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Orthopedic Disorders
Question #44427
85 days ago
577

Seeking Advice for Mother's Lower Back Pain and Weight Gain - #44427

Client_1604b9

Hi my self Chaitra My mother has problem of lower back pain and weight gain as she has H/o diabetic since 15 year S/o hysterectomy 11 yearr back And also she has tennis elbow plz give me suggestions my father also has knee arthritis since 15 year

How long has your mother been experiencing lower back pain?:

- More than 6 months

What is the severity of her back pain?:

- Severe

Has she made any changes to her diet or exercise routine recently?:

- No changes
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Doctors' responses

HELLO !!!

Your mother’s lower back pain, weight gain, diabetes, hysterectomy history and tennis elbow are all connected. Because she has been diabetic for many years, her muscles, joints and nerves become weaker, and after hysterectomy, the hormonal support for bones and joints reduces, causing stiffness and inflammation.

At the same time, weight gain puts extra pressure on the lower back, knees and elbow. That’s why her back pain is severe and the elbow hasn’t healed. With the right routine, medicines and gentle exercises, she can feel much better, reduce pain and improve mobility. This plan is fully safe for diabetic patients.

⭐ Internal Medicines : (All for 30 days unless mentioned otherwise) 1. Ama Pachana (first 7 days) Amapachana Vati – 2 tablets twice daily after food for 7 days 2. For Lower Back Pain + Diabetes-friendly Strength Rasnadi Kashayam – 15 ml with equal warm water twice daily before food Yograj Guggulu – 1 tablet twice daily after food Dhanwantharam 101 Capsule – 1 capsule at night after dinner

3. For Tennis Elbow Pain Gandharvahastadi Kashayam Tablet – 1 tablet at night for 15 days Shallaki (Boswellia) tablet – 1 tablet twice daily

4. For Weight Balance + Diabetes Nishamalaki tablet – 1 tablet twice daily before meals Triphala Churna – ½ teaspoon at night with warm water

⭐ External Treatments (can be done at home) For Lower Back Pain Apply warm Mahanarayana Taila on the lower back daily evening After applying, place a hot water bag for 10–15 minutes For Tennis Elbow Apply Murivenna Oil twice daily Use an elbow support band during work

⭐ Exercises She MUST Do (10–12 min daily) (Only slow movements, no strain) For Lower Back Cat–Cow stretch (Marjariasana) – 1–2 minutes Child’s pose (Shishuasana) – 2 minutes Pelvic tilts – 10 repetitions Simple lying leg raises (only 30°) – 10 reps For Tennis Elbow Wrist flexor stretch – 30 sec × 2 Wrist extensor stretch – 30 sec × 2 Ice massage for 5 minutes at night

⭐ Investigations (important for her age) HbA1c (diabetes control) Vitamin D Vitamin B12 ESR / CRP (inflammation) Thyroid profile (if weight is increasing quickly)

⭐ Do’s & Don’ts Do’s ✔ Warm water only ✔ Early dinner ✔ Light walk 20 minutes daily ✔ Add 1 teaspoon ghee in lunch (good for back pain & joints) ✔ Use elbow support during household work

Don’ts ✘ No sitting on soft sofa or floor ✘ No lifting weight ✘ No cold foods, cold water or refrigerated food ✘ Avoid squatting (putting pressure on knees & back)

⭐ For Your Father (Knee Arthritis) Simple, safe & effective: Internal: Trayodashang Guggulu – 1 tablet twice daily Shallaki tablet – 1 twice daily

External: Apply Mahanarayana Taila to knees Then use hot water bag for 10 minutes Exercises: Supported wall squats (light) Straight leg raise Quadriceps strengthening

⭐ ❤️ Your mother can definitely feel better her pain can reduce, movement can improve, and energy can come back with this routine. Nothing here is heavy, nothing unsafe for diabetes, and everything is designed so she can follow it easily at home.

Your father’s knee pain is also manageable with simple Ayurvedic support and daily strengthening.

I’m here to guide you both anytime.

🌼 Warm regards, Dr. Karthika

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Start with Laxadi guggul 1-0-1 after food with water Mahavatvidhvansh vati 1-0-1 after food with water Divya Pidantak vati 1-0-1 after food with water Apply Pidantak oil on pain areas twice daily.

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Start with Mahayogaraja Guggulu Tab 2 bd Rasanaerandadhi kwatham 20 ml twice a day after food If possible visit near by panchakarma centre and take some panchakarma procedures

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Trayodashanga guggulu 1-0-1 Peedantaka vati 1-0-1 Dashamoola aristha 4 tsp with equal amount of water after meals Mahanarayana taila gentle massage to be done over back Do not bend suddenly Do not lift heavy weight Daily walking atleast 10 minutes daily

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Hello​‍​‌‍​‍‌​‍​‌‍​‍‌ Chaitra I appreciate the information about your parents that you have given me. Your mother is suffering from severe lower back pain, weight gain, diabetes, a past of hysterectomy, and tennis elbow, and your father has chronic knee arthritis

✅ PANCHAKARMA THERAPY

A. Kati Basti – 7 days It is a special treatment to relieve the lower back pain, disc compression, Vata pain.

B. Patra Pinda Sweda (leaf bundle massage) – 7–14 days Slowly this will bring loss of stiffness, and the blood flow will improve.

C. Basti treatment (7 days minimum) The main cause of chronic back pain + diabetes-related dryness can be resolved with this most effective treatment.

D. For tennis elbow: Tila taila local massage + hot fomentation

These treatments provide 60–80% relief within 2–3 weeks and should be carried out at a nearby panchakarma center

✅ INTERNAL MEDICATION

👉Back Pain & Vata: Dashamoolaristha 15 ml twice daily Yogaraj Guggul – 1 tab twice daily Mahanarayana Taila – local massage daily

👉Weight & Diabetes: Nishamalaki Churna – 1 tsp daily with warm water Triphala churna 1 tsp at bedtime Methi (fenugreek) seeds water daily

👉Tennis Elbow: Gandha taila capsules (for bone & tendon strength) 1-0-1 after food Maha Narayana taila external massage

✅ DIET MODIFICATION Very important in the case of weight and pain.

👉Include: Warm freshly cooked food Steamed vegetables Thin buttermilk with jeera Moong dal + rice Methi sabji Turmeric + black pepper in food Warm water (avoid cold)

❌Avoid: Bakery items Fried food Excess rice at night Curd Cold drinks Sugar & packaged snacks

✅ Lifestyle & Home Remedies

For Back Pain: Hot water bag over lower back 10 min daily Gentle stretching: cat-cow, knee-to-chest (avoid forward bending) Avoid sitting on the floor, soft beds, or long bike rides

I hope these suggestions are helpful to you and your parents. Do not hesitate to contact me again if you have further questions.

Warm Regards Dr Snehal ​‍​‌‍​‍‌​‍​‌‍​‍‌Vidhate

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HELLO,

Your mother has -chronic lower back pain -weight gain -long standing diabetes -tennis elbow -history of hysterctomy which increases vata after menopause

All these are connected

1)LOWER BACK PAIN WHY DOES SHE HAVE BACK PAIN? -Afterhysterctomy, vata dosha naturally increases-> dryness, stiffness, pain -Diabetes for many ears weakens nerves and circulation-> more pain -Weight gain puts pressure on lower spine -Age related disc degenration

Ayurvedic view -This is vata +kapha disorder where dryness + stiffness + weak muscles leads to chronic pain

TREATMENT GOALS -reduce pain and stiffness -increase lubrication of joints -strengthens spinal muscles -reduce body weight -improve nerve function (since diabetes affects nerves) -balance vata (major cause)

INTERNAL MEDICATIONS

1) YOGARAJ GUGGULU= 1 tab twice daily after meals for 3 months =reduces vata, pain, stiffness, improves metabolism

2) RASNA SAPTAKAM KASHAYA= 15ml + equal water twice daily after meals for 2 months =very effective for chronic lower back pain and inflamamtion

3) DASHMOOLARISHTA= 20 ml + equal water twice daily before meals for 2 moths =strengthens nerves and reduces inflammation

4) KSHEERBALA 101 CAPSULES= 1 cap at night for 4 weeks =nourishes nerves and lubricates joints

EXTERNAL TREATMENT

1) DAILY OIL MASSAGE= MAHANARAYAN TAILA -deep lubrication reduces vata dryness-> less pain, more flexibility

2) HOT FOMENTATION -hot water bag/ steam for 10 min after massage

PANCHAKARMA (HIGHLY RECOMMENDED) A 7-14 days plan -kati basti= oil pooling on lower back -patra pinda sweda= warm herbal leaf bundle massage -Basti therapy = this is the best treatment for vata disorder -Abhyanga + steam

2) WEIGHT GAIN + DIABETES (15 YEARS)

WHY WEIGHT INCREASES IN DIABETIC PATEINTS? -slow metabolism -insulin imbalance -hormonal changes after hysterectomy -low physical activity due to Pai

AYURVEDIC VIEW -kapha + meda increase -agni (digestive fire) becomes weak -vata imbalance increases cravings for sweet and salty foods

TREATMENT GOALS -improve metabolism -reduces excess fat -controls sugar levels -improve insulin sensitivty -reduce cravings

INTERNAL MEDICATIONS

1) NISHAKATHAKADI KASHAYA= 15ml twice daily before meals =regulates blood sugar

2) MEDOHARA GUGGULU= 1 tab twice daily after meals =fat burning, improves metabolism

3) TRIPHALA CHURNA= 1 tsp at bedtime with warm water =cleanses digestive tract, reduces weight, regulates bowel movement

4) VIJAYSAR POWDER= 1/2 tsp before breakfast with warm water =good for insulin resistance

3) TENNIS ELBOW -Strain of the tendon where forearm muscles attach -due to repetitive movements or sudden strain -worse in diabetic patient due to slow healing

INTERNALLY -KAISHOR GUGGULU= 2 tabs twice daily after meals =reduces inflamamtion

-PUNARNAVA GUGGULU= 2 tabs twice daily after meals = reduces swelling

EXTERNAL CARE -warm oil massage =mahanarayan taila -hot fomentation -avoid lifting heavy objects -use elbow strap if needed

B) YOUR FATHER’S KNEE ARTHRITIS -vata increases inside joints-> cartilage wear + pain -diabetics and elders have weak joint lubrication

INTERNAL MEDICATIONS

1) MAHAYOGARAJ GUGGULU= 1 tab twice daily after meals

2) RASHNADI KAHSAAYA= 20 ml + equal water twice daily before meals

3)SHALLAKI CAPSULES= 1 cap twice daily after meals

EXTERALLY -warm oil massage= mahanarayan taila -hot fomentation -janu basti (very effective)

COMMON LIFESTYLE CHANGES FOR BOTH PARENTS -do not sit on the floor -avoid soft mattresses -avoid cold foods, cold weather, AC air on the back -eat warm, cooked, light foods -walk daily 10-20 min -avoid long sitting; stand/walk every 40 min -sleep by 10-10:30 pm -avoid daytime sleeping -drink warm water only

YOGA FOR YOUR MOTHER -cat cow stretch= lubricates spine -bhujangasana= strengthens back -setu bandhasana= helps spine and weight -vajrasana= improves digestion -supine leg raises

AVOID -forward bending -heavy lifts

PRANAYAM -Anulom vilom= balances vata -bhramari= pain relief -deep diaphragmatic breathing

FOR FATHER -knee strengthening exercises -leg raises -quadriceps strengthening -gentlestretching -avoid squatting/ sitting cross legged

DIET -warm foods -Millets=ragi, foxtail, little millet -Vegetables= bottle gourd, ridge gourd, snake gourd, bitter gourd -Methi seeds soaked -turmeric with black pepper -dal soups -steamed vegetables

AVOID -sweets, biscuits, bakery -white rice, maida fooods -curd at night -cold drinks -fried food -red meat -excess bananas/ potatoes

HOME REMEDIES

FOR BACK PAIN -warm sesame oil massage -1 tsp castor oil twice weekly if no loose stool -turmeric + dry ginger tea

FOR DIABETES -bitter gourd juice 30 ml -methi seeds 1/2 tsp soaked -cinnamon tea

FOR TENIS ELBOW -warm oil + hot pack -gentle stretching

Your mother’s and father’s problems are manageable, but requires a combined approach -ayurevdic medicines -panchakarma -pain reducing external treatments -diet corrections -gentle yoga

With consistent treatment, pain can reduce by 60-80% weight can gradually come down, and daily life will become more comfortable

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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✔️ Do ✔️ Drink buttermilk Shift to millet roti Dinner at 7.30 or 8 100 steps daily after both meals Best to have lunch at 11.30-12 and dinner at 7.30-8 Fast for atleast 14 hours daily. You can have buttermilk, black tea, green tea, black coffee.

🧘‍♀️ Yoga 🧘‍♀️ Tadasan Vrukshasan Pashimotanasan Virbhadrasan Marjarasan Hastapadanasan Dhanurasan Halasan Suryanamaskar 5 atleast

🧘‍♀️ Pranayam 🧘‍♀️ Anilom Vilom Bhasrika Bhramari Kapalbhati

❌Don’t❌ Anything white like wheat, refined flour, sugar, salt, potato, sweet potato Oily food Packed food Processed food Ready to eat food Dairy products

💊 Medication 💊

For weight Loss

Tab. Ampachak Vati 2 tabs twice a day before food Cap. Decrine 2 caps twice a day before food Tab. Rasapachak vati 2 tabs twice a day before food

Cap. Garcinin 2 caps after food twice a day

Castor oil 1 cup water + ¼ tsp dry ginger powder boil to ½ cup and take 3 tsp castor oil at bed time

For pain

Cap. Arnopen 2 caps twice a day before food Cap. Palsinuron 2 caps twice a day before food Tab. Asthiposhak Vati 1 tabs twice a day before food

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Take rasandi Guggulu 1tab bd, mahayoga Guggulu gold 1tab bd, Yogendra ras 1tab bd, rasansapthaka kashyam 20ml

Dr RC BAMS MS

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Hello Chaitra, Your mother’s history of long-standing diabetes (15 years), post-hysterectomy status, chronic lower back pain, weight gain, and tennis elbow suggests a combination of Vata imbalance, weakening of bones/muscles post-menopause, reduced metabolism due to diabetes, and repetitive strain injury in the elbow.

Chronic diabetes also slows tissue healing, increases stiffness, and causes early degeneration of joints and spine, which explains her persistent lower back pain.

Your father’s 15-year history of knee arthritis indicates advanced Vata aggravation, cartilage thinning, and chronic inflammation.

🔎 Recommended Investigations (If not done in the last 3–6 months) For Mother 1. HbA1c, Fasting & PP Sugar – diabetes control assessment 2. Vitamin D3 & Calcium – low levels worsen back & joint pain 3. Lipid Profile – weight gain + diabetes risk 4. Lumbosacral Spine X-ray – to rule out disc degeneration 5. Uric Acid – sometimes high in diabetes patients

For Father 1. X-ray – Both Knees (AP & Lateral) – arthritis grading 2. Vitamin D3 & Calcium levels 3. ESR & CRP – inflammation check

💊 Internal Medicines For Mother – Lower Back Pain + Weight Gain + Diabetes + Tennis Elbow

Phase 1 – 15 days (Pain relief + Vata balance + Metabolism activation)

1. Yogaraja Guggulu – 1 tab twice daily after meals 2. Dashmoola Kwath – 10 ml with 20 ml warm water before food twice daily 3. Nirgundi Ghana / Nirgundi Vati – 1 tab twice daily (excellent for tennis elbow) 4. Arogyavardhini Vati – 1 tab twice daily after meals (supports liver + metabolism)

Phase 2 – 45 days (Strengthening + Weight correction + Sugar regulation) 1. Triphala Guggulu – 1 tab morning & night after food 2. Shallaki plus – 1 tab twice daily 3. Guduchi Ghana / Giloy Vati – 1 tab twice daily after food 4. Mahanarayan Taila capsules– 1 cap at bedtime (strengthens spine & joints)

For Father – Knee Arthritis (15 years) Phase 1 – 15 days (Pain + inflammation control) 1. Mahayograj Guggulu – 1 tab twice daily after meals 2. Shallaki + Guggulu – 1 tab twice daily after food 3. Rasnadi Kwath – 10 ml twice daily with 20ml of warm water before food 4. Punarnava Mandur – 1 tab twice daily for swelling & stiffness

Phase 2 – 45 days (Cartilage support + Vata pacification) 1. Lakshadi Guggulu – 1 tab twice daily after food(bone strengthening) 2. Ksheerabala 101 capsules – 1 cap at bedtime (excellent for chronic Vata) 3. Maharasnadi Kwath – 10 ml with 20ml of warm water before food twice daily 4. Ashwagandha Churna – ½ tsp with warm milk at night (muscle strengthening)

🌿 External & Supportive Therapies For Mother 1. Warm oil massage with Mahanarayan / Dhanwantharam oil on back & elbow – daily 2. Hot fomentation for 10 minutes after oil massage 3. Tennis elbow strap during activities 4. Avoid lifting heavy objects 5. Posture correction – avoid long bending or sitting 6. Castor oil 2–3 drops in the navel at bedtime for Vata balance For Father 1. Mahanarayan or Murivenna oil massage on knees twice daily 2. Mild hot water bag (never too hot) 3. Avoid staircase climbing 4. Use knee cap during walking 5. Walk on even surfaces only

🥗 Diet & Lifestyle Recommendations ❌ Avoid (For both parents) 1. Cold foods, refrigerated water 2. Heavy fried foods, bakery, sweets (especially mother) 3. Long sitting without movement 4. Sleeping immediately after meals 5. Excess tea/coffee

✅ Include 1. Warm, light, Vata-balancing meals 2. 1 tsp cow ghee daily (lubricates joints) 3. Turmeric milk at night 4. Lentil soups, vegetable soups, khichdi 5. Fenugreek (methi) seeds — 1 tsp soaked overnight – for mother (diabetes) 6. Drumstick soup, beetroot, spinach – for joint health 7. Adequate hydration

🧘🏻‍♂️ Yoga & Exercises For Mother – Lower Back + Diabetes + Elbow * Cat–Cow stretch * Bhujangasana (cobra) * Shashankasana (child pose) * Pelvic tilt exercise * Wall-supported squats (slow)

For tennis elbow: * Wrist extensor stretch * Forearm strengthening with 500 ml water bottle

For Father – Knee Arthritis * Quadriceps strengthening * Straight leg raises – 10 reps × 2 * Hamstring stretch * Calf stretch * Avoid squatting & sitting on floor

🕉️ Follow-up & Duration * Mother’s back & elbow pain will reduce in 10–14 days * Weight & metabolism improvement in 4–6 weeks * Father’s knee stiffness improves in 2–3 weeks * Long-term strengthening requires 8–12 weeks

✨ With consistent Ayurvedic support, correction of Vata, and gentle strengthening, both your parents can experience significant pain relief, better mobility, and improved quality of life.

With kind regards, Dr. Sumi MS(Ayu)

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For Mother 1 Maharasnadi Kwath – 20 ml + 60 ml warm water morning empty stomach 2 Yogaraja Guggulu – 2 tablets morning + 2 tablets night after food 3 Varunadi Kashayam – 20 ml + 60 ml water evening 4 Tab Shallaki – 1 tablet twice daily 5 BGR-34 OR Madhunashini Vati – 2 tablets twice daily 30 min before meals (for sugar)

For Father (knee arthritis) Same 1, 2 & as mother + Tab Shallaki 600mg – 1 tablet morning + night

Common External Oil application for Both Warm Mahamasha Taila + Dhanwantaram Taila (1:1) → local massage on lower back, elbow & knees nightly → hot fomentation 10 min → daily

Diet (both follow 100 %) Breakfast: 2 moong-dal chilla OR vegetable oats + green tea Lunch: 50 g brown rice OR 2 jowar rotis + moong dal + lauki/karela + 1 tsp ghee Dinner before 7 PM: vegetable soup OR light khichdi Daily: 1 tsp methi powder in dough/water + 200 ml karela-amla juice

Lifestyle 30–40 min morning walk (both) Mother: avoid forward bending & lifting Father: knee rotation exercises + quadriceps strengthening

Regards Dr Gursimran Jeet Singh MD Panchakarma

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Your mother’s symptoms all are interconnected to long standing diabetes post hysterectomy harmonal weakness and vata imbalance She can start Yograj guggulu 1 BD KSHEERABALA 101 capsule 1 at night Punarnava mandura 1 tab BD Triphala churna 1 tsp at bedtime Dashamoola aristha 15 ml BD with water Dhanwantaram taila - gentle massage to be done

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You should start with Mahanarayana tail warm oil massage Rasnadi kwath 15 ml empty stomach Ekangveer ras 1-0-1

Avoid oily and spicy food

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For mother 1. Medohar guggul 1BD AF 2. Panchtika ghrut guggul 1BD AF 3. Tab shallaki plus 1 TID 4. Rhumalyan liniment for local application.

For father

1. Simhanad guggul 2BD AF 2. Tab shallaki 1 TID AF 3. Tab rhumayog gold 1OD 4. Sizzel oil for local application These will take care of your issues Dr Akshay negi MD PANCHAKARMA

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Addressing your mother’s lower back pain and weight gain requires a multifaceted approach. Given her history of diabetes, post-hysterectomy status, and musculoskeletal concerns like tennis elbow, balancing her doshas, particularly vata and kapha, is crucial.

For her lower back pain, gentle exercises such as yoga can help stabilize the spine and improve flexibility. Asanas like Bhujangasana (Cobra Pose) and Shalabhasana (Locust Pose) can be beneficial. She should practice these consistently but gently, listening to her body’s limits. Applying warm Mahanarayana Taila followed by a mild hot compress can soothe vata aggravation in the back region.

Weight management is important. Her diet should focus on controlling kapha. Encourage her to eat lighter, freshly cooked meals. Start the day with warm lemon water to stimulate agni. Incorporate more dals (like moong dal), cooked vegetables, and whole grains such as barley and oats. Avoid processed foods, excessive oils, and sugars which can imbalance kapha and pitta. Consider including spices like turmeric, cumin, and ginger which aid digestion and help in weight control.

For managing diabetes, Ayurveda emphasizes balancing meals with low-glycemic foods. Fenugreek seeds soaked overnight in water, drinking the water on an empty stomach, may help control blood sugar levels.

Regarding tennis elbow, recommend local application of a paste made from turmeric and neem leaves in equal parts. Applying this paste to aggravated areas can help reduce inflammation and pain.

Your father’s knee arthritis can be aided by ayurvedic therapies like Janu Basti (warm oil treatment) or Rasnasaptakam Kashayam, giving anti-inflammatory benefits, under professional guidance.

Encourage both parents to engage in regular, gentle physical activity—like walking for 30 minutes daily. Always ensure consultations with healthcare professionals to tailor these suggestions to personal medical needs and contraindications.

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Hi chiatra this is Dr soukhya… There are no of reasons for back pain maa…so can you kindly share reports of you have related to your problem…so that I can know properly before giving any medicine…

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