Right Knee osteoarthritis from 2 years - #26352
Pain while climbing stair and sit down or run from 2 years, i have taken cartigen forte tablet a day. The liquid between knee is degenerate. Dr. Suggest a operation, my age is 48. I used Ayurvedic also.
Doctors’ responses
HELLO AKSHATA,
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, , 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 2-3 MEANS(assuming garde 3 OA because dr suggest you operation) -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
Preventive Measures:
Avoiding or minimizing the use of Tikta, Kashaya, Katu rasa and sheeta virya ahara especially
Rasayan Sevana (intake of rejuvenation medicine) before 45 years
Regular practice of Abhyanga (massage)
Navarakhizi (Rice pudding massage) or Phizichil (Oil pouring) once in year after 40 years of age
Avoiding jerky movements
Avoiding continuous and excessive use of one joint
Avoid long standing, walking long distance
Maintaining a healthy weight may be the single most important thing you can do to prevent osteoarthritis
Protect your joints from serious injury or repeated minor injuries to decrease your risk of damaging cartilage
Exercise can help reduce joint pain and stiffness. Light- to moderate-intensity physical activity may prevent a decline in, and may even restore, health and function.
Name of medicine & dose
Kala
1.Kokilaksha Guggulu-2 tab/ maha yograj gugglu 2 tab.- after food with guduchi ghrita 10 ml 2 times aday
2) Ashwagnadha Churna-2gm Chopachini Churna-1gm Pippalimula churna-½ gm Gokshura churna-1 gm +Guduchi Churna-1gm - after food with milk 3 times
3. Dhanvantaram taila 101 - 10 drops 30 min after food 2 times in 1 cup warm milk
Yoga Therapy
Asana
Trikonasna (triangle posture)
Padmasana (The Lotus Position)
Chakrasana
Ardha Chakrasana
Shalabhasana (The Locust Posture)
. Dhanurasana (The Bow Posture)
Vakrasana (Spinal Twist)
Viparitakarani (Inverted Posture)
Pavanamuktasana
Anantasana
Shavasana
Pranayama
Anuloma-Viloma Deep Breathing (15 minutes)
Puraka with Right Nostril followed by Bhramari Rechaka (21rounds) Suryabhedana Pranayama with Kumbhaka for 10 minuits
Bhastrika Pranayama with Kumbhaka for 10 minuits
Meditation
Meditation for 20 minutes
Diet and Lifestyle
Pathya
241
Milk, cow’s ghee, carrot, green vegetables- spinach, methi, green onion, cod liver oil.
Eat light vegetable foods. Take alkaline content fruits like sweet lemon and orange, pineapple, etc.
Correction of poor posture and a support for excessive lumbar lordosis can be helpful.
Obese patients should be counseled to lose weight. In patients with medial-compartment knee OA, a wedged insole may decrease joint pain.
Physical therapy and supportive devices can be helpful.
Rest during the day may be of benefit, but complete immobilization of the painful joint is rarely advised.
An exercise program should be planned to maintain range of movement, strengthen periarticular muscles, and improve the physical fitness.
Disuse of the osteoarthritis joint because of pain will lead to muscle atrophy. To prevent strengthening exercises should be advised.
Apathya
Excessive loading of the involved joint should be avoided.
Patients with osteoarthritis of the knee or hip should avoid prolonged standing, kneeling, and squatting.
Hlw Akshata ji,
Ayurvedic treatment for knee osteoarthritis focuses on reducing pain, improving joint lubrication, removing “Ama” (toxins), and strengthening bones and joints. While it won’t reverse cartilage loss, it can slow progression and reduce symptoms, especially in early to moderate stages.
you can do
1. External Treatments (Therapies at Ayurvedic Clinic) These help relieve pain, reduce stiffness, and improve joint mobility.
Therapy:
Abhyanga: Warm medicated oil massage to balance Vata and improve circulation
Swedana (Steam Therapy): Fomentation using herbal steam to reduce stiffness
Janu Basti: A dough ring placed around the knee filled with warm medicated oil (like Mahanarayan taila or Kottamchukkadi taila)
Patra Pinda Sweda (Elakizhi): Herbal leaves pounded and tied in
bolus, dipped in warm oil and massaged
Pizhichil : Pouring warm medicated oil in streams on the joint area
(for chronic pain)
Lepa (Herbal Paste): Applying herbal pastes like Dashanga Lepa to
reduce inflammation
2. Ayurvedic Tablets (Internal Use)
Tablets
1.Yogaraj Guggulu 1 tablet twice daily after food 2.Shallaki (Boswellia) 1 capsule twice daily after food 3.Ashwagandha 1–2 capsules once daily (morning or night) 4.Mahayogaraj Guggulu 1 tablet twice daily (for severe pain)
Thank you !
Hello, Please start the following: 1. Zeotone plus capsules 2----0----2 after food for 120 days. 2. Rasnapanchakam kashayam 15ml+45ml boiled cooled water one hour before breakfast and dinner for 45 days 3. Yogaraja guggulu along with medicine no.1 4. Murivenna for external application.
Also practice yogasana specific to strengthen the knee joints
Take care. Kind regards.
Which ayurvedic medicines did you take?
Don’t worry Akshata, First of all avoid excessive spicy, bitter,astringent food,pea,brinjal, cauliflower etc. And start taking, 1Tab.Rumalya forte 1-1-1 2.Mahayograj guggulu 2-0-2 for chewing 3.Maharasnadi kwath 20ml with equal amount of Lukewarm water empty stomach twice in a day. 4.Giloy ghan vati 1-1-1 **JANU BASTI WITH KSHEERBALA TAILAM FOLLOWED BY MILD FOMENTATION WITH DASHMOOL KASHAYAM ×15 days. Follow up after 30 days.
This condition is usually classified under “Sandhivata” in Ayurveda
Internal Medicines (Oral) :- 1.Tb Shallaki MR- 1tab 2 times after food 2. Trayodashang Guggul 250mg - 2 tab 2 times after food 3. Maharasnadi Kashay - 15ml 3 times
Local Treatments
1. Abhyanga (Oil Massage) with: Kottamchukkadi Taila 2. Lepa (Herbal paste application) – Rasnadi Churna with castor oil or warm Dashmool paste. 3. Janu Basti – Retaining warm medicated oil over the knee joint for a specific time. Helps lubricate and rejuvenate the joint.
🔸 Diet & Lifestyle Advice 1. Avoid: Curd, fried food, cold water, rajma, potatoes, and heavy-to-digest food. 2. Prefer: Warm, freshly cooked, Vata-pacifying foods (e.g., ghee, garlic, sesame). 3. Exercise: Gentle yoga (like Tadasana, Trikonasana, and Ardha Chakrasana), avoid high-impact movements. 4. Keep knee warm; use crepe bandage if needed.
Thank you! And Take care.
Take yograj guggul 1-0-1 after food with water Maharasnadi ghanvati 1-0-1 Mahavatvidhvansh vati 1-0-1 after food with water Ashwagandha tablet 0-0-1 at bedtime with water Apply mahanarayan oil/ dhanvantrum oil on affected area twice daily Once you start feeling better, Start doing knee strengthening yogasana learn from yoga teacher and practice daily. Avoid sour & fermented foods. Avoid exposure to cold areas.
Can you tell how much is your recent weight?? Any past history?? FM/HTn?? Meanwhile start in Yogaraja guggulu Peedantaka vati- One tablet twice daily after food with warm water Mahanarayana taila-massage over knees
Regular Abhyang of Mahanarayan Oil can manage your problem so you should visit nearby Ayurveda Center for permanent cure
Hi akshata this is Dr Vinayak as considering your problem See maa this problem is since 2yrs…and it take time to cure…and there is not 100%sure of complete cure
And only internal medicine will not give you best results try both external and internal treatment to get good results
Rx-Trikatu churna 1/2tsp twice before food Maharasnadi kada 10ml twice after food… Yogaraja guggulu 1-0-1after food…
All these medicines will give you symptomatic relief You better go with BASTI procedure so that you will get good results
Chronic right knee discomfort, especially with activities like stair climbing, sitting, or running, indeed sounds like knee osteoarthritis, a degenerative condition affecting the joint. The issue with the synovial fluid seems significant, given its role in cushioning and lubricating the joint. While surgery might be advised in advanced cases, integrating Siddha-Ayurvedic approaches could provide supportive care depending on the severity of degeneration.
Focus first on Vata balancing, as Vata dosha often exacerbates joint issues. Consider a warm sesame oil massage on the knee before bathing. This can help ease stiffness and improve circulation. Apply gentle heat post-massage using a warm towel or heating pad for better relief. Include foods that pacify Vata in your daily diet—warm, cooked, mildly spiced foods with ghee or oils can be beneficial.
Incorporate herbs known for joint health. Guggulu is renowned for supporting joint functions and reducing inflammation. Capsules of Shallaki (Boswellia serrata) or Ashwagandha (Withania somnifera) can also aid in reducing pain and swelling.
For practical daily activity, avoid high impact exercises. Instead, focus on gentle activities like walking on flat surfaces or yoga poses that are mildly stretching, enhancing flexibility without strain. Abandon running or excessive knee bends temporarily to allow the joint some rest. Cycling on a stationary bike with minimal resistance might be easier on your knees.
Consider adjusting Cartigen Forte under medical guidance if you’re also taking Ayurvedic formulations, as interaction factors matter. Consult with your healthcare provider before making any supplement adjustments. If pain persists despite conservative measures, do revisit the conversation about surgery options to prevent further joint damage, keeping long-term mobility in mind.
Experiencing pain when climbing stairs, sitting down, or running can be indicative of knee osteoarthritis, a degeneration of the cartilage and joint structure in your knee. Ayurvedic approach can offer supportive strategies, though surgery may be necessary if deterioration is advanced. Within Ayurveda, balancing the Vata dosha, which governs movement, is essential. Vata imbalance is often linked with joint issues.
Consider starting with a dietary and lifestyle regimen. Focus on incorporating warming foods that pacify Vata such as cooked vegetables, whole grains like quinoa or rice, and stewed fruits. Avoid cold, dry, and rough foods, which might aggravate your Vata dosha. Ginger tea and turmeric in your daily routine can help as anti-inflammatories. Take a teaspoon of turmeric with warm milk before bed.
For external therapies, regular use of medicated oils like Mahanarayan Taila for gentle massage around the affected knee can help lubricate and provide warmth. Try applying warm oil twice daily, massaging gently in circular motions for 15 minutes. Follow with a warm compress to allow deeper penetration.
Herbs like Ashwagandha and Shalaki (Boswellia Serrata) can be supportive as they possess anti-inflammatory and pain-relieving properties. These herbs can be taken in capsule form, following your vaidya’s dosage recommendations. Ashwagandha might be typically consumed in doses of 500-1000 mg per day, ashwagandha being beneficial for strengthening bones and fighting inflammation.
This comprehensive approach may support joint health, though consistent, careful monitoring is needed in consultation with healthcare professionals, given your condition’s chronicity. Though self-care with Ayurveda can offer symptomatic relief, follow your doctor’s advice regarding surgical options—sometimes intervention is necessary to prevent worsening. Continue open communication with healthcare providers to ensure holistic and effective care.
HELLO AKSHATA,
patient with severe knee pain, liquid between knee is degenerated , 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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