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Orthopedic Disorders
Question #38116
124 days ago
848

Seeking Herbal Remedies for Tendonitis and Trigger Thumb - #38116

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I am suffering from tendonitis for 2 months now. Been doing physio ultrasound therapy 3 times a week, taking daily painkillers and wearing splint but still no improvement. Main problem is the trigger thumb which get stuck and snap and the painful wrist . Any therapy or herbals to heal the tendons

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Doctors' responses

Alongside with medications. You need to undergo Panchakarma procedures. Massage followed by Sudation therapy. And also Agnikarma, this will help you a lot with pain. Find yourself a nearby Panchakarma centre and do the needful. Agnikarma is must in your condition.

Thank you

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1.Mahayograj guggulu 2 tab twice daily with water after meals 2.Shallaki Capsules 1 capsule twice daily with warm water 3.Dashmool Kwath 20 ml with 20 ml water twice daily after meals 4.Mahanarayan taila-Warm oil massage on wrist and thumb twice daily

Lifestyle & Home Therapies - Warm sesame oil massage followed by gentle stretching - Castor oil pack on wrist and thumb at night (wrap with cloth) - Avoid: Cold exposure, overuse of thumb, and dry foods - Include: Ghee, soaked almonds, turmeric milk, and warm soups - Yoga: Gentle wrist rotations, Vajrasana, and Anulom-Vilom

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Take Maharasnadi guggulu 1-0-1 Peedantaka vati 1-0-1 Dashamoola aristha 15-0-15 ml with equal water

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Please visit your nearest Panchkarma center.

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Trigger thumb happens when the tendon that helps bend the thumb becomes inflamed and the sheath around it becomes tight and swollen Because of this the tendon cannot glide smoothly and it gets stuck causing sharp pain and the snapping sensation Painkillers and splints help temporarily But they won’t reduce the inflammation or improve the tendon health capacity Take Boswellia curcumin tab 1-0-1 Hadjod capsules 1-0-1 Ashwagandha churna 1/2 tsp with warm milk at night Massage with kaheerabala taila

Avoid applying ice frequently simple thumb glide practice twice daily Slowly bend the thumb tip to touch the base of the little finger then slowly straighten back repeat 10 times Avoid dry foods chips tea coffee

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You have massage daily with oil that i am prescribing and also steam the affected area 1. Murivvena oil for local application 2. Laxadi guggul 2BD A F These will take care of your issues.

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Take rasandi Guggulu 1tab bd,vata rakasa ras 1tab bd and go for agnikarma u ll get better results

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HELLO,

WHAT IS TENDONITIS AND TRIGGER THUMB? -Tendonitis means inflammation of a tendon- the tough cord that connects muscle to bone -In trigger thumb,the tendon in the thumb becomes swollen or thickened and cannot glide smoothly through its sheath (a narrow tunnel-like structure) -As a result, the thumb gets stuck or “locked” in a bent position and then suddenly “snaps” straight- like a trigger being released

WHY DOES IT HAPPEN? COMMON CAUSES -overuse or repetitive strain-typing, gripping, texting, manual work -injurt or repeated friction at the tendon -diabetes, thyroid imbalance,rheumatoid conditions -age related wear and tear -inflammation from autoimmune or metabolic causes

WHAT IS HAPPENING INSIDE THE BODY The tendon sheath becomes inflamed-> swelling reduces space-> tendon movement restrictedd-> pain, stiffness, clicking

FROM AN AYURVEDIC PERSPECTIVE This is mainly a vata disorder involving snayu (tendons/ligaments), known as snayugata vata. -> sometimes pitta and ama (metabolic toxins) also join in, worsening pain and swelling

IN SIMPLE WORDS -vata causes dryness, stiffness and cracking -pitta causes heat, inflammation, and pain -ama causes blockage and delayed healing

TREATMENT GOALS -reduce inflammation and pain -restore smooth tendon movement -strengthen and nourish tendons -remove ama (toxins) and corrects metabolism -balance vata and pitta doshas -prevent recurrence by correcting lifestyle and diet

INTERNAL MEDICATIONS

1) MAHAYOGARAJ GUGGULU= 1 tab twice daily after meals with warm water for 12 weeks = reduce pain, inflammation ,and stiffness

2) SIMHANADA GUGGULU= 1 tab twice daily with warm water =ihelps clear toxins and reduces stiffness

3) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime =nerve and muscle rejuvenation

4) SHALLAKI CAPSULES= 1 cap twice daily after meals =anti inflammatory and tissue repair

5) TRIKATU CHURNA= 1/2 tsp at bedtime with warm water =improves metabolism and reduce ama

6) AMALAKI RASAYANA= 1 tsp daily in morning =nourishing rejuvenator

EXTERNAL TREATMENTS

1) OI MASSAGE= USE MAHAVISHAGARBHA TAILA -appl gently over the thumb, wrist , and forearm for 10-15 min twice daily =this reduces vata, lubricates tendons, and improves circulation

2) FOMENTATION -After massage , apply warm moist heat or steam (a towel soaked in hot water ) -Duration= 10-15 min daily =Helps relieve stiffness and aids absorption of the medicated oil

3) HERBAL PASTE -make a paste from rasna, eranda moola, dry ginger powder with warm castor oil -apply over the affected area for 30-45 min, then wash with warm water =reduces inflammation and pain

4) SPLINTING/REST -cotinue using your thumb splint during work or sleeping to prevent overuse -avoid long immobilisation though- gentle movement helps healing

YOGA AND PRANAYAM GENTLE MOVEMENT (after pain decreases) -wrist rotations, gentle thumb stretching -finger opening and closing exercises -“prayer stretch” (palms together , slowly lower to stretch wrist)

PRANAYAM -Anulom vilom= Balances Vata and calms nerves -bhramari= relieves stress and pain perception -Deep diaphragmatic breathing= improves oxygenation and repair processed Do daily for 10-15 min in a quiet environment

DIET -warm, soft, freshly cooked meals -moong dal soup, rice gruel, cooked vegetables- bottle gourd, ridge gourd, spinach -use of ghee and sesame oil - nourishing for vata -spices like ginger, turmeric, garlic , and ajwain for digestion -warm water or herbal teas- ginger, tulsi or cinnamon tea

AVOID -cold,raw, or dry foods- bread, chips, raw salads -refrigerated items, cold drinks, ice cream -excess spicy, sour, or fried foods -overuse of caffeine or alcohol -long fasting or skipping meals- aggravates vata

HOME REMEDIES -Turmeric + castor oil paste apply on thumb and wrist-> keep 30 min-> wash= anti inflammatory and warming -Feugreek seed paste= soak overnight, grind and warm slightly apply 20 min daily= excellent for swelling and stiffness -Epsom salt soak- dissolve 1 tbsp in warm water soak first and thumb 10-15 mi- reduces stiffness and pain

LIFESTYLE -avoid prolonged gripping, typing, mobile scrolling -do wrist and hand stretches every 1-2 hours at work -keep hand warm cold exposure worsens pain -maintain a regular sleep schedule -manage stress- mental stress aggravated physical vata disorder

Tendonitis and trigger thumb are reversible conditions, but recovery is gradual 4-8 weeks typically Ayurveda heals by nourishing and regenerating the tendon- not just masking pain Be consistent with therapy- Avoid quick steroid injection unless absolutely necessary- they can temporarily relieve pain but weaken the tendon long term patience and daily discipline is applying oil, doing gentle stretches and following diet will yield lasting results

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Managing tendonitis, especially when it involves trigger thumb, requires a balanced approach that address both symptoms and the root cause. Ayurvedically, this condition often involves an imbalance of Vata dosha or maybe Pitta, leading to inflammation and stiffness in the tendons.

Begin with dietary adjustments that can help pacify Vata and reduce inflammation. Increase intake of warm, cooked foods and avoid cold, raw meals. Cook with ghee, which nourishes the tissues and lubricates the joints, enhancing movement. Incorporate anti-inflammatory spices like turmeric and ginger, known for their ability to reduce swelling and pain.

Herbal support can be beneficial. Consider using Ashwagandha, which acts as an anti-inflammatory and promotes tissue regeneration. You might also look into Guggulu formulations, specifically Yogaraj Guggulu, which help in reducing inflammation and alleviating stiffness. Take 500 mg twice a day with warm water, ideally after meals, but consult with an Ayurvedic practitioner to confirm suitability and dosage based on personal needs.

External oils can also provide relief. Mahanarayan oil, applied gently to the wrist and thumb, can improve circulation and reduce pain. Warm the oil slightly before application, and use it twice daily. After applying, cover the area with a soft cloth to protect and keep the warmth.

Ensure you maintain regular gentle exercises for mobility — avoiding overstrain. Your physio might offer more specific recommendations tailored to your needs.

Alongside, practice stress reduction techniques such as yoga or pranayama to calm Vata. Any excessive stress can aggravate symptoms. Keep warm, avoid exposure to cold,and rest the affected area reasonably while staying active enough to promote healing. If there’s no noticeable improvement, please speak with healthcare professional regarding more intensive treatments.

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Start with Ekangvir ras 1-0-1 after food with water Mahavatvidhvansh vati 1-0-1 after food with water Trayodashang guggul 1-0-1 after food with water Apply dhanvantrum oil+ kshirbala oil on affected area twice daily Try doing finger touch exercises for trigger finger.

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