Help with excruciating pain from Patellar tendinitis - #34416

Start with Giloy ghanvati 1-0-1 Triphala guggul 1-0-1 Mahavatvidhvansh vati 1-0-1 Pidantak vati 1-0-1 Apply dhanvantrum oil on affected area twice Wear knee cap during the day.

Kanchanar guggulu 1-0-1 Mahayogaraja 1-0-1 Peedantaka vati 1-0-1 Dashamoola aristha-10-0-10 ml with equal water Peedantaka taila - gentle massage to be done

The Ayurvedic treatment would aim to: Reduce inflammation and pain (Pitta and Vata calming). Strengthen the tendon and surrounding tissues (Vata balancing/nourishing). Address the root cause by managing PCOS, weight, and metabolism (Kapha and Ama reducing).

Current Self-Care Heavy Pain Killers Suppresses symptoms (Vata/Pitta), but can increase Rukshata (dryness/Vata) and is not a long-term solution. Continue under medical supervision; focus on finding the root cause. Castor Oil & Sesame Oil Massage Castor Oil (Eranda): Excellent Vata-Kapha reducer, penetrating, anti-inflammatory. Sesame Oil (Tila Taila): Excellent Vata calmer and nourisher. Good, but ensure the oil is lukewarm and the massage is very gentle over the painful area to avoid increasing inflammation. Menthol-based Oil Massage Menthol is cooling (Pitta pacifying) but potentially too drying/light (Vata aggravating). If the pain has a burning component (Pitta), it may help. If it’s a deep, dull ache (Vata), stick to warm, unctuous oils. Icing Strong Kapha/Pitta reduction, but can strongly aggravate Vata (cold, dry quality), which is the primary cause of pain. Use with caution. If there is marked heat and swelling, apply for a short period. For chronic pain, warm application (Swedana) is often preferred for Vata. Physiotherapy Crucial for regaining strength and flexibility. Excellent, but must be low-impact, gradual, and guided to avoid overuse.

Immediate Pain Management & Gentle Care

Since you cannot take complete bed rest, focus on very gentle care: Warm Oil Application (Snehana & Swedana): Stop the icing (cold is Vata-aggravating). Gently warm your oil mixture (Castor and Sesame oil is a good choice, perhaps add a few drops of an anti-inflammatory essential oil like Eucalyptus or Wintergreen, if safe for you). Very gently apply the oil to the entire knee area. Follow with gentle heat application (Swedana), such as a lukewarm hot water bottle or a pack of heated sand/salt. This helps Vata move and is preferred over ice for muscle/tendon pain without acute, hot inflammation. Ayurvedic Poultice: A paste of herbs like Haridra (Turmeric) and Shunthi (Dry Ginger) mixed with warm water can be applied to reduce local inflammation and pain. Support: Use a knee brace or support band during necessary activities to reduce strain.

Constitutional and PCOS Management (Crucial for Long-Term Relief)

To heal the tendon, you must also address the systemic factors (PCOS, overweight, constipation) that contribute to inflammation and poor tissue health. Dietary Changes (Kapha-Pitta Pacifying): Since PCOS is Kapha-dominant and the tendinitis is Vata-Pitta, a diet that is light, warm, and easy to digest is recommended: Focus on: Warm, cooked, fresh vegetables, light grains (quinoa, millets, barley), legumes (mung beans). Reduce/Avoid: Cold/icy foods and drinks, heavy dairy, fried foods, excess sweet or refined sugars, and excessive intake of sour/fermented foods (aggravates Pitta/inflammation). Spices: Include digestion-boosting and anti-inflammatory spices like Turmeric, Ginger, Cumin, Coriander, and Black Pepper. Constipation Management (Vata & Ama Balancing): Regular bowel movements are crucial for detoxification (Ama Pachana). A nightly dose of Triphala with warm water may be beneficial. Warm water in the morning. Plenty of cooked, non-starchy vegetables. Herbal Support (Must be prescribed by an Ayurvedic Doctor): For Tendinitis: 1) Mahayograj gugglu- after food 2 times with ghee and honey 2) tab kokilaksha kashaya- after food 2 times with vidaryadi ghrita-10 ml 3) ashwagandharishta- 20 ml- after food with water 4) ksheer bala 101- + gandhak taila-each 10 drops - before food 2 times with warm milk For PCOS/Metabolism: 1) Shatavari leha- 1 tsf - before food 2 times with warm milk 2) pushyanuga churna 2 gm+ laghumalini vasant rasa 500 mg+ swarna makshik bhasma-100 mg+ paravala pishti-100 mg- after food 2 times with water 3) tab chandra prabha vati- before food with maja tiktaka ghrita 2 times 4) ashokarishta-3 tsf after food 3 times Movement (Vata/Kapha Balancing): Continue your prescribed physiotherapy. Avoid high-impact activities (jumping, deep squats) that strain the knees. Engage in low-impact activities like gentle walking or swimming. Practice very gentle Yoga postures (asanas) and Pranayama (breathing exercises) to reduce stress and improve circulation without straining the knees.

For facial nerve Start having steam at home with milk and bala mool kashaya mix them and take steam For pcos you have to go with vaman and virechana therapy. For patellar tendonitis Rasnadi gugglu 2BD A F Rasnasaptak kashya 40ml B F Kottamchukadi oil for local application on knee joint followed by hot water bathing of knee joint.

Take mahayoga Guggulu gold 1tab bd, rasansapthaka kashyam 20ml bd,rasandi Guggulu 1tab bd, janu vasti with murivena tail+ ksheerabala tail enough

1.SIMHANADA GUGGULU 2 TAB TWICE DAILY WITH WATER AFTER MEALS 2.KAISHORE GUGGULU 2 TAB TWICE DAILY WITH WATER AFTER MEALS 3.RASANADI KWATH 20 ML WITH 20 ML WATER TWICE DAILY AFTER MEALS 4.DASHMOOLA RASAYAN 1 TSP TWICE DAILY WITH WARM WATER OR MILK

MURIVENNA OIL- Massage with warm oil on knees, wrap with cotton cloth for 30–60 minutes. (can be followed by hot fomentation

-DIET: Warm, oily, spiced foods. Avoid raw, cold, or heavy dairy.

WARM REGARDS DR.ANJALI SEHRAWAT

For addressing patellar tendinitis, especially in the presence of PCOS and being slightly over weight, consider incorporating holistic Ayurvedic approaches that target the underlying causes. It’s important to reduce inflammation while strengthening muscle and ligaments around the knee.

Focus on a Vata-pacifying diet since Vata dosha is often aggravated in joint pain. Prefer warm, nourishing foods—soups, stews, and cooked vegetables. Include anti-inflammatory spices such as turmeric (haldi) and ginger (adrak) to enhance your diet. Drink warm ginger tea throughout the day to aid digestion and reduce inflammation.

Since complete bed rest isn’t possible, opt for modified activities where possible. During day-to-day tasks, take short, frequent breaks to relieve pressure from the knees. Start practicing gentle yoga asanas which emphasize on flexibility and strength without straining knees, like Tadasana and Virabhadrasana (warrior pose).

For topical application, rather than menthol-based oils, try Mahanarayana Taila or Dhanwantharam Thailam known for their efficacy in joint issues. Apply them warm and gently massage atleast twice daily. Following massage, a warm compress can enhance penetration and soothe pain.

Avoid sitting in one position for long; frequent light movements can prevent stiffness. Ayurveda suggests Rasna (Ficus venosa) and Guggulu (Commiphora mukul) as supplements, but consult an Ayurvedic physician prior if they are suitable for you.

Continue physiotherapy as it’s crucial for strengthening surrounding muscles. Ensure your posture is accurate to prevent further strain on your knees. Keep hydrated and, if possible, lose weight gradually, as excess weight can increase pressure on your knees.

Patellar Tendinitis often requires time to heal, and immediate relief may not be feasible, but with consistent effort, pain management is possible. Continue monitoring pain levels, and if it persists or worsens, consulting an orthopedic specialist is advised.

Managing patellar tendinitis, especially with your existing conditions like PCOS and being slightly overweight, requires a multifaceted approach. You’ve already been doing quite a few things, and that’s good, but let’s integrate some Siddha-Ayurvedic principles to complement your current regimen.

First, let’s focus on balancing the Vata dosha, which, when aggravated, can contribute to joint and tendon pain. Consider starting your day sipping warm water with a slice of ginger, which can help improve circulation and reduce inflammation. It’s simple and integrates easily into a morning routine.

Incorporate a kashayam (decoction) of dried ginger, turmeric, and fenugreek seeds. Take a small pinch of each, boil it in a cup of water, and reduce it to half. Drink it warm after it’s filtered, once a day. This mixture may reduce inflammation and pain due to their anti-inflammatory properties.

Diet-wise, keep your meals warm, moist, and slightly spiced to balance Vata. Avoid cold, dry, or raw foods. A notable inclusion could be incorporating cooked spices like cumin, fennel, and coriander into your meals to enhance digestion and strengthen Agni (digestive fire).

For topical relief, continue your oil massages but consider adding warm Mahanarayana taila, an Ayurvedic medicated oil known to support musculoskeletal discomfort. After applying, use a warm compress to aid absorption. Perform this twice daily, if possible.

Additionally, try including gentle yoga or Pranayama (breath exercises), which help in calming Vata and are feasible within a tight schedule.

These methods should complement what you’re currently doing. Yet, if pain persists, further consultation with a healthcare provider is wise, to rule out any underlying complications or need for changes in treatment. Make sure not to skip your physiotherapy sessions, as they are critical in managing tendinitis.

Hello swetha,

Kindly start

MAHAYOGARAJ GUGGULU-1-0-1 after meals

SHALLAKI MR -1-0-1 after meals

MAHARANADI KASHAYA- 20ml twice daily after meals

PEEDANTAK VATI= 1-0-1 after meals

Externally massage with Kottakchukadi taila

For pcod Kanchanar guggulu= 1-0-1

Shatavari churna= 1 tsp with milk in morning

THANK YOU

DR HEMANSHU MEHTA