What causes bone enlargement, joint pain, and tailbone pain. - #33163

HELLO DONNA POTTER,

YOU HAVE DESCIRBED -Rib enlargement with a knot -pain in hip joint (left side) -pain in tailbone (coccyx), worse when lying on back

This combination suggests

1) STRUCTURAL CHANGE IN BONE (rib knot/enlargement)= could be due to abnormal bone growth, healing from old injury, or a disorder of bone metabolism

2) PAIN IN HIP AND TAILBONE= often due to vata imbalance (in ayurveda) or degenerative changes/nerve pressure

3) TAILBONE PAIN (coccydynia)= worsens when sitting/lying-> common with vata aggravation, weak muscle support, or previous unnoticed injury

The body’s bones can sometimes overgrow, inflame, or develop lumps (benign or serious). Pain occurs if the bone presses on joints, muscles, or nerves. Tailbone pain is common when the base of the spine gets inflamed

AYURVEDIC VIEW -This is due to Asthi dhatu (bone tissue) disturbance and vata dosha aggravation. Vata when aggravated causes dryness, cracking, pain, degeneration, and deformity in bones and jonits

TREATMENT GOALS -pacify aggravated vata -nourish asthi dhatu (bones) -relieve pain and swelling -prevent further degeneration -improve daily function and sleep

INTERNAL MEDICATIONS

1) LAKSHA GUGGULU= 1 tab twice daily after meals with warm water =supports bone healing, relieves pain, strengthens joints

2) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime =rejuvinates tissues, relieves pain, calms vata,improves sleep

3) DASHMOOLA KASAHYA= 20 ml twice daily before meals with warm water =reduces inflammation, balances vata, eases joint pain

4) ASTHI SHRINKHALA CAPSULES= 500mg twice daily after meals =enhances bone repair and mineralization

DURATION= at least 6-12 weeks

EXTERNAL THERAPIES

1) OIL MASSAGE= daily warm oil massage with MAHANARAYAN TAILA ,focusing on hip, back, and ribs

2) Steam therapy= mild local fomentation after massage to ease stiffness

3) LEPA (herbal paste)= application of dashmoola paste or warm castor oil pack on painful areas

DIET AND NUTRITION -Milk and milk production (cow’s milk, ghee- in moderation) -sesame seeds, black gram, dates, figs, almonds, walnuts -ragi, amaranth, leafy greens-> rich in calcium and minerals -bone broth (if non veg)-> nourishes bones

AVOID -dry,cold,stale, fast foods -excess tea, coffee, alcohol -sour, very spicy, and gas forming foods they aggravate vata

LIFESTYLE -sit on soft cushions, avoid hard surfaces -avoid long sitting or standing without breaks -warm baths with epsom salt may help -ensure 7-8 hrs sleep in comfortable posture (side sleeping with knee pillow if back pain worsens)

YOGA (gentle, avoid strain on tailbone) -bhujangasana= strengthens spine -setubandhasana= relieves tailbone stress -supta baddha konasana= opens hips -cat cow stretch = mobilise spine gently

Avoid long sitting meditations, lotus pose, or hard floor exercise

PRANAYAM -Anulom vilom= balances vata, calms mind -Bhramari=reduces stress, helps sleep -Deep diaphragmatic breathing= improves circulation, relaxes body

HOME REMEDIES -warm sesame oil massage daily on painful areas. -castor oil with milk (1 tsp at night weekly once)->mild laxatives, relieves vata, nourishes bones -Turmeric milk reduces inflammation -warm salt compress on tailbone/hip for 10-15 mins for pain relief

INVESTIGATIONS -X-RAY of ribs, hip, and sacrum/tailbone -MRI/CT if lump is enlarging -Blood test= calcium, vitamin D, alkaline phosphatase, ESR/CRP -Bone density check

DONNA, Your symptoms suggest vata imbalance affecting bone tissues, causing pain and knot formation . Ayurveda focuses on nourishing bones, reducing pain, and restoring balance, whole modern medicine ensures we rule out any dangerous conditions.

YOUR PATH SHOULD BE COMBINED -Immediate step= get X-ray/scan of rib enlargement to rule out serious bone growth -Meanwhile= start gentle Vata-pacifying routine- warm oil massage, nourishing diet, stress management, simple yoga, herbal support

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Avoid sour, fermented and processed foods. Exercise under guidance of Physiotherapist. Tab. Arogyavardhini 2-0-2 Cap. Gufispon 2-0-2 Follow up after 4weeks.

Hi Donna

Please start 1.Mustadimarma kwatham tab 2-0-2 before food 2.Lakshadi guggulu 1-0-1after food 3.Sallaki plus 1-1-1 After food 4.Gandataila 5drops with milk at bedtime 5.Murivenna + Sahacharadi taila for ext.application (1hour before bath ) /daily

Follow this for 2 weeks and do a follow up here .

*Avoid too much physical exertion like prolonged walking /running /standing /weight lifting ,etc. *Take easily digestive foods with nutritive value *Avoid smoking /alcohol/Carbonated drinks/junks foods(if any) *Take more vegetables and fruits *Have sufficient amount of water

For complete understanding,Pls consult a punchakarma specialist near by.

Hello Donna,

Thank you for sharing your detailed symptoms. I will break this down for you so you can understand possible causes and what Ayurveda suggests.

✅YOUR SYMPTOMS

-Bone enlargement / knot on left rib -Pain in left hip joint -Tailbone pain (worse when lying on back) -Disturbed sleep due to pain

✅ POSSIBLE CAUSE (from both modern & Ayurvedic view)

1. Bone / Joint Changes

Could be due to osteophytes (bone spurs) or bony overgrowth in ribs/hip due to arthritis or wear & tear. Ayurveda relates this to Asthi Dhatu Kshaya (weak bone tissue) and Vata vitiation (causing pain, stiffness, bony knots).

2. Tailbone Pain

Usually from prolonged sitting, injury, or pressure on the coccyx. In Ayurveda, considered as Vata aggravation in Asthi-Sandhi (bone-joint junctions).

3. Hip Joint Pain

Could be early osteoarthritis / sacroiliac joint strain. Sometimes linked with low Vitamin D, calcium deficiency, or menopausal bone changes.

4. Rib Enlargement / Knot

Could be benign bony overgrowth, cartilage swelling, or rarely fibrous tissue growth. Needs medical imaging (X-ray / MRI) to rule out anything serious.

✅ AYURVEDIC PLAN OF TREATMENT-

✅INTERNAL MEDICATION

1.Dashmoolaristha 30ml-0-30ml after food – reduces Vata pain & inflammation in bones and joints.

2. Yogaraj Guggulu 1-0-1 after food – strengthens bones, reduces pain & knot formation.

3 Asthimitra 1-0-1 after food – nourishes bones, reduces weakness.

✅EXTERNAL PANCHAKARMA TREATMENT ( to be done in nearby panchakarma center)

1 Tailbone & Hip Abhyanga (oil massage with Mahanarayan taila or Dhanwantaram taila) 2 local Patra pinda sweda 3 Kati Basti / Taila Pichu – oil pooling therapy over lower back & tailbone area is very effective for long-term relief. 4 Enema therapy

✅EXTERNAL TREATMENT AT HOME

1 Daily oil massage over lower back and tail bone with mahanarayana taila follwed by hot water bath or hot water bag fomentation

✅HOME REMEDIES

👉Turmeric + milk (golden milk) to reduce inflammation.

👉Triphala at night (½ tsp with warm water) if constipation is present, since bowel strain worsens tailbone pain.

✅DIET AND LIFESTYLE

✅ Include calcium & vitamin D rich foods – sesame seeds, almonds, leafy greens, ragi (finger millet). ✅ Use warming spices – ginger, ajwain, turmeric, garlic to reduce Vata. ✅ Avoid prolonged sitting on hard surfaces – use a soft cushion (doughnut pillow for tailbone). ✅ Gentle yoga – Setubandhasana (bridge pose), Supta Baddhakonasana for hip & lower spine support. Avoid hard floor sitting.

⚠️ Important

Since you have rib enlargement / knot, I strongly suggest you get an X-ray or MRI to confirm the exact nature – whether it is just bony overgrowth or something else. Ayurveda can then be integrated for safe management alongside.

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate