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Neuropathic pain in right foot sole for the last eight yrs. Consulted almost all therepies
General Medicine
Question #383
194 days ago
67

Neuropathic pain in right foot sole for the last eight yrs. Consulted almost all therepies - #383

Rakesh Bhatnagar

Started with cramp like pain in 2014, in 2016 swelling in little finger, in 2019, pains when lifting up foot n difficulty in walking,since 2020 swelling started spreading towards heel n other fingers, since last one year pain increasing, little relief when shoes are on..cramp like pain in sole when urinating in night n morning...age 76 yrs.

Age: 76
Chronic illnesses: No
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Dr. Harsha Joy
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193 days ago
4.82
The symptoms you describe, including cramp-like pain, swelling in the fingers and heel, and increased pain when walking, suggest a possible chronic inflammatory condition, which may be related to imbalances in Vata and Kapha doshas in Ayurveda. The progression of your symptoms over the years indicates that there may be underlying factors contributing to inflammation and discomfort in your joints and muscles. To manage your condition effectively, it is important to focus on reducing inflammation and promoting overall joint health. Incorporating anti-inflammatory herbs such as Turmeric (curcumin), Ginger, and Ashwagandha into your diet can be beneficial. These herbs can help alleviate pain and swelling while also supporting your immune system. Additionally, maintaining a warm and nourishing diet that includes whole grains, healthy fats (like ghee or sesame oil), and plenty of fruits and vegetables can support your overall vitality. Consider avoiding processed foods, excessive salt, and sugars, as these can exacerbate inflammation. Gentle exercises and stretches tailored to your ability can help improve mobility and reduce stiffness, while warm oil massages with Mahanarayan oil can provide soothing relief to aching joints and muscles. Since you mentioned experiencing cramps at night, staying well-hydrated and possibly incorporating magnesium-rich foods (like nuts and green leafy vegetables) may help alleviate this symptom.
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The progressive nature of your symptoms—starting with cramp-like pain, swelling, and now difficulty in walking—suggests issues like vatavyadhi (Vata-related musculoskeletal imbalance) in Ayurveda, which can lead to joint inflammation and pain. Here is an Ayurvedic management plan that includes both herbal and lifestyle interventions to improve circulation, reduce inflammation, and alleviate pain. Ayurvedic Prescription Erandmooladi Kashaya: This classical Ayurvedic decoction has anti-inflammatory and analgesic properties. Take 10-15 ml, mixed with an equal amount of warm water, twice daily before meals to reduce swelling and joint discomfort. Yograj Guggul: Known for its effectiveness in managing joint pain, Yograj Guggul supports musculoskeletal health by balancing Vata. You may take two tablets twice daily after meals with warm water (check with an Ayurvedic doctor for personalized dosing). Dashmool Taila or Sahacharadi Taila: For local application, gently warm this oil and massage it on the affected areas of the feet twice daily. Regular use can improve circulation and reduce pain. Applying this oil before bedtime can help alleviate cramp-like pain during the night. Triphala Guggul: Triphala Guggul assists in reducing inflammation and removing toxins from the joints. Take 1 tablet twice daily, with warm water, after meals. Lifestyle and Dietary Recommendations Warm Water Foot Soaks: Daily warm water soaks with a pinch of rock salt can help relax the muscles, reduce pain, and improve blood flow to the feet. Leg Elevation: Elevate your legs slightly when sitting or lying down, which can reduce swelling and improve comfort. Gentle Movement and Stretching: Gentle foot and ankle rotations, along with light stretching, help maintain circulation in the feet. Avoid heavy, strenuous movements. Vata-Pacifying Diet: Incorporate warm, easy-to-digest foods, and avoid cold, dry, or hard-to-digest foods. Include anti-inflammatory spices like turmeric and ginger in your diet. PLEASE DO A FOLLOW UP IN 15 days after following this protocol.

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It sounds like you've been dealing with quite a bit. That pain's been on a journey of its own. From what you're saying, your symptoms might tie into what's called Vata imbalance in Ayurveda. This can manifest as dryness, stiffness, and pain, affecting the foot. The progression of swelling and pain could hint at ama, or toxins accumulating in the body, slowing down circulation and disrupting the flow of Vata. Let's see if we can tackle this from a few angles. First off, regularly massage your feet with warm sesame oil or mustard oil, which can help in grounding Vata and improving circulation. Try to do this daily before bathing. If you're up for it, warm foot baths with Epsom salt could provide relief too. Ever tried light exercises or yoga? Gentle ankle rotations and stretching might help to keep the blood flowing and reduce stiffness. But go easy and don’t overdo it; listen to your body, some gentle asanas like pawanmuktasana can be beneficial. Diet-wise, incorporating warm, oily, and nourishing foods could support your body. Favor cooked dishes over raw, reduce cold foods, and include spices like ginger, turmeric and garlic to boost circulation and digestion. Maybe even sip on warm gingery tea throughout the day. Have you considered building a daily routine if you don’t have one already? Regular meals, sleep, and rest times can help keep Vata under control. These are by no means quick fixes but think of them more like a supportive way to work through discomfort. If the pain’s too much or changes suddenly, check with a healthcare professional to ensure there's nothing underlying that needs attention. Would be good to ensure everything’s in check.

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