Osteoarthritis of knees for the last 15 years - #26715

Hello Ram ji,

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