Managing Hip and Knee Pain at 59 - #37264

Mahayograja guggulu 1-0-1 Peedantaka vati 1-0-1 Dashamoola aristha 15-0-15 ml with water Mahanarayana taila- gentle massage to be done Triphala churna 1 tsp with warm water at night

Take medoharavidangadhi lauha 1tab, mahayoga Guggulu gold 1tab, chartumukha ras 1tab bd, swadirvirechana churna 1tsp with lukewarm water, dhanwantari tail external application enough

Maharasnadi guggulu 1 tab BD Ashwagandhadi lehyam 1 tsp OD DASHAMOOLA aristha 20 ml BD Mahanarayana taila - l/appn

1.Simhanada guggulu 2 tab twice daily with water after meals 2.Yograjguggulu 2 tab twice daily with water after meals 3.Rasna saptak kwath + dashmoolarishta 15 ml each with 30 ml water twice daily after meals 4.Mahanarayan taila + dhanvantaram taila- massage with warm oil twice daily followed by hot fomentation

🥗 Diet - Warm, light meals: Moong dal, barley, steamed vegetables - Avoid: Cold foods, curd, fried items, nightshades (tomato, potato, brinjal) - Add: Garlic, ginger, turmeric, methi seeds

🕉️ Daily Routine - Hot fomentation: Dashamoola decoction compress or salt pouch - Gentle movement: Chair yoga, supported stretches, or water walking - Sleep ritual: Foot massage with Brahmi oil + warm milk with nutmeg

Start with Divya Pidantak vati 1-1-1 after food with water Yograj guggul 1-0-1 after food with water Apply mahanarayan oil+ kshirbala oil and take warm water bath Avoid sour fermented, cold food, cold drink, icecream. Take 1 tsp of castor oil in a glass of Warm water, put 1/4 th tsp of dry ginger powder and drink this every night.

Managing hip and knee pain, especially when coupled with obesity, involves both immediate relief and long-term lifestyle adjustments. Start with gentle exercises to ease the pain and improve joint function. Walking in a pool, if accessible, offers low-impact movement that’s easy on your joints while still being effective. Yoga-based stretches tailored for joint health can also be beneficial – try the ‘Supta Padangusthasana’ (Reclining Big Toe Pose) to gently stretch your legs and relieve tension in the hip and knee areas. Be consistent, though attentive to your body, to not push beyond comfort.

Pain can be exacerbated by inflammation and imbalance in the Vata dosha. To address this, an Ayurvedic approach can help. Begin your day with a warm cup of ginger and turmeric tea, known for their anti-inflammatory properties. Stick to a Vata-pacifying diet that includes warm, cooked foods and avoids cold or raw items. Incorporate foods like sweet potatoes, spinach, and mung dal; these, are known to help with grounding and detoxifying.

External applications can provide some relief. Try warm sesame oil massages for the aching areas. Sesame oil is warming and can help balance Vata while providing immediate comfort. Warm the oil slightly, massage, and allow it to absorb before taking a warm shower.

Since you mentioned difficult sleeping, establish a calming evening routine. Try consistent nightly routines that involve calming activities, often you can try reading or listening to soothing music. Abhyanga (self-massage) with warm oil, particularly focusing on feet and scalp, can greatly aid in reducing stress and improving sleep quality.

While you are losing weight, remember that gradual and sustained loss is healthiest and gentlest on joints. Implement dietary modifications to align with Ayurvedic principles by including fresh, whole foods and cooking with spices like cumin, coriander, and fennel to bolster digestion.

Remember, persistent or severe pain should be consulted with a healthcare professional, as imaging or further tests may be necessary to rule out any underlying conditions. Guidance from a physiotherapist or an orthopedic might be crucial in conjunction with the ayurveda practices.

HELLO,

You are experiencing hip and knee pain, heaviness in your legs, difficulty walking, and trouble sleeping. At 59 years old and with obesity, the most common cause is osteoarthritis, a condition where the cushioning cartilage in joints wears down, leading to pain, stiffness, and reduced mobility

From an Ayurvedic persepective -Your problem is mainly vata imbalance (causing stiffness and pain) with kapha involvement (causing heaviness and slow movement) -obesity aggravates the joints by increasing mechanical stress -continous pain can also create stress and mild depression, affecting sleep

TREATMENT GOALS -relieve pain and stiffness in the joint -improve joint mobility and strength -reduce heaviness and inflammation caused by kapha and medas -support weight reduction safely without worsening vata -improve sleep and mood , reducing stress and depression -detoxify the body gently to remove ama (toxins)

INTERNAL MEDICATIONS

1) ASHWAGANDHA CAPSULES= 500mg cap twice daily with warm water for 3 months = helps reduce stiffness, improves strength, supports immunity

2) MAHAYOGARAJ GUGGULU= 2 tabs twice daily after meals 250mg for 3 months = anti inflammatory , lubricates joints, reduces vata-kapha

3) SHALLAKI CAPSULES= 500mg twice daily after meals for 3 months =anti inflammatory for osteoarthritis

4) GUDUCHI GHANVATI= 2 tabs twice daily after meals for 2 months =boosts immunity, reduces toxins

5) TRIPHALA CHURNA= 1 tsp at bedtime with warm water for 2 months =helps remove ama and improves metabolism

EXTERNAL TREATMENT

1) OIL MASSAGE= MAHANARAYAN TAILA -massage hips, knees and legs daily =reduces stiffness, improves circulation, nourishes joints

2) STEAM THERAPY -warm compress on knees and hips for 10-15 minutes =relieves vata stiffness and pain

LIFESTYLE CHANGES -avoid prolonged sitting or standing. alternate periods of rest and gentle movement - wear comfortable supportive shoes -maintain a consistent sleep schedule; avoid screens before bed - manage stress with meditation or breathing exercises -avoid cold, raw, and heavy foods which increase vata and kapha

YOGA ASANAS -tadasana= improves posture and balance -setu badhasana= stregthens hips and tighs -vrikshasana= improves balance and leg strength -shalabhasana= strengthens lower back and hip muscles

PRANAYAM -Anulom vilom= reduces stress and pain perception -Bhramari= relaxes mind, improves sleep

DIET -warm, cooked meals -soups, khichdi, steamed vegetables -anti inflammatory herbs= turmeric, ginger, garlic -lean protein - mung dal, moog sprouts, low fat milk -fibrous foods for weight management- oats, barley, leafy greens

AVOID -fried,oily, heavy foods -excess sugar or cold drinks - excess cheese, red meat or ice cold food

HYDRATION= drink warm water throughout the day

HOME REMEDIES -warm mustard or sesame oil massage at home -turmeric paste with warm water applied to painful joints for 10-15 min -gentle warm baths or hot water soak for knees and hips - ginger tea with a pinch of black pepper to reduce inflamation

-You are not alone- joint pain at your age, especially with obesity is common -consistency is key- daily oil massage, warm compress, and diet habits matter more than quick fixes

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Focusing on alleviating your hip and knee pain through an Ayurvedic lens, we consider underlying factors like vata dosha imbalances, which are often associated with joint pain. Regular gentle exercises such as yoga or tai chi can improve flexibility and reduce pain without adding stress. Aim to integrate these practices into your daily routine but ensure they’re within a comfortable range, avoiding anything too strenuous.

In your diet, favor warm, cooked meals that are easy to digest, like kichari, a soothing mung dal and rice porridge. Avoid foods that are hard to digest, cold, or contribute to dryness—common vata aggravators such as beans and raw salads. Incorporate anti-inflammatory spices like turmeric and ginger into meals to help reduce joint inflammation.

Massage the affected areas with warm sesame oil or mahanarayan oil, which is traditionally used to nourish joints and muscles. This can be done daily, in gentle circular motions, to improve circulation and warmth in the area. A heating pad applied post-massage may also further ease stiffness.

Proper sleep, crucial for your recovery, can be enhanced with a consistent evening routine. Try to reduce stress by practicing mindfulness or deep breathing exercises shortly before bed. A cup of warm milk combined with a pinch of nutmeg or turmeric an hour before sleeping is suggested to promote more restful sleep.

Should pain persist or escalate, particularly affecting your mobility, please consult a healthcare professional. Addressing significant weight through a personalized Ayurvedic plan focusing on a sustained, balanced approach is key to long-term relief and joint health.

HELLO,

This is classical vata aggravation + kapha excessive load + ama/inflammatory stagnation in joints

GOAL -vata shaman -kapha lightenig -inflamamtion softening -nervous system parasympathetic dominanace -sleep quality restoration

1) DINACHARYA -consistent sleep/wake same time -light dinner before sunset if possible -5-10 min daily oil massage warm but not hot to knees, hips, low back before shower -Instill 2 drops of Au taila in each nostril. daily morning = helps vata axis + sleep + reduces pain sensitivty

2) GENTLE MOVEMENT every single day 20-30 min non impact - warm water walking or stationary cycle with zero resistance or chair yoga/ tai chi show flow

This is literally disease modifying in OA

3) DIET -warm cooked foods -avoid raw salads at night -avoid cold drinks -prioritize mung, cooked vegetables, little ghee -high protein target 1.2 g/kg/day (very important for weight loss while preserving lean mass) -spices= turmeric + ginger+black pepper daily -avoid sugar/ultraprocessed/seed oil fried

4) INTERNAL MEDICATIONA

1) MAHAYOGARAJ GUGGULU= 1 tab twice daily after meals

2) CURCUMIN TABLETS/CAPSULES= 1 cap twice daily after meals

3) DASHMOOLA KASHAYA= 25ml with warm water twice daily before meals

4) SHALLAKI MR CAP= 1 cap twice daily after meals

5) ASHWAGANDHA CHURNA= 1 tsp with warm milk twice daily

5) SROTOSODHANA GENTLE SCHEDULE -warm water sip schedule before sleep -1 cup warm water before breakfast ad before diner

6) SLEEP SUPPORT -no screens 90 min before sleep -brahmi vati= 1 tab at bedtime -slow pranayam 6 breathing cycles nadi sodhana

Duration= 6-12 weeks

THANK YOU

DR. HEMANSHU MEHTA