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General Medicine
Question #35405
102 days ago
518

Question regarding Mild lumbar spondylosis - #35405

Mehala

My mri shows Mild lumbar spondylosis,Bilateral facet arthropathy (L2–S1),L5-S1 disc large posterior herniation nerve compression (more to the left), Mild disc bulge at L3-L4 and L4-L5,Mild cervical spondylosis and C4-C5 disc bulge.

Age: 36
Chronic illnesses: Kidney stone, cholesterol,sugar,no gallbladder,2 c section done,1 urs for kidney stone done
PAID
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Thank you for sharing your MRI report From your mri findings it appears that you have earlywaer and tear changes in your lower back ( lumbar spine) and neck ( cervical spine) along with a significant disc herniation at L5-S1 causing nerve compression and mild disc bulges at L3-L4 L4-L5 and C4-C5… this explains the pain stiffness and possibly tingling or numbness you may be experiencing in your lower back legs or neck region The main focus in your case should be to reduce inflammation nourish the discs and nerves, improve circulation in the spine, strengthen the surrounding muscles and support overall spine health to prevent further degeneration Along side lifestyle adjustments and ayurvedic regime can help calm inflammation relieve pain and support natural healing You can start on Ashwagandha cap 0-0-1 Trayodashanga guggulu 1-0-1 Peedantaka vati 1-0-1 Dashamoola aristha 15-0-15 ml with equal water Mahanarayana taila - gentle massage to be done Avoid prolonged sitting and heavy lifting Maintain a straight spine posture Apply warm or hot, compress to the lower back to reduce stiffness Ensure required sleep Drink plenty fluids Regular follow up is important to monitor your progress

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Hi mehal this is Dr Vinayak as considering your problem… Best of best for your treatment is panchakarma procedure maa…like basti and etc… Kindly consult nearest ayurvedic physician…

Rx- maharasnadi kada 10ml twice after food Yogaraja guggulu 1-0-1after food Mahanarayana taila for massage

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Hi Mehala, You have degenerative changes in lower back and neck. Most significant one is L5-S1 disc bulge. This can cause left leg pain and may change to numbness of leg.

Some internal medicines and back muscle strengthening exercises will relieve your symptoms with some extend. Panchakarma therapy is very effective.

1. Rasna saptakam kashayam 15 ml+ 45 ml lukewarm water twice daily, half an hour before food. 2. Trayodashanga guggulu 1 -0-1 with kashayam. 3. Sallaki forte 1-1-1 after food ( if pain is severe). 4. Sahacharadi tailam for external application especially over lower back and leg. 5. Warm water application before bath.

Warm water can be used for bath with some dhanyamlam in it.

If possible do panchakarma therapy in nearby ayurvedic centre.

Kati basti, vasti application can be done if pain is severe. Otherwise internal medicines will help to relieve pain.

Avoid forward bending, twisting, high impact exercises.

Do suryanamaskara. Start with 1/2 and increase the number day by day. If pain is increasing stop it.

Cobra pose, bridge pose etc are back strengthening exercises. If possible you can do it.

Take care. Follow up after 1 month. Dr. Shaniba

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HELLO MEHALA,

Your MRI reveals: -Mild lumbar spondylosis → Mild degeneration and wear and tear of joints and bones in the lower back. -Facet arthropathy (L2–S1) → Small posterior joints of each spinal bone are inflamed and developing early arthritis. -L5–S1 large disc herniation with nerve compression (left side) → The soft disc between L5 and S1 has moved backwards, compressing the -adjacent nerve — this may lead to pain, pins and needles, numbness, or weakness, particularly down the left leg (sciatica). -Mild disc bulge at L3–L4, L4–L5 → Bulging early but not seriously compressing nerves. -Mild cervical spondylosis and C4–C5 bulge → Early degeneration in the neck area — can lead to stiffness in the neck, pain in the shoulders, or numbness in hands.

In simple words: -Your spine’s cushion-like discs and joints are deteriorating faster than usual because of posture, tension, or dryness in the body (“Vata imbalance” in Ayurveda). -The lumbar area of the lower back is more involved, with one disc compressing a nerve — leading to pain and stiffness. Early changes are noticed in the neck area as well.

Ayurvedic Perspective of Your Condition According to Ayurveda, this condition is primarily caused by vitiated Vata dosha (the energy in charge of movement, dryness, and control of the nervous system).

Progressively, because of factors such as: -Sitting for extended hours, abrupt movement, cold exposure, stress, late nights, or inconsistent food, -Vata gets provoked and begins to dry out and weaken the supporting tissues: –Asthi dhatu (bones and joints) –Majja dhatu (nerve and spinal tissue)

This leads to: -Kati graha → stiffness/pain in the lower back -Greeva graha → stiffness of the neck -Asthi-majja gata vata → degenerative disc/joint disease

Goal of Treatment -Soften provoked Vata – in order to prevent further degeneration and pain/stiffness. -Decrease inflammation and compression of nerves – through internal and external herbal remedies. -Nourish bones, discs, and nerves – Rasayana (rejuvenative) therapy. -Improve flexibility and posture – through Panchakarma and Yoga. -Prevent recurrence – by correcting diet and lifestyle habits.

INTERNAL MEDICATIONS

1) TRAYODASHANG GUGGULU= 1 tab twice daily after meals with warm water for 3 months =relieves stiffness, reduces inflammation, and strength joints

2) RASNADI KASHAYA= 20 ml with equal water twice daily after meals for 2 months =anti inflammatory, relieves pain and swelling in back and neck

3) SIMHANADA GUGGULU= 1 tab twice daily after meals for 1 math =removes toxins and lubricates joints reduces stiffness

4) GANDHA TAILA CAPSULE= 1 cap twice daily after meals for3 months = strengthens bones, nourishes spinal tissues

5) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime = strengthens nerves, reduces stress, acts as rasayana

EXTERNAL TREATMENT

1) OIL MASAGE= daily full body massage with warm Mahanarayan taila followed by warm bath =reduces vata, improves flexibility, nourishes nerves and skin

2) KATI AND GREEVA BASTI= pool of warm medicated oil retained on lower back and neck for 30 min =deeply nourishes discs and relieves nerve compression relieves stiffness and pain to shoulder

3) NASYA= instill 2 drops of Ksheerbala taila in each nostril daily after mild massage and steam in morning =nourishes head and neck nerves; help cervical symptoms

Home Remedies -Garlic milk: Boil 2–3 crushed garlic cloves in 1 cup milk + 1 cup water → reduce to 1 cup. Drink warm daily (unless you have gastric sensitivity). -Turmeric + black pepper in warm milk → reduces inflammation naturally. -Castor oil (1 tsp) with warm milk or water once weekly at bedtime → gentle detox for Vata. -Warm sesame oil massage to neck and lower back before bath daily. -Epsom salt bath (in warm mild water) for 15 minutes, 2–3 times a week – relaxes muscle tightness.

Lifestyle Changes

To Do -Maintain the spine warm; avoid sitting in air-conditioned draft for prolonged periods. -Correct posture — sit straight with back support, no soft couches. -Take regular breaks every 30–40 minutes if sitting long hours. -Sleep on a firm mattress, not soft or sagging. -Morning stretching, gentle. -Healthy weight to keep spine pressure at bay. -Manage stress (as anxiety increases Vata).

To Avoid -Prolonged sitting, jerky travel, or heavy weights. -Excess exposure to cold/dry winds. -Not eating meals, irregular eating/sleep habits. -Extremely spicy, fried, or processed foods.

Diet Recommendations Favourable Foods (Vata-pacifying): -Warm, soft, oily foods such as kichdi, rice with ghee, soups, boiled vegetables. -Ghee of cow (small amount daily). -Milk, almonds (soaked & skinned), dates (in small amounts). -Spices: cumin, ajwain, dry ginger, turmeric. -Fruits: ripe bananas, papaya, figs, pomegranate.

Avoid: -Cold, dry, raw salads, stale food. -Excess pulses (particularly chana, rajma), curd at night. -Fried foods, refined sugar, bakery food. -Excess tea, coffee, alcohol.

Yoga & Pranayama Yoga (slow and gentle): -Makarasana (Crocodile pose) – relaxes lower back. -Bhujangasana (Cobra pose) – develops spine. -Setu Bandhasana (Bridge pose). -Tadasana (Palm tree pose). -Ardha Matsyendrasana (Half spinal twist, if pain-free).

Avoid forward bending and jerky twisting poses during acute pain.

Pranayama: -Anulom Vilom (alternate nostril breathing) – quiets nerves. -Bhramari (humming bee) – reduces stress, enhances concentration. -Ujjayi – assists cervical strengthening. Practice daily for 15–20 minutes in peaceful environment.

Summary -Your condition is reversible to a great extent with appropriate holistic treatment. -Ayurveda addresses rebalancing Vata, nourishing the backbone, and reinforcing nerves — permanent cure, not temporary relief from pain. -Stick to routine: herbal medications, daily oil massage, wholesome diet, and gentle yoga. -Combining Ayurvedic treatment with contemporary follow-ups (repeat MRI or physiotherapy as needed) yields the best outcome.

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Hello Mehala ji, From your MRI findings, there is evidence of lumbar and cervical spondylosis with L5-S1 disc herniation causing nerve compression. But dont worry we are here to help you out😊

✅ Common Symptoms-

Low back pain radiating to the leg (sciatica-like pain) Stiffness and restricted movements Tingling or numbness due to nerve compression Weakness or fatigue due to vata aggravation

✅AYURVEDIC LINE OF TREATMENT

✅INTERNAL MEDICATION

1 Trayodashang Guggulu – 1-0-1 after food with warm water 2 Yograj Guggulu – 1 -0-1 for vata and inflammation 3 Dashmoolaristha – 15 ml decoction with equal warm water twice daily 4 GT cap 2 at bed time

✅PANCHAKARMA THERAPIES

👉Kati Basti with Sahacharadi Taila / Mahanarayan Taila – relieves pain and nourishes discs

👉Snehan (abhyanga) – full body massage with medicated oils

👉Swedana (steam sudation) – reduces stiffness and improves flexibility

👉Basti Chikitsa (Medicated enema) – especially Ksheerbasti or Matra Basti with Balashwagandhadi Taila for nerve nourishment

These therapies help to pacify Vata dosha and strengthen the spine and nerves.

✅DIET MODIFICATION

✅Include-

Warm, freshly cooked, easy-to-digest food Include ghee, milk, sesame, and almond in diet Take Triphala at night for gentle detox Practice mild yoga: Bhujangasana, Makarasana, Setu Bandhasana (avoid forward bending) Keep back straight while sitting, avoid long-standing or lifting heavy weights

❌AVOID-

Cold, dry, or stale food Excess fasting or irregular meals Long sitting or exposure to cold wind Sudden jerky movements or forward bending

✅External Care:

Daily local massage with Mahanarayan Taila before warm water bath

Hot fomentation (after oil massage) for 10–15 minutes

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

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Dr. Ravi Chandra Rushi
I am currently serving as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital, Nalgonda, where I specialize in the diagnosis, treatment, and long-term management of various ano-rectal disorders. My clinical focus lies in treating conditions such as piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), rectal polyps, and pilonidal sinus using time-tested Ayurvedic approaches like Ksharasutra, Agnikarma, and other para-surgical procedures outlined in classical texts. With a deep commitment to patient care, I emphasize a holistic treatment protocol that combines precise surgical techniques with Ayurvedic formulations, dietary guidance, and lifestyle modifications to reduce recurrence and promote natural healing. I strongly believe in integrating traditional Ayurvedic wisdom with patient-centric care, which allows for better outcomes and long-lasting relief. Working at Bhrigu Maharishi Ayurvedic Hospital has provided me with the opportunity to handle a wide range of surgical and post-operative cases. My approach is rooted in classical Shalya Tantra, enhanced by modern diagnostic insights. I stay updated with advancements in Ayurvedic surgery while adhering to evidence-based practices to ensure safety and efficacy. Beyond clinical practice, I am also committed to raising awareness about Ayurvedic proctology and promoting non-invasive treatments for conditions often mismanaged or overtreated by modern surgical approaches. I strive to make Ayurvedic surgical care accessible, effective, and aligned with the needs of today’s patients, while preserving the essence of our traditional healing system. Through continuous learning and compassionate practice, I aim to offer every patient a respectful, informed, and outcome-driven experience rooted in Ayurveda.
101 days ago
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Don’t worry take mahayoga Guggulu gold 1tab bd, brihath vata chintamani ras 1tab bd,kati vasti with ksheera bala tail, dhanwantari tail, murivena tail enough

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Start with Laxadi guggul 1-0-1 after food with water Trayodashang guggul 1-0-1 after food with water Mahavatvidhvansh vati 1- 0 -1 after food with water Wear lumbo sacral waist belt during the day . Once pain reduces start with back strengthening yogasana or exercises. Avoid sour fermented foods. Apply dhanvantrum oil on affected area twice daily.

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When it comes to managing lumbar spondylosis and related conditions like disc bulges and herniation, a multi-faceted approach is truly necessary. Ayurveda can offer supportive remedies to help manage the condition and improve your overall well-being. First, understanding the possible dosha involvement is crucial; Vata dosha imbalance is often associated with degenerative spine conditions.

Incorporating dietary changes can assist with managing this Vata. Favor warm, moist foods and avoid cold, raw meals. Include sesame oil in your diet, as it pacifies Vata due to its warming qualities. Green leafy vegetables, cooked in ghee or sesame oil, provide nutrients that support joint health. A decoction of Dashamoola, a group of ten roots, can be supportive. Prepare as follows: Boil one teaspoon of Dashamoola powder in two cups of water, reduce to one cup, and consume twice daily.

Given the disc herniation causing nerve compression, gentle and specific Ayurvedic therapies such as Kati Basti and Pizichilli may be beneficial. Kati Basti involves placing warm medicated oil over the lower back, improving circulation and reducing pain. Ensure you consult with an experienced practitioner to perform these safely.

Lifestyle modifications are also essential. Maintain a balanced routine with adequate rest and avoid strenuous activities that may exacerbate your symptoms. Practice gentle yoga, focusing on postures that enhance spinal flexibility and strength; however, avoid forward bends or any pose causing discomfort.

It’s imperative to stay hydrated, supporting the discs and overall spinal health. Turmeric milk, consumed nightly, may help as it possesses anti-inflammatory properties. While Ayurvedic remedies can be beneficial, it’s essential to keep open communication with your healthcare provider regarding your condition and ensure you’re informed about all treatment options available. Consult an Ayurvedic physician before beginning any new regimen to tailor advice specifically to your individual constitution and health needs.

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Start in Trayodashanga guggulu 1-0-1 Peedantaka vati 1-0-1 Dashamoola aristha 20 ml with equal water after lunch and dinner Mahanarayana taila - gentle massage to be done

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Your MRI findings suggest a combination of lumbar spondylosis, which involves wear and tear changes in the spine, as well as specific issues like a herniated disc and facet arthropathy. The root causes often lie in imbalances within the vata dosha, which influences movement and dryness within the body, affecting joint and disc health.

To address these issues, you’ll want to focus on pacifying vata dosha. Begin with dietary adjustments—favor warm, unctuous, and grounding foods. Incorporate ghee, cooked vegetables, and warm soups into your meals, while minimizing dry, raw, or cold foods. Eating at regular intervals helps maintain consistency, too.

Herbal support can be beneficial. Try taking Ashwagandha, both for its rejuvenating properties and vata-pacifying actions; usually, 1-2 teaspoons mixed with warm milk can be consumed nightly. Mahanarayan oil can be applied externally; a gentle massage to the affected areas can help reduce stiffness and pain, Do this oil application daily if possible.

Simple yoga postures, prioritizing gentle stretches and strengthening exercises, especially focused on core stability, might help. Always proceed with caution to avoid any worsen symptoms. Pay attention to your body’s response, avoiding postures that cause pain.

Heat therapy—in the form of warm compresses or pads applied to affected parts—could relieve discomfort, too. Do this especially during the evening, post-activity, when your body may need it most.

If you’re experiencing severe or worsening symptoms, it’s advisable to consult a medical specialist for further assessment and guidance. Integrating these steps with your current treatment plan offers a more holistic approach, aligning with both conventional and traditional healing principles.

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I am working in Ayurveda field from some time now, started out as a general physician at Chauhan Ayurveda Hospital in Noida. That place taught me a lot—how to handle different types of patients in OPD, those daily cases like fever, digestion issues, body pain... but also chronic stuff which keeps coming back. After that I moved to Instant Aushadhalya—an online Ayurveda hospital setup. Whole different space. Consultations online ain’t easy at first—no pulse reading, no direct Nadi check—but you learn to ask the right things, look at patient’s tone, habit patterns, timing of symptoms... and yeah it actually works, sometimes even better than in person. Right now I’m working as an Ayurveda consultant at Digvijayam Clinic where I’m focusing more on individualised care. Most ppl come here with stress-related problems, digestion issues, joint pain, that kind of mix. I go by classic diagnosis principles like prakriti analysis, dosha imbalance and all, but also mix in what I learned from modern side—like understanding their lifestyle triggers, screen time, sleep cycles, food gaps n stress patterns. I don’t rush into panchakarma or heavy medicines unless it’s needed... prefer starting with simple herbs, diet change, basic daily routine correction. If things demand, then I go stepwise into Shodhan therapies. My goal is to not just “treat” but to help ppl know what’s happening in their body and why its reacting like that. That awareness kinda becomes half the cure already. Not everything is perfect. Sometimes ppl don’t follow what you say, sometimes results are slow, and yeah that gets to you. But this path feels honest. It’s slow, grounded, and meaningful.
5
30 reviews
Dr. Snehal Vidhate
I am Dr. Snehal Vidhate, born n brought up in Maharashtra—and honestly, for as long as I remember I’ve felt this pull towards Ayurveda. Not the fancy version ppl throw around, but the deep, real kind that actually helps ppl. I did my BAMS from YMT Ayurvedic Medical College in Kharghar. That’s where I got my basics strong—like really studied the shastras, understood prakriti, doshas, the whole deal. Not just crammed theory but started to see how it shows up in real lives. After finishing BAMS, I got into this one-year certificate course at Rashtriya Ayurveda Vidyapeeth, Delhi—honestly a turning point. I was super lucky to learn Kerala Ayurveda from my Guru, Prof. Dr. G.G. Gangadharan. He’s got this way of seeing things... simple but deep. That time with him taught me more than any textbook ever could. It kinda reshaped how I look at health, healing n how precise Ayurveda can be when you respect its roots. Right now I’m doing my MD in Panchakarma from SDM Ayurveda College, Bangalore. This place is like a hub for serious Ayurveda work. The Panchakarma training here? Super intense. We go deep into detoxification & rasayana therapy—not just theory again, but hands-on. I’m learning to blend classical techniques with today’s clinical demands.. like how to make Vamana or Basti actually doable in modern patient setups. My current practice is really about merging tradition with logic. Whether it’s chronic skin issues, gut problems, stress burnout or hormone stuff—my goal is to get to the root, not just hush the symptoms. I use Panchakarma when needed, but also a lot of ahara-vihara tweaks, medhya herbs, sometimes just slowing ppl down a bit helps. I really believe Ayurveda’s power is in its simplicity when done right. I don’t try to fix ppl—I work *with* them. And honestly, every patient teaches me something back.
5
453 reviews
Dr. Akshay Negi
I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.
5
100 reviews
Dr. Sumit Verma
I am Dr. Sumit Verma, a BAMS practitioner who has spent years working with patients dealing with a wide range of chronic diseases — sometimes simple, sometimes deeply complex. My focus is on evidence-based Ayurvedic treatment and holistic care, because I genuinely belive healing isn’t just about fixing one symptom, it’s about understanding the entire system behind it. Over time, I’ve treated conditions linked to metabolism, helped people manage long-term issues like PCOD and diabetes, and worked with many gastrointestinal problems — things like chronic hyperacidity, bloating, irregular digestion, and even hyper tension which often hides deeper imbalances. Skin health is another area I care about a lot. Cases of psoriasis, eczema, acne — they’re not just skin-deep, they usually tell a bigger story about what’s happening inside the body. My approach always starts with a detailed diagnosis (I can’t rush that part even if I wanted to), followed by root-cause treatment, and then lifestyle modifications that make the results last. Sometimes it means slow progress, but real healing takes time and consistency — I tell this to almost every patient. One thing I hold onto strongly is a patient-first way of working. Every person who walks in has a different body, different patterns, and different challenges, so treatment should be just as individual. I try to listen carefully, even to the things patients think are “not important,” because they often hold the key to figuring out what’s really going on. I’m still learning, always refining how I blend classical Ayurvedic knowledge with practical, modern needs. It’s not always perfect — sometimes I question if I’m doing enough — but my goal is to guide each patient toward better balance, not just quick relief. That’s what makes this work meaningful to me.
0 reviews
Dr. Haresh Vavadiya
I am an Ayurvedic doctor currently practicing at Ayushakti Ayurveda—which honestly feels more like a learning ecosystem than just a clinic. Being here has changed the way I look at chronic conditions. You don’t just treat the label—you go after the cause, layer by layer, and that takes patience, structure, and real connection with the person sitting in front of you. Ayushakti has been around 33+ years, with global reach and seriously refined clinical systems. That means I get to work with protocols that are both deeply rooted in traditional Ayurveda and also super practical for today’s world. Whether I’m managing arthritis, asthma, skin issues like eczema or psoriasis, hormone trouble, gut problems, or stress overload—my first step is always a deep analysis. Prakriti, doshas, ahar-vihar, past treatments—everything gets mapped out. Once I’ve got that picture clear, I create a plan using herbal medicines, detox programs (especially Panchakarma), Marma therapy if needed, and definitely food and routine corrections. But nothing’s random. Each piece is chosen for *that* person. And I don’t just prescribe—I explain. Because when someone knows *why* they’re doing a certain thing, they stick with it longer, and the results hold. One thing I’ve learned while working here is how powerful Ayurved can be when it's structured right. At Ayushakti, that structure exists. It helps me treat confidently and track results properly. Whether I’m working with a first-time visitor or a patient who’s been dealing with the same thing for 10 years, my goal stays the same—help their system return to a natural, sustainable state of balance. What I really enjoy is seeing how people’s mindset changes once they start to feel better. When they stop depending on just temporary relief and start building their health from within—that’s when the real shift happens. And being part of that shift? That’s why I do this.
5
165 reviews

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