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Orthopedic Disorders
Question #42731
93 days ago
530

Seeking Ayurvedic Remedies for Knee OA and Hip Pain - #42731

Client_ac9137

Iam having begining stage of kneeOA3 and Recently I am suffering from pain from hip to leg pain while walking.As per lumbar mriIam havingmild disc bulgein l4 and l5 and report says that mild bilateral neural foraminal narrowing l4 l5. Please suggest me which ayurveda medicine helps for this condition.

How long have you been experiencing knee and hip pain?:

- 1-6 months

What activities increase your pain?:

- Climbing stairs

Have you tried any treatments for your knee or hip pain?:

- Yes, physical therapy
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Doctors' responses

Hello Thanks​‍​‌‍​‍‌​‍​‌‍​‍‌ for sharing your concerns. The combination of your symptoms and signs, that is early-stage Knee Osteoarthritis (OA), pain radiating from the hip to the leg on walking, and MRI showing L4–L5 disc bulge with mild bilateral neural foraminal narrowing, collectively point towards a Vata-pradhana musculoskeletal + neurological disorder.

✅ UNDERSTANDING YOUR CONDITION

1. L4–L5 Disc Bulge + Foraminal Narrowing (Sciatica origin) The lumbar vertebrae are the main body weight carriers. The nerve that exits at L4–L5 is compressed due to: Disc bulge Muscles that are too tight Neural foramina narrowing

This leads to: The pain pathway that follows lower back → hip → thigh → leg Walking increasing the pain Difficulty of stair climbing Also numbness or tingling sometimes This is a classic case of Vata aggravation deep in asthi–majja dhatu.

2. Beginning stage Knee OA Wear of knee cartilage leads to reduction of the joint space and Vata is the one that occupies the empty space. Symptoms: Stiffness Pain when going up stairs Crackling sound Difficulty in standing for a long time

✅AYURVEDIC PLAN OF TREATMENT

1. Yograj Guggulu 1-0-1 after meals Reduces joint stiffness Relieves inflammatory Vāta Works well in early OA

2 Dashmoolaristha 20 ml with 40 ml warm water, twice daily Help a lot in sciatica Releases very deep Vāta

3 Brihat Vat Chintamani Rasa 1 tablet once daily with honey Helps the nerves to be strong again Gets rid of numbness, weakness

4 Asthimitra vati 1 tab at bedtime Helps the cartilage to become strong again Nourishes bone and ligaments

✅EXTERNAL LOCAL APPLICATION

1. Oil Massage (Abhyanga) Daily Gently rub with warm oil: Mahanarayana Taila (best for nerve compression) 10–15 minutes massage on: Lower back Hip Both legs Knee joint Follow it up with hot fomentation (hot water bag) for 5–7 minutes. This mix is very effective in pain and nerve spasm relief.

✅PANCHAKARMA THERAPY

The detox methods like panchakarma can give you very good results that are much better than taking medicines if you have an Ayurvedic Panchakarma centre nearby.

1. Kati Basti (For L4–L5 Disc bulge – Best Treatment) The heating medicated oil is held on the lower back Good effects: Helping to reduce nerve irritation Giving nutrition to the discs

2. Janu Basti (For knee OA) Warm oil is poured on the knees Reduces the stiffness Lubricates the joint better

3. Patra Pinda Sweda Hot herbal leaf bolus or powder bolus for steaming. Muscle spasm is reduced The recovery will be 60–70% faster with these.

✅DIET AND LIFESTYLE MODIFICATION

❌Don’t do these Going up the stairs a lot Sitting cross-legged on the floor Squatting Keeping standing for a long time or sitting for a long time Being exposed to cold air Dry foods (increasing Vāta)

✅Eat these: Warm and fresh meals 1 teaspoon of ghee per day Turmeric + milk at night Garlic in food (joint support) Moringa (drumstick), sesame seeds Ragi once in a while; avoid bajra

With consistent treatment, panchakarma therapy you will definitely feel reduction in pain and increase in stability and strength of lower back and knee

Wishing you a good health😊

Warm. regards Dr Snehal Vidhate ​‍​‌‍​‍‌​

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Avoid sour, fermented and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Cap Stresscom 1-0-1 Tab.Parijat 2-0-2 Cap Spondylon 2-0-2 Follow up after 2 weeks.

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Don’t worry take mahayoga Guggulu gold 1tab bd, rasansapthaka kashyam 20ml bd,vata gakakusha ras 1tab bd, chaturmukh ras 1tab bd, makaradwaja 1tab bd , narayana tail external application u ll get relief

Dr RC BAMS MS AYU

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1. Gandharvahasthadi kashaya 15ml + 45ml lukewarm water twice daily half an hour before food. 2. Lumbaton capsule 1-0-1 after food. 3. Yogaraja guggulu 1-0-1 with kashaya 4. Sahacharadi tailam for external application.

Continue leg exercises. Do cobra pose for spine strengthening.

Bath in warm water.

Follow up after 2 weeks Take care, Dr. Shaniba

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NAMASTE, I recommend the following treatment plan for you- 1. Trayodashanga guggulu-1-1-1 after meals ( crush this tablet into 2-3 parts for better absorption) 2. Ekangveer Ras 2-0-2 after meals 3. Mahanarayan tel- Apply on back and joints.

Diet- . Include ginger, asafoetida, Fenugreek, turmeric, garlic, drumstick,ghee,milk in diet. . Avoid peas, cauliflower , capsicum,kalay daal.

Yoga and exercises- .Ankle rotation,cat-cow pose ,flexion- extension of knee joint.

Lifestyle modifications - . Reduce climbing stairs and sitting crosslegged onthe floor. . Avoid soft matress for sleeping. . Maintain good posture while sitting. . Sleep to the left, don’t sleep in supine position all night.

Follow these and you will get relief. REVIEW AFTER 1 MONTH. Take care Regards, Dr. Anupriya

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For your condition involving early-stage knee osteoarthritis and lumbar disc issues leading to hip and leg pain, Ayurveda emphasizes balancing the doshas, particularly Vata, which tends to increase with age and can exacerbate joint and nerve problems. Begin by addressing Vata imbalance through diet, herbs, and lifestyle modifications. You might consider these steps and remedies:

1. Diet and Nutrition: Focusing on warm, nourishing foods can help pacify Vata. Incorporate foods like cooked vegetables, soups, stews, and whole grains. Using spices like ginger, turmeric, and ashwagandha in your meals can offer additional support due to their anti-inflammatory and Vata-pacifying properties. Reduce or avoid raw foods, cold drinks, and processed items.

2. Herbal Remedies: Ashwagandha and Shallaki (Boswellia) are renowned in Ayurveda for supporting joint health. Ashwagandha can be taken in powder or capsule form, about 1 teaspoon twice a day after meals. Shallaki, available as capsules, also taken twice daily, can further reduce inflammation and pain.

3. External Applications: For pain relief, use herbal oils like Mahanarayana taila for gentle massage around the knee and hip areas. Warm the oil slightly before application to enhance its absorption and effectiveness. Regular massage can improve blood flow and alleviate pain.

4. Panchakarma Therapy: If you have access to a qualified Ayurvedic practitioner, therapies like Basti (medicated enemas) can specifically help in reducing Vata imbalance in the lower back region. It involves the administration of herbal oils or decoctions and should be performed under specialist supervision.

5. Yoga and Exercise: Gentle stretching exercises and yoga postures such as Trikonasana and Tadasana can help maintain flexibility without straining the joints and spine. Ensure these are done under guidance to prevent worsening the condition.

Consult a qualified Ayurvedic physician for a personalized approach, especially if considering Panchakarma or specific herbal formulations, as individual needs may vary and contraindications might exist based on your comprehensive health status.

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