HELLO RANJANA,
At age 65, the most common causes of knee pain and swelling include :
1) SOFT TISSUE INJURY -ligament strain, meniscus tear, or tendon inflammation due to overuse, improper posture , or injury -often causes swelling, pain or movement, and stiffness
2) PATELLOFEMORAL PAIN SYNDROME -common in young adults due to muscle imbalance or improper tracking of the kneecap - pain increases with stairs, squatting, or sitting long
3) BURSITIS OR SYNOVITIS -inflammation of the fluid-filled sacs or synovial membrane -leads to swelling, warmth, and pain
4) EARLY DEGENRATIVE CHANGES- -sometimes start earlier in active individuals, especially with a history of injury. -causes stiffness, dull ache, and swelling
Inflammation or fluid accumulation in the joint(called an effusion) can cause both pain and visible swelling, which worsens with movement or weight bearing .
In Ayurveda, knee pain with swelling is typically due to vata-kapha imbalance , especially involving the joints
When vata aggravated due to cold weather, stress, poor diet, overexertion, it dries out the joint lubrication causing -pain -crackilng sound -stiffness -movement restriction
When kapha is involved, it adds -swelling -heaviness - coldness in the joint
If toxins from poor digestion is present, it makes things worse by blocking micro channels and causing inflammation.
TRATMENT GOAL is to reduce inflammation, restore function -balance vata -remove toxins - strengthen joints
INTERNALLY START WITH
1) YOGARAJ GUGGULU- 2 tabs twice daily after food for 4-6 weeks =relieves vata, reduces pain and stiffness
2) MAHARASNADI KASHAYA- 20 ml with warm water twice daily before meals for 4-6 weeks =redcues inflammation, relieves muscle/joint pain
3) SIMHANADA GUGGULU- 1 tab twice daily after food for 4 weeks =removes toxins, anti-rheumatic
4) SHALLAKI MR CAPSULES- 500mg twice daily after meals for 4-8 weeks = anti-inflammatory , improves joint mobility
5) ASHWAGANDHA CHURNA- 1 tsp with warm milk at bedtime for 4 weeks =reduces inflammation, strengthens muscles
6) DASHMOOLARISHTA- 15ml with equal water after meals for 4 weeks =vata kapha pacifying, anti-inflammatory
IF THERE’S HEAVINESS OR STIFFNESS START -Trikatu- 1/4 tsp with warm milk before meals for 7 days -TRIPHAALA- 1 tsp with warm milk at night for 7 days
then take above medications
EXTERNAL TREATMENT
1) OIL MASSAGE -MAHANARAYAN TAILA-excellent for pain and stiffness -warm the oil, apply over knee, massage gently for 10-15 minutes -followed by hot fomentation
2) HERBAL PASTE APPLICATIONS -DASHANGA LEPA- mix with warm castor oil and apple for 30 minutes once daily= anti inflammatory
-NIRGUNDI LEAVES PASTE- crush fresh leaves with sesame oil apply for 30 minutes cover with cotton = pain relieving
DIET RECOMMENDATIONS -warm, cooked, light meals -moong dal , old rice, barley, wheat -steamed vegetables with ginger, garlic, turmeric -herbal teas- dry ginger+ajwain+fennel -cows ghee (small quantity-lubricates joints) -turmeric milk at night
AVOID STRICTLY -curd- especially at night - cold drinks and cold food -proccessed or junk food - excess spicy, sour, fermented foods - heavy pulses like chana, rajma - night shades vegentables= potato, tomato, brinjals if inflammatory signs are strong
LIFESTYLE AND PHYSICAL RECOMMENDATIONS
DO’S -rest the knee but don’t immobilise completely Practice gentle yoga like -Pawanmuktasana series- joint rotations -Vrikshasana- if balance permits -Setubandhasana- bridge pose
-use hot water bag compress for 15 minutes -keep the leg elevated if swollen
AVOID -prolonged sitting cross- legged - squatting or using Indian toilet -running, jumping, or climbing stairs repeatedly -exposure to cold or damp weather
SIMPLE HOME REMEDIES
1) TURMERIC+DRY GINGER POWDER -1/2 tsp turmeric + 1/4 tsp dry ginger with warm water twice daily -acts as a natural anti-inflammatory
2) FENUGREEK SEED PASTE -soak 1 tsp methi overnight-> grind to paste -> apply on knee 15-20 mins daily
3) CASTOR OIL DETOX -1 tsp warm castor oil before bed= once a week - helps removes vata and relieve constipation
DO FOLLOW CONSISTENTLY
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
1. Rasnadi kashayam 15ml + 45 ml lukewarm water twice daily before food. 2. Yogaraja guggulu 1-0-1 with kashayam. 3. Dhanwantaram tailam for whole body massage especially below hip. 4. Warm water steam with a cloth after oil application for 10 miinutes.
Do leg stretching exercises.
Start with Gokshuradi guggul 2-0-0 Mahavatvidhvansh vati 1-0-1 Maharasnadi ghanvati 1-0-1 after food with water Apply ashwagandha oil+ dhanvantrum oil on affected area of pain twice. Do follow up after 1 month.
Namaste Ranjana ji, After analysing your history, I recommend the following treatment plan - 1. Trayodashanga guggulu-1-1-1 after meals ( crush this tablet into 2-3 parts for better absorption) 2. Ekangveer Ras 2-0-2 after meals 3. Mahanarayan tel- Apply on painful area.
Diet- . Include ginger, asafoetida, Fenugreek, turmeric, garlic, drumstick,ghee,milk in diet. . Avoid peas,cauliflower ,capsicum, kalay daal.
Yoga and exercises- .Ankle rotation,cat-cow pose ,flexion- extension of knee joint.
Lifestyle modifications - . Reduce climbing stairs. . Avoid soft matress for sleeping. . Maintain good posture while sitting. . Sleep to the left, don’t sleep in supine position all night.
Follow these and you will get relief. Take care Regards, Dr. Anupriya
Have you got your x ray right knee done , to know the reason for pain with swelling Sometimes due to degenerative changes like OA we may see n sometimes due to infection of synovial fluid we may see , first need to know the exact cause for pain and swelling then we can advice proper treatment N check s calcium vit D and RA factor uric acid levels
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
.1.) Kokilaksha Guggulu-2 tab. - ; 2 times before food with hot water
2.) Ashwagnadha Churna-2gm Chopachini Churna-1gm Pippalimula churna-½ gm Gokshura churna-1 gm Guduchi Churna-1gm- after food 3 times with milk
3. ) Dhanvantaram taila 101 - 10 drops with 1 cup warm milk 2 times 1 hr after food
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 (21 rounds)
Suryabhedana Pranayama with Kumbhaka for 10 minuits
Bhastrika Pranayama with Kumbhaka for 10 minuits
Meditation
Meditation for 20 minutes
Diet and Lifestyle
Pathya
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 OA 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 OA of the knee or hip should avoid prolonged standing, kneeling, and squatting.
Hello Ranjana ji, I can understand your concern regarding your knee pain and swelling . but dont worry we are here to help you out😊
☑️From your history – 👉Right knee swelling and pain since 3 weeks 👉earlier ankle and hip joint pains, 👉hypertension and ischemic heart disease
– this appears to be a chronic degenerative and inflammatory joint condition.
✅PROBABLE CAUSE
With age, Vata dosha naturally increases → causes degeneration, dryness and stiffness in joints.
Past history of shifting pain (ankle → hip → knee) shows a systemic Vatavyadhi tendency.
Coexisting conditions like hypertension & IHD mean remedies must be safe and not aggravate heart issues.
✅AYURVEDIC PLAN OF TREATMENT
✅PANCHAKARMA THERAPY- According to your present condition, Panachakarma therapies will significantly help you to reduce your pain and swelling
You can do following panchakarma therapies in nearest Ayurvedic center 1 Sarvanga Abhaynga with Mahanarayana taila follwed by steam 2 janu basti - Retaining medicated oil over your knees ( local it will reduce your inflammation) 3 janu upanaha - Mediacted paste application over your knees ( this will reduce your swelling ) 4 Matra basti with Panchatikta guggulu ghrita ( prevents further degeneration )
✅INTERNAL MEDICATION 1 Yogaraj guggulu 1-0-1 after food (After breakfast and dinner) 2 Nucart OA 2-0-2 after food 3 GT cap 2 at bed time
✅EXTERNAL TREATMENT
1 Maha Narayan Taila – gentle lukewarm oil massage on knee followed by warm compress (avoid very hot fomentation because of IHD).
✅HOME REMEDIES
1 Turmeric with black pepper – ½ tsp daily in warm milk/water – reduces joint inflammation.
✅DIET MODIFICATION
Take warm, light, easily digestible diet; avoid heavy, oily, cold foods which worsen Kapha. Include garlic, ginger, ajwain, turmeric, methi seeds in cooking. Reduce excess curd, cheese, red meat, fried food, and cold drinks. Maintain healthy weight to reduce stress on knees.
✅LIFESTYLE AND YOGA
Gentle knee strengthening yoga – Setubandhasana, Tadasana, gentle leg raises (avoid strain). Daily light walking in sunlight for bone strength (Vitamin D). Regular warm oil massage on joints improves circulation and prevents stiffness.
Your knee swelling and pain is due to Sandhigata Vata with Kapha involvement. Local oil massage with Mahanarayan Taila, internal herbs like Yograj Guggulu, along with a warm, light diet and gentle yoga can reduce pain, stiffness and swelling.
Wish you a good health😊
Warm Regards Dr Snehal Vidhate
1.Simhanada guggulu 2 tab twice daily with water after meals 2.Rasna saptak kwath 10 ml + Dashmoolarishta 10 ml with 20 ml water twice daily after meals 3.Shallaki tablets 2 tab twice daily after meals 4.Laghu vishhagarbh oil + Mahanarayan oil-gentle massage on the affected area with warm oil thrice daily
Dietary Support - Eat warm, light, and anti-inflammatory foods: moong dal, steamed veggies, garlic, turmeric, ginger. - Include healthy fats: ghee, sesame oil, soaked almonds. - Drink warm water throughout the day with a pinch of dry ginger or fennel.
Therapies to Consider - Janu Basti: Local oil retention therapy for knees. - Pinda Sweda: Herbal bolus massage for stiffness and degeneration. - Matra Basti: Medicated enema for deep Vata pacification.
Don’ts That Worsen Knee Pain & Swelling Lifestyle Triggers - Avoid cold exposure: cold water baths, sitting on cold surfaces, or walking barefoot on cold floors. - Don’t overexert: climbing stairs, squatting, or sitting cross-legged for long durations. - Avoid long periods of inactivity: stiffness worsens with immobility. - Don’t ignore early signs: swelling, cracking sounds, or morning stiffness.
Dietary Aggravators - Avoid cold, heavy, and processed foods: curd at night, fried snacks, sugar, and wheat-heavy meals. - Say no to carbonated drinks, excessive tea/coffee, and fermented items. - Limit nightshades (brinjal, tomato, potato) if inflammation is high.
It’s may be synovitis take sameerapanaga ras 1tab bd,maha yoga Raja Guggulu 1tab bd,maha rasandi kada 20ml bd enough
Given your symptoms of right knee swelling and pain along with your medical background, it’s important to consider an approach that integrates Ayurvedic principles with your current medical regimen. First off, this knee issue seems to show a recurring pattern in different joints; this might indicate a vata imbalance. In Ayurveda, vata is often responsible for pain and movement-related issues. We can try a few Ayurvedic methods that could help you.
For topical application, since you’ve found relief with oil, warm Mahanarayan oil could be beneficial. Gently massage your knee with this oil twice daily, morning and evening. The warmth and herbal content will help soothe and balance vata dosha locally.
Internally, boosting your agni, or digestive fire, can support overall balance and inflammation control. Start your day with warm water infused with a small teaspoon of ginger juice; it can promote digestion and reduce vata-related discomfort.
Regarding diet, emphasize cooked, warm foods that are easy to digest, like khichdi. Avoid cold, raw foods, and excess caffeine, as these can aggravate vata. Incorporate spices like turmeric for its anti-inflammatory properties—add it to your curries or tea.
Also consider practicing gentle yoga or exercises that promote joint lubrication without overstraining. Poses like pawanmuktasana (wind relieving pose), and supta matsyendrasana (reclined spinal twist) can be restorative. However, halt any exercise that exacerbates pain.
For hypertension and IHD, avoid excessive salt, fried foods, and maintain regular consumption of your prescribed medication. Aligning Ayurvedic practice along with allopathic measures is important for your heart health.
If the pain persists or worsens, though, a visit to your physician is necessary to rule out any serious underlying conditions. Safety and pain management should be priority, so don’t hesitate to seek medical advice if required.
