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Endocrinological Disorders
Question #38084
20 days ago
162

Seeking Advice on Hyperthyroidism and Neck Swelling - #38084

SyedHashir

I am a hyperthyroid patient,I am 54years old,I have a swelling in my neck area which looks awkward.I am in menopausal conditions ,so please tell me something about it and its cure .I shall be thankful to you.

How long have you noticed the swelling in your neck?:

- More than 6 months

Have you experienced any other symptoms related to your thyroid condition?:

- Increased heart rate

How would you describe your overall energy levels?:

- Low energy
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Doctors' responses

1.Kanchanar Guggulu 2 tablets twice daily with warm water 2.Punarnava Mandur 2 tablets twice daily after meals with warm water 3.Ashwagandha Churna 1 tsp twice daily with warm milk 4.Shatavari Churna 1 tsp twice daily with warm milk

Lifestyle & Diet Tips - Avoid: Spicy, sour, fermented foods; caffeine; emotional overstimulation - Include: Ghee, cooked vegetables, rice, moong dal, and seasonal fruits like pomegranate - Hydration: Sip warm water with cumin and coriander - Yoga: Gentle practices like Bhujangasana, Vajrasana, and Anulom-Vilom - Sleep: Early bedtime, calming rituals, and warm milk with nutmeg

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Start with Aarogyavardhini 1-0-1 after food with water Kanchanar guggul 1-0-1 after food with water Vriddhivadhika vati 1-0-1 after food with water Cap. Evanova 1-0-1 after food with water Punarnava mandur 1-0-1 after food with water.

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Thank you for sharing your health concern The swelling in your neck is likely due to thyroid over activity, which commonly happens in hyperthyroidism and can become more noticeable during Mena falls, you can take Kanchanar guggulu two tablets twice daily after food with warm water, which helps reduce in swelling and support thyroid balance Shatavari churna half teaspoon with milk at night Include pumpkin, papaya, cooling, and light food Avoid spicy fried, fermented, food, tea, coffee Stay calm, rest well, practice, Pranayam to balance both thyroid and menopausal changes naturally

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Dr. Gursimran Jeet Singh
I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
20 days ago
5

Please provide the details of blood investigations. Meanwhile start with Kanchanar Guggulu 2-0-2 Hamsapadiyadi Kshayam 2tsp-0-2tsp with 2tsp water

Thank you

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In medical terms is swelling in the neck is called goitre It does not always mean something dangerous, but it signals that the thyroid is under strain. The goal year is to help your thyroid Calmdown reduce the inflammation and gradually towards shrinking the enlargement. Along with that, we must support your energy level metabolism, and emotional balance

Medicine that you can be started Kanchanar guggulu Ashwagandha capsule Punarnavadi mandura Each tablet twice daily after food with warm water Can take Arjuna aristha 4 teaspoon with equal quantity of water twice daily after food, if you have palpitation or increased heart beat This medicines work slowly and gently without awakening. The body continue at least for 8 to 12 weeks to see the visible changes.

Include warm home cooked meals Ghee in small amount Milk curd a day time Vegetables, fruit, fruits like pomegranate, apple, banana, papaya Flax seeds daily coconut water once a day Avoid spicy or food, deep fried bakery, food tea, coffee on empty stomach, cold drinks and refrigerator, food, skipping meals, or eating very late Try to have your dinner before 8 PM and keep it light Sleep before 10:30 PM Avoid screen use one hour before food Practice Pranayam meditation regularly

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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.
19 days ago
5

Take kanchanara Guggulu 1tab bd, varanadhi kashayam 20ml bd, thyrocare 1tab bd, vriddhi vatika vati 1tab bd, Amrithkalash 1tsp

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HELLO,

Hyperthyroidism means your thyroid gland- a small butterfly shaped gland in your neck- is overactive. It produces too much thyroid hormone (T3-T4), these hormones control how your body uses energy , so when they are high, everything in the body speeds up

YOU MAY NOTICE -swelling in the neck-goitre -palpitations- fast heartbeat -weight loss despite good appetite -tremors, irritability, heat intolerance -sweating, anxiety, low sleep -low energy after overactive phase -in menopausal age- hot flashes, mood swings, weakness, which worsens the imbalance

The condition resembles galaganda neck swelling and thyroid vriddhi arising from imbalance in 3 doshas

When agni burs too high due to pitta vata aggravation, it consumes the body’s tissues, leading to weakness and instability

TREATMENT GOALS -regulate thyroid hormone secretion- balance metabolism -reduce neck swelling -calm the mind and nervous system - relieve anxiety, palpitatios -support digestion and liver metabolism -rejuvenate tissues ad maintain strength during menopause -prevent recurrence and long term gland imbalance

INTERNAL MEDICATIONS

1) KANCHANAR GUGGULU= 2 tabs twice daily after meals with warm wtaer for 3 months =shrinks thyroid swelling, purifies lymph and blood, clears toxins

2) PUNARNAVA MANDUR= 1 tab twice daily after meals for 3 months =reduces inflammation, , acts as natural diuretic, improves metabolism

3) SOOTSEKHAR RAS(PLAIN)= 1 tab twice daily after meals with honey for 2 months = controls excess pitta, relieves acidity and irritability

4) BRAHMI VATI= 1 tab twice daily after meals for 3 months =reduces anxiety, improves focus and sleep

5) ASHWAGANDHA CHURNA= 1 tsp with warm milk at night for 3 months =stabilizes metabolism, calms mind, strengthens nerves

6) TRIPHALA CHURNA= 1 tsp at bedtime with warm water =detoxifies body and supports digestion

EXTERNALLY

1) OIL MASSAGE=WITH KSHEERBALA TAILA -daily before bath= Balances Vata, improves circulation

2) HERBAL PASTE= apply paste of Kanchanar powder + triphala with lukewarm water 30 min daily =reduces neck inflammation

3) NASYA= instill 2 drops of Anu taila in each morning =balances hormonal axis through nasal route

LIFESTYLE AND DAILY ROUITNE

MORNING -wake up early -drink warm water with few drops of lemon- cleanses system -perform gentle neck movements -practice pranayam =sheetali, nadi sodhana. bhramari Avoid kapalbhati

YOGA ASANAS -matsyasana= improves thyroid circulation -bhujangasana= strengthens neck and back -sarvangasana= enhances thyroid function - halasana= balances endocrine system -shavasana= relaxation for nervous brace

NIGHT -early, dinner, light meal before 7:30 pm -warm milk with turmeric or ashwagandha powder -avoid tv/mobile before bed- improve slep

DIET -warm, cooked light food -vegetables= pumpkin, bottle gourd, ridge gourd, spinach, carrot, beetroot -fruits= papaya, apple, pomegranate, guava -whole grains= brown rice, millets, oats -lentils mung dal, massor dal -ghee small amount- balances pitta and nourishes tissues

AVOID -spicy, oily, fried foods -pickles, red chili, vinegar -coffee, tea, alcohol -fermented foods-curd, cheese at night -iodized salt In excess

SALT -use rock salt moderately

HOME REMEDIES -coriander water soak overnight helps regulate thyroid -aloe vera juice 15 ml + amla juice 10 ml daily= supports liver and hormones -paste of kanchanar bark powder with warm water on neck 20 min daily- reduces swelling -triphala water gargle- keeps throat clear, enhances circulation -regular oil massage sesame or coconut- calms vata and improve blood flow

MIND AND EMOTION CARE Hyperthyroidismand menopause both affect the mind and hormones

PRACTICE -meditation 15 min daily- relaxes the hypothalamus pituitary thyroid axis -Positive affirmation my body is in perfect balance and peace -listening to calming mucis or om chanting STress is major trigger for thyroid imbalance- so mental calmness is. a real medicine

Ayurveda treats the root cause, not just the lab reports. it aims to balance the entire metabolism

avoid abruptly stopping of allopathic medicines both system work together safely

Be patient= the thyroid gland takes time to normalize naturally

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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For hyperthyroidism and associated neck swelling, Ayurveda emphasizes balancing the excess Pitta dosha, which is often behind this condition. It’s essential to look both at your diet and lifestyle choices. First, incorporate cooling foods like cucumbers, coriander, and spinach. Avoid spicy, hot, or fermented foods that increase Pitta. Coconut water is excellent—it naturally cools the system.

Herbal support can be beneficial. Prepare a decoction with herbs such as Guduchi (Tinospora cordifolia) and Ashwagandha (Withania somnifera) daily. Steep these herbs for 10-15 minutes before consuming. Both support your thyroid function and help manage stress—important since hormones fluctuate during menopause.

For external application on your neck, a paste of Sandalwood and rose water might offer relief from swelling, apply gently, leave for 15 minutes and wash off with lukewarm water. With the menopause component, evening primrose oil, though not Ayurvedic, is another option that can help balance hormone levels, alleviate symptoms like hot flashes, but consult with your healthcare provider to ensure no interactions with your current regimen.

Do regular pranayama, particularly Sheetali and Nadi Shodhana for cooling and balancing. These practices help regulate the breathwork and manage stress levels effectively.

However, it’s critical to maintain regular medical follow-ups due to the potential complexity of thyroid issues and their impact on overall health. Neck swelling, if persistent or if associated with pain, difficulty breathing or swallowing, may require immediate medical intervention. So you should consult a healthcare professional to consider further investigations like blood tests or imaging if necessary. While Ayurveda offers supportive care, it shouldn’t replace necessary medical treatment for potentially severe symptoms.

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Swelling in the neck area, often related to an enlarged thyroid gland, is not uncommon in hyperthyroid patients. In Siddha-Ayurvedic tradition, this condition can be seen as an imbalance of Vata and Pitta doshas that affects the throat chakra or energy center. Managing hyperthyroidism with Ayurveda involves balancing these doshas and restoring harmony in your body system.

First, it’s essential to focus on dietary adjustments that can help pacify aggravated Pitta. Avoid spicy, sour, and salty foods which tend to increase Pitta. Incorporate cooling, calming foods such as fresh fruits (like pomegranates and apples) and vegetables (like cucumbers and green leafy vegetables) into your diet. Drinking coconut water and buttermilk daily can also appease Pitta.

Specific herbals might be useful; take Brahmi (Bacopa monnieri) and ashwagandha (Withania somnifera), both traditionally understood to support thyroid health and balance Vata-Pitta disturbances. You could consume these as powders, with milk, ideally in an evening routine, to ensure calmness and relaxation.

Ritualistically, regular practice of Pranayama, especially cooling breaths such as Sheetali and Chandra Bhedana, can regulate your overall energy flow and balance the thyroid gland. Allocate a quiet 10-15 minutes daily for these practices.

For menopause, managing Vata is key. Daily abhyanga (oil massage) with warm sesame oil can help calm Vata dosha, promoting both physical tranquility and emotional stability.

It’s adviseable to consult a healthcare professional for a comprehensive examination of your thyroid levels. Unexpected and persistent swelling can sometimes need immediate medical attention, indicating further investigation beyond the scope of herbal interventions, ensuring there’s no other urgent cause.

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I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
5
94 reviews
Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
5
343 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
1128 reviews
Dr. Hemanshu Mehta
I am Dr. Hemanshu—right now a 2nd year MD scholar in Shalya Tantra, which basically means I’m training deep into the surgical side of Ayurveda. Not just cutting and stitching, btw, but the whole spectrum of para-surgical tools like Agnikarma, Viddhakarma, and Kshara Karma... these aren’t just traditional, they’re super precise when done right. I’m not saying I know everything yet (still learning every day honestly), but I do have solid exposure in handling chronic pain issues, muscle-joint disorders, and anorectal conditions like piles, fissures, fistulas—especially where modern treatments fall short or the patient’s tired of going through loops. During clinical rounds, I’ve seen how even simple Kshara application or well-timed Agnikarma can ease stuff like tennis elbow or planter fasciatis, fast. But more than the technique, I feel the key is figuring what matches the patient’s constitution n lifestyle... like one-size-never-fits-all here. I try to go beyond the complaint—looking into their ahar, sleep, stress levels, digestion, and just how they feel in general. That part gets missed often. I honestly believe healing isn’t just a “procedure done” kind of thing. I try not to rush—spend time on pre-procedure prep, post-care advice, what diet might help the tissue rebuild faster, whether they’re mentally up for it too. And no, I don’t ignore pathology reports either—modern diagnostic tools help me stay grounded while applying ancient methods. It’s not this vs that, it’s both, when needed. My aim, tbh, is to become the kind of Ayurvedic surgeon who doesn't just do the work but understands why that karma or technique is needed at that point in time. Every case teaches me something new, and that curiosity keeps me moving.
5
207 reviews

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Levi
8 hours ago
Thanks a lot for the response! Your advice was direct and made tons of sense. I'm definitely gonna try the online consultation now.
Thanks a lot for the response! Your advice was direct and made tons of sense. I'm definitely gonna try the online consultation now.
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