep body weight in equal distribution. Toes must be able to function freely. Hip must be placed right into back of the seat. Bedding must be firm & soft. Thin pillow. Chair having armrest should be used. Try to avoid constipation, cough, cold, flatulence (gas) as they worsen the condition. Strengthen back and abdomen muscles that support your spine.
Take Trayodashang guggul 1-0-1 after food with water Laxshadi guggul 1-0-1 after food with water Mahanarayan oil massage on affected area Avoid sour fermented foods Follow up after 1 month
Hi uttam this is Dr vinayak as considering your problem …
i need some more information to clear daignosis …and proper treatment
once do the CRP AND RA FACTOR
now for pain
RX-TRAYODASHANGA GUGGULU 1-0-1 A/F
T.SHALLAKI MR 1-0-1 A/F
Hi consult with nearby ayurvedic doctor and treatment can be taken . Reduce weight if obese ,check your uric acid levels if pain associated with burning sensation. You can dip foot in hot water sprinkled with tamarind leaves and rock salt. Onesal one tablet one at any time after food Maharasnadi kashayam 15ml twice daily before food, diluted with 45ml Luke warm water,yogarajaguggulu 1-0-1 before food Spondylon capsule 1-1-1 ആഫ്റ്റർ food Avoid spicy hot masala foods excess oily creamy foods. Thankyou
It seems like you’re dealing with persistent pain in the neck and left big toe, disrupting your daily activities. The reports being normal suggests that the issue may not be structural, but possibly linked to an imbalance in the doshas. In Siddha-Ayurveda, this could relate to Vata dosha, which governs movement and nerve impulses.
For the toe and neck pain, consider incorporating daily self-massage with warm sesame oil. This oil is Vata-pacifying and can help improve circulation and soothe the pain. Massage the affected areas gently before taking a warm bath, as it allows the oil to penetrate deeper.
Internally, taking Turmeric with warm milk may help. Mix half a teaspoon of Turmeric in a cup of warm milk once a day. Turmeric has anti-inflammatory properties that can aid in reducing pain.
Pay attention to your diet, favoring warm, oily, and easily digestible foods. Avoid cold and raw foods, which may aggravate Vata. Incorporating spices like cumin, fennel, and coriander in your meals can support your digestive fire (agni), enhancing metabolism and nutrient absorption.
Additionally, practice deep-breathing exercises and light stretching to relax the muscles and improve energy flow through your nadis (energy channels). Make sure to rest adequately as stress and fatigue can exacerbate Vata imbalance.
If the pain is severe or worsens, it is crucial to seek further medical evaluation. Persistent or critical pain should never be ignored and may require immediate conventional care.
HELLO UTTAM,
I understand your concern- chronic pain affecting your neck and left big toe after a fever episode, especially when all diagnostic reports appear normal, can be frustrating. Since you also mentioned fibromyalgia, its important to understand that your symptoms might be part of a post viral autoimmune response or chronic musculoskeletal dysfunction.
ONSET= after a fever 9 months ago CURRENT SYMPTOMS -severe neck pain (possibly cervical spondylosis or myofascial pain due to fibromyalgia ) -left big toe pain (could be neuralgia, inflammatory, or gout like)
REPORTS= normal TREATMENT TILL NOW= painkillers help temporarily CHRONIC CONDITION= fibromyalgia (a disorder of central pain processing) IMPACT= disturbed daily routine, recurring pain
In Ayurveda, your condition likely falls under -vata vyadhi=disorder of vata dosha -katigraha/greeva graha= neck stiffness -sandhigata vata= joint related pain -ama vata if it started after a fever
INTERNAL MEDICATIONS
1) MAHARASNADI KASHAYA= 15 ml with warm water twice daily before meals =relieves musculoskeletal pain
2) SIMHANADA GUGGULU= 2 tabs twice daily after food =detoxifies ama and relieves joint stiffness
3) YOGARAJ GUGGULU= 2 tabs twice daily after meals =anti inflammatory, relieves vata
4) DASHMOOLARISHTA= 20 ml with equal water after meals =general vata pacifier and rejuvenator
5) LAKSHADI GUGGULU= 2 tabs twice daily after meals =bone and joint strengthener
6) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime =strengthens nerves and muscles = excellent for fibromyalgia
LOCAL THERAPIES
1) OIL MASSAGE= KOTTAMCHUKADI TAILA =daily
2) Steam fomentation after massage helps reduce stiffness
PANCHAKARMA= IF SEVERE AND CHRONIC -basti chikitsa -virechana -nasya
DIET -warm, soft, easily digestible food -moong dal, rice ,cooked vegetable -garlic, ginger, turmeric anti inflammatory -cow ghee vata pacifying - warm water
AVOID -cold foods, drinks -fermented, stale or processed foods- increases ama -curd/ yogurt at night -sitting. in AC for long hours/exposure to cold winds -daytime sleeping= causes ama accumulation
YOGA AND MEDITATION
ASANA -bhujangasana= relieves neck and back -vriksansana= improves leg balance and strength - setu banndhasana= strengthens spine - nadi sodhana= calms nervous system -yoga Nidra = reduces fibromyalgia flares
This condition needs 3-6 months of consistent ayurvedic management to see sustainable results
Painkillers are symptomatic, but Ayurveda works on root cause- especially helpful when modern reports are normal
THANK YOU
DR. HEMANSHU MEHTA
