Hello Marlies, Thank you for sharing your concern regarding pain in the right wrist associated with swelling around the bony area, restriction of movement especially while moving the thumb, and difficulty in holding objects but don’t worry we are here to help you out😊
✅AYURVEDIC LINE OF MANAGEMENT
✅ EXTERNAL THERAPY
These therapies help relieve pain, reduce inflammation, and improve local circulation.
1 Abhyanga (Therapeutic Massage): Gently massage the affected wrist with Kottamchukkadi Taila, for 10–15 minutes twice daily. This helps reduce Vata and stiffness. Follow it with mild fomentation (Swedana).
2 Nadi Sweda (Steam Fomentation): After the massage, direct warm medicated steam (from rock salt water) over the wrist for 5–10 minutes to soften tissues, reduce Kapha, and improve mobility.
3 Lepa or Upanaha (Medicated Paste Application): Apply a paste of Kottamchukkadi Churna mixed with warm Nirgundi Taila or Castor oil on the affected area. Cover it with a cotton cloth and leave it for 30 minutes. This reduces swelling and promotes drainage if the cyst is soft.
✅INTERNAL MEDICATION
1. Yograj Guggulu – 1 tablet twice daily after food with warm water ( helps in joint pain and Vata-Kapha disorders.)
2. Dashamoolarishta – 20 ml twice daily after meals with equal water( reduces inflammation and relieves stiffness.)
3. Gandharvahastadi Eranda Taila – 10 ml with warm water at bedtime to regulate Vata and cleanse the colon, the main seat of Vata.
4 GT cap 2 at bed time
✅DIET MODIFICATION
✅Include
Warm, freshly cooked, and lightly spiced food. Use of ghee, sesame oil, and herbal decoctions. Include soups made from moong dal, ash gourd, bottle gourd, and drumstick. Herbal teas with dry ginger, coriander, and fennel.
❌Avoid
Cold food, refrigerated items, and aerated drinks. Excessive use of sour and dry foods. Exposure to cold water or air-conditioning on the affected hand. Repetitive wrist movements or lifting heavy objects until pain subsides.
✅ LIFESTYLE MEASURES
Rest the wrist adequately. Avoid repetitive strain (typing, lifting, twisting motions).
Perform gentle stretching exercises after pain reduction.
Maintain a regular sleep routine and minimize stress, as disturbed sleep increases Vata.
Apply warm compress at night and cover the wrist with a cotton bandage to retain warmth.
✅Regarding Medicines and Availability
Yes, Kottamchukkadi Churna and Taila are classical Ayurvedic formulations and can be obtained from authentic manufacturers like AVP (Arya Vaidya Pharmacy), Vaidyaratnam, Kottakkal Arya Vaidya Sala, or Kerala Ayurveda.
Since you are in Germany, you can: Order from verified Ayurvedic e-commerce sites that offer international shipping Or visit a local Ayurvedic practitioner or store that stocks South Indian classical formulations.
With consistent treatment, rest, and gentle rehabilitation, most patients regain full mobility and relief from pain within a few weeks to months.
Wishing you a good health😊
Warm regards, Dr Snehal Vidhate
Hi marlies you can use / buy that churna through our platform through which it can be shipped directly to your address without much sipping charge But the swelling over wrist which you have mentioned seems to be ganglion so along with the above which you are using in poultice form use VRIDDHIBHADIKA vati 1-0-1 Kanchanar guggulu 1-0-1 Dashamoola aristha 20-0-20 ml with water
Hello Marlies thank you for sharing your condition from what you mentioned-pain and swelling in the right wrist, especially around the thumb. It looks like an inflammation of the tendon or joints in that area, often related to repetitive strain or mild arthritis. Kottamchukkadi churnam wich you used earlier, is indeed very effective for reducing inflammation and swelling when used externally in warm poultice ( churna)or oil form Earlier it was indeed quite difficult to ship. Ayurvedic medicines to abroad, but now it has become easily available through our platform without any hassle. You can conveniently order it online, and it will be delivered safely to your address in Germany This herbal formulation works wonderfully for reducing joint inflammation, swelling, and pain With churna you can use for poultice form And can also use oil form for gentle massage before applying the poultice Avoid overusing the wrist And avoid exposing to cold weather Internally you may take Maharasnadi guggulu twice daily after food
With consistent use the pain and swelling will ease gradually
Take sameerapanaga ras 1tab bd,yoga Raja Guggulu with Gold,rasna sapthaka kashyam 20ml bd enough,maha Vishagarba tail external application enough, swadista virechana churnam 1tsp with lukewarm water enough
1.Simhanada guggulu 2 tab twice daily with water after meals 2.Dashmoola kwath 20 ml with 20 ml water twice daily after meals 3.Mahanarayan Taila-Warm and massage gently on wrist twice daily, Wrap with warm cloth for 30 minutes after application 4… Rasnadi Churna-Apply dry powder to wrist after warm bath or oil massage
Supportive Practices - Gentle wrist exercises: Flexion, extension, and circular movements (only within pain-free range) - Warm compresses: Use castor oil or ginger paste under a warm cloth - Avoid cold exposure: Keep wrist covered and warm, especially in winter
HI,
THANKU FOR your question
Yes , Kottamchukkadi churnam powder is very effective for pain and inflammation, you can use it for externally as lepa form with adding of Luke warm mahanarayan taila, and apply for 30 minutes.
Also can take orally -
1) mahayograj gugulu 2 tab after crush twice a day after food 2) maharasnadi kwath 20 ml with equal amount of water after food 3) mahanarayan taila for local application 4) hot fomentation
And it’s now easy to ship and not so much expensive, you can buy it easily now on different platforms.
THANKU
Hey Marlies, that thumb pain and swelling on your right wrist (can’t hold a thing!) sounds like classic De Quervain’s tenosynovitis, from overuse or strain. Great you remember Kottamchukkadi Churnam helping your leg – it’s perfect for this too, as it’s anti-inflammatory and reduces swelling without side effects. Since you’re in Germany, shipping from India isn’t too pricey, but it’s also available locally via <link removed>, Etsy or Ayurvedic shops in Berlin/Frankfurt (search “Kottamchukkadi Churnam Deutschland”).
Quick Home Plan Internal Meds withWarm Water: 1. Yogaraj Guggulu: 1 tab (500 mg) twice daily after meals. 2. Shallaki Capsules: 1 cap (400 mg) twice daily after meals.
External (Like Your Past Treatment): Kottamchukkadi Churnam Paste: Mix 1 tsp powder with warm water + 1 tsp sesame oil into paste; apply warm to wrist/thumb 20 mins 2x/day, cover with cloth. (Buy 100g pack – lasts 1 month.) Wrist Splint: Wear thumb spica splint (buy from amazon) during activities.
Diet Tips: Include: Turmeric milk nightly, cherries, ginger tea. Avoid: Cold drinks, repetitive thumb use (no phone scrolling).
Lifestyle advice Daily: Thumb stretches 5 mins (gentle open/close fist), 10-min walk. Rest: Ice 10 mins if swollen; elevate hand.
Wish you speedy recovery
Regards Dr Gursimran Jeet Singh MD Panchakarma
HELLO,
YOU. ARE EXPERIENCING -pain in the right wrist , especially while moving the thumb -swelling over the wrist bone -difficulty holding objects or gripping
This picture suggests a tendinous- joint inflammation around the wrist, often seen in modern medicine as De Quervain’s tenosynovitis or early osteoarthritic / soft tissue inflammation
In Ayurveda, this condition can be understood as “Sandhivata” (joint disorder due to aggravated vata dosha) with kapha involvement causing swelling when the tendons and ligament are affected it is called sayugata vata
PATHOLOGY -vata gets aggravated due to strain, repetitive wrist use, aging, or cold exposure -kapha and ama (toxins due to weak digestion) block the small channels -the result= stiffness, swelling, restricted motion, and pain
TREATMENT GOALS -reduce inflammation and swellig -relieve pain and restore joint function -paicfy aggravated vata and kapha doshas -improve circulation and nourishment to tendons -prevent recurrence by correcting diet and lifestyle
EXTERNAL TREATMENT
1) OIL MASSAGE= KOTTAMCHUKADI TAILA -warm a tsp of oil and gently massage the affected wrist and thumb base for 10-15 mi -followed by warm towel compress or mild steam =improves local circulation, removes stiffness, nourishes tendons, reduces vata
2) HERBAL PASTE= KOTTMCHUKADI CHURNA -mix with warm dhanyamla fermented herbal liquid or castor oil into a soft paste =apply a warm layer on the swollen area keep 20-30 min, wash off with lukewarm water =draws out inflammation , reduces local pain ad edema, improves flexibility
ALTERNATIVE IF KOTTAMCHUKADI UNAVAILABLE Nirgundi patra Churna or rasnadi Churna paste
After massage a light cotton wrap can be used for gentle support avoid tight compression
INTERNAL MEDICATIONS
1) YOGARAJ GUGGULU= 1 tab twice daily after meals with warm water for 8 weeks =classic anti vata kapha formulation, reduces stiffness, improves joint function
2)DASHMOOLA KASHAYA= 15ml with warm water before meals for 6 weeks = anti inflamatory, relieves pain, pacifies vata in musculoskeletal system
3) SIMHANADA GUGGULU= 1 tab twice daily after meals for 6 weeks = detoxifying, removes ama and stiffness
4) CASTOR OIL= 1 tsp in warm milk at bedtime 2-3 nights per weeks for 3 weeks = mild purgation, cleanses vata from lower channels, relieves pain
5) GANDHA TAILA CAPSULE= 1 cap twice daily after meals for 6weeks = strengthens joints and ligaments
DIET AND LIFESTYLE -cooked vegetables = bottle gourd, pumpkin, drumstick, psinach -spices= drylinger, turmeric, ajwain, cumin -soups= green gram , vegetables broth with ghee -fluids warm water or ginger tulsi tea -healthy fats- small amounts of ghee or sesame oil in fod
AVOID -cold foods/driks, ice creams -excess sour, salty, fried, or heavy foods -repetitive wrist strain, lifting heavy objects -sleeping during daytime -cold exposure directly to wrist
GENTLE MOVEMENTS -wrist rotations- slow, within comfort range -namaste stretch and reverse namaste stretch -finger flex exercise with soft ball squeezing
ASANAS (once pain improves) -tadasana= improves posture and circulation -bharadvajasana= mild twist for shoulder arm alignment -gomukhasana arm stretch= ope wrist and shoulder line
PRANAYAM -Anulom vilom= balances vata -bhramari=reduces stress and pain perception -deep abdominal breathing= improves oxygenation and healing
HOME REMEDIES -Turmeric + milk =once daily anti inflammatory -castor oil pack= soak a cloth In warm oil place on wrist, cover with cotton wrap 20 min -fenugreek paste= make paste from soaked seeds apply over swelling 15-20 min daily -epsom salt soak= mix 2 tbsp in warm water, soak first 10 min not too hot -warm sesame oil. self massage before bed for 5 min
Wrist pain with swelling and reduced grip strength arises primarily from vata-kapha imbalance aggravated by strain, cold, and improper lifestyle. Ayurveda aims not only to relieve pain but to restore balance, strengthen ligaments, and prevent recurrence through holistic correction
Consistency is key. usually visible improvement is expected within 3-4 weeks with near complete relief in 6-8 weeks if managed well
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Hello Marlies Start with Trayodashang guggul 1-0-1 after food with water Divya Pidantak vati 1-0-1 after food with water Apply Pidantak oil on affected area twice daily Avoid sour fermented foods.
For pain and swelling in the wrist, ayurvedic treatment focuses on reducing inflammation and balancing Vata dosha, which is often involved in joint pain and stiffness. While Kottamchukkadi Churnam is indeed effective, let’s explore some options that you might access easily in Germany.
Start with applying warm sesame oil to the affected area. Massage gentle with circular motions, twice a day. Sesame oil is warming and soothing, providing relief from pain and promoting blood circulation. After massaging, a warm compress can additionally help to reduce swelling and pain. Use a clean cloth soaked in warm water, wrap it around your wrist for about 10-15 minutes.
You might consider using castor oil, another potent anti-inflammatory. Warm it slightly and apply similar to sesame oil before bed. Ensure you cover the wrist to keep it warm and avoid drafts. Dietary adjustments can support healing as well — consume warm, cooked foods and light soups. Avoiding cold, raw foods can help to pacify Vata.
Internally, try Turmeric with a pinch of black pepper with warm water or milk. Turmeric has anti-inflammatory properties, aiding in reducing pain and swelling.
Additionally, practice wrist exercises and stretches under the guidance of a physical therapist to maintain mobility and strengthen the muscles, promoting healing without strain. Ensure you avoid activities that increase the pain or swelling.
If symptons persist or worsen, seek immediate medical attention. Pain and swelling could indicate a larger issue at play, like tendinitis or a fracture, requiring professional intervention. Timely medical assessment ensures you’re receiving the right care instead of self-medication alone.
Before using any herbs or preparation, check with a local ayurvedic practitioner or healthcare provider to ensure they align with your unique body constitution and any ongoing conditions.
Your symptoms suggest an imbalance, likely involving the vata dosha, affecting your wrist and thumb area. The pain and swelling could be linked to joint inflammation or an overuse injury. Immediate relief can sometimes be achieved through local treatments, though persistent issues may require deeper investigation. Purchasing Kottamchukkadi churnam is one option, though let’s consider some home-based approaches that align with Siddha-Ayurvedic practices and might be more accessible for you in Germany.
Firstly, topical application of warm oil, such as a mixture of sesame oil with a pinch of turmeric and ginger powder, can help. Apply the oil gently on the affected area twice a day. The warmth and anti-inflammatory properties can soothe pain and reduce swelling.
Additionally, consider preparing a simple decoction of ginger and tulsi (holy basil) once a day. Boil these with water, strain, and sip warm. Ginger and tulsi are known to balance vata and reduce inflammation.
Internally, consuming cooked meals with warming spices such as turmeric, cumin, and coriander will be beneficial. These help enhance the agni, thereby promoting healing and reducing inflammation. Avoid consumption of cold foods and drinks, as these can exacerbate vata imbalance.
If pain persists or worsens, it’s advisable to consult a healthcare professional to rule out possible fractures or serious conditions needing prompt attention. Ayurvedic treatments can complement, but shouldn’t replace, necessary medical intervention. If seeking Ayurvedic treatments directly, look for qualified practitioners closer to you to ensure care that’s both safe and suitable.
HELLO,
AYURVEDIC VIEW -PROBABLE DIAGNOSIS= manibandha sandhigata vata (vata aggravation in wrist joint)
PATHOGENESIS -overuse,strain or cold exposure-> vata aggravation-> accumulation in wrist-> pain, stiffness, swelling, and restricted movement -Kapha association may cause swelling
MANAGEMENT PLAN
1) AVOID AGGRAVATING FACTORS -Avoid cold exposure, repetitive wrist strain, carrying heavy objects, and fasting -keep wrist warm and rested
2) INTERNALMEDICATIONS
-DASHMOOLA KASHAYA= 20 ml + equal water twice daily after meals =anti inflamatory pacifies vata
-YOGARAJ GUGGULU= 2 tabs twice daily after meals for joint pain and swelling
-ERANDA TAILA= 1 tsp with warm milk twice weekly mild laxative to reduce vata
-SHALLAKI CAPSULES= 1 cap twice daily =pain relief and anti inflammatory
EXTERNAL THERAPIES
1) KOTTAMCHUKADI CHURNA + WARM SESAME OIL-> Make paste->< apply as poultice on the wrist twice daily
2) OIL MASSAGE= DHANWAANTARAM TAILA -followed by mild heat therapy
DIET -warm, oily, nourishing foods- ghee, sesame oil, soups -herbal teas with ginger, turmeric, dashmoola -gentle wrist movement after warmth application
AVOID -cold, dry foods, exposure to cold wind -excess use of wrist, lifting heavy objects, skipping meals
THANK YOU
DR. HEMANSHU MEHTA
