Seeking Relief for Spinal and Joint Pain in Elderly - #45079

Avoid sour, fermented and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Cap.Stresscom 1-0-1 Rasnasaptak Kashayam tab 1-0-1 CapG T 1-0-1 Follow up after 2 weeks.

Hi, Thanks for your question.

It may be - Lumbar spine degeneration Spinal canal narrowing (stenosis) Osteoarthritis Vitamin D/B12 deficiency Muscle weakness Nerve compression

want to see some investigation- 1) CBC, VT. B12, VT. D, CRP 2) SPINE X-RAY, MRI OF SPINE

SOME OTHER QUESTION - any stiffness in morning, and SLR( straight leg raised test) is possitive pr not? Or at what angle.

Oral treatment - 1) Hingwashtak churn 4 gm twice a day with Luke warm water before meal 2) Mahayograj gugulu 2 tab after crush twice a day with Luke warm water after meal 3) tab musculo fort 2 tab twice a day after meal 4) Dashmoolarisht 20 ml twice a day with equal amount of water after meal 5) tab mansmittra vatti 2 tab one hr before sleep at 10 pm. 6) bone granules 1 tsf with warm milk 30 minutes after dinner

Advice - Use a heating pad for 15–20 min Gentle stretching of back and legs daily Avoid bed rest for long hours — move lightly every 2 hrs

Thanks , Follow up after 15 days with proper investigation.

Start on Trayodashanga guggulu 1-0-1 Peedantaka vati 1-0-1 Dashamoola aristha 4 tsp-0-4 tsp Mahanarayana taila- light massage to be done

Hello Laila,

Thank you for explaining your condition in detail. Your long-standing spinal pain, joint and muscle stiffness, throbbing discomfort, and difficulty standing/walking indicate a Vata–Kapha imbalance, Asthi–Majja dhatu depletion, age-related degeneration (Sandhigata Vata/Osteoarthritis) and possible lumbar spondylosis. The aim of treatment will be to reduce pain and inflammation (Shothahara), strengthen bones and joints, improve mobility, and slow degenerative changes through rejuvenation (Rasayana) and gentle external therapies.

🔎 Recommended Investigations 1. X-ray or MRI of lumbar spine – to assess degeneration/nerve compression. 2. Serum Vitamin D3 & B12 – low levels worsen nerve pain & weakness. 3. Serum Calcium – to assess bone strength. 4. ESR/CRP – to check inflammation level. 5. RA factor / Anti-CCP – if morning stiffness is severe.

💊 Internal Medicines Phase 1 – 15 days (Pain Relief & Inflammation Control) 1. Yograja Guggulu – 1 tablet twice daily after meals. 2. Maha Rasnadi Kashayam – 15 ml with 30 ml warm water twice daily before meals. 3. Dashmoolarishtam – 15 ml with equal warm water after lunch & dinner.

Phase 2 – 45 days (Strengthening & Regeneration) 1. Lakshadi Guggulu – 1 tablet twice daily after food (bone strengthening). 2. Shallaki (Boswellia) capsule – 1 capsule twice daily (excellent for chronic pain). 3. Ashwagandha lehyam – 1 tsp at bedtime with warm milk (strengthens muscles & improves stamina). 4. Balarishta – 15 ml with equal warm water after dinner (reduces stiffness & improves flexibility).

🌿 External & Supportive Therapies 1. Abhyanga (oil massage) – Use Mahanarayana taila or Dhanwantharam taila – Warm oil and apply daily or at least 4 times a week – Reduces pain and improves circulation. 2. Local hot fomentation (Nadi Swedana) – Steam or hot-water bag after massage – Excellent for lumbar pain & stiffness. 3. Kati Basti (if possible at a clinic) – 7–10 sittings – Very effective for chronic back pain. 4. Gentle Foot Massage with sesame oil before sleep – Reduces nerve pain & improves sleep.

🥗 Diet & Lifestyle Recommendations ❌ Avoid: 1. Cold foods, curd at night, refrigerated items. 2. Long sitting or standing. 3. Sleeping on soft mattresses. 4. Potato, brinjal, excessive wheat (increase Vata–Kapha).

✅ Include: 1. Warm, soft, easily digestible meals (khichdi, vegetable soups). 2. Garlic, ginger, turmeric in food daily (natural anti-inflammatory). 3. 1 tsp ghee daily – lubricates joints. 4. Warm water throughout the day. 5. Dates, raisins, almonds soaked overnight for strength (3–4 pieces only).

🧘🏻‍♀️ Yoga & Gentle Movements (All movements should be slow and pain-free) 1. Chair-supported exercises: * Ankle rotation * Knee extension * Gentle neck rotation * Pelvic tilts sitting on chair 2. Back strengthening: * Cat–Cow (very slow) * Child pose (if knees allow) * Wall-assisted Tadasana 3. Pranayama: * Anulom Vilom – 5 minutes morning & evening * Bhramari – 5 rounds (reduces pain perception) * Deep diaphragmatic breathing – improves circulation 4. Walking plan: * 2–3 rounds of 50 ft walk, twice daily * Avoid pushing beyond pain limit.

🕉️ Follow-up & Duration * Recheck Vitamin D3/B12 and spine report after 6 weeks. * Pain and stiffness typically begin improving in 3–4 weeks. * Continue joint strengthening therapy for 3–6 months for stable improvement. * Avoid sudden bending, jerking, or lifting weights.

✨ With consistent joint care, warm diet, gentle movement, and Rasayana therapy, your back and joint strength can improve significantly. Pain relief is gradual but very reliable with steady follow-up.

With kind regards, Dr. Sumi MS(Ayu)

1.Mahayograj guggulu 2 tab twice daily with water after meals 2.Shallaki capsules 2 cap twice daily with water after meals 3.Ashwagandha capsules 1 cap twice daily with warm milk after meals 4.Dashmoolarishta 20 ml with 20 ml water twice daily after meals

External Activities and Therapies:

Abhyanga (Warm Oil Massage): Gentle self-massage with warm medicated oils can significantly reduce stiffness, improve circulation, and alleviate pain. Recommended Oils: Mahanarayan Thailam, Ksheerabala Thailam, or Dhanwantharam Thailam. Method: Warm the oil slightly. Gently massage the affected spinal cord area, joints, and muscles in slow, circular motions. Leave it on for 30 minutes, then wash off with warm water.

Warm Compresses/Swedana: Applying gentle heat after an oil massage (Swedana or fomentation) can further relieve muscle tension and stiffness. A warm towel or heating pad can be used.

Medicines 1 Maha Rasnadi Kashayam: 15ml mixed with 45ml warm water, twice daily before food. 2 Trayodashang Guggulu: 2 tablets twice daily with warm water. 3 Ksheerabala 101 (Softgel Capsules): 2 capsules daily (1 morning, 1 night) with warm milk or water. 4 Ashwagandha Churna: 1 teaspoon with warm milk at bedtime.

External Therapy Local Abhyanga: Apply Mahanarayan Thailam warm over the lower back and knees. Massage gently for 15 minutes daily. Swedana (Fomentation): Apply a hot water bag or hot sand bag (Valuka Sweda) specifically on the lower back and painful joints after applying the oil.

Dietary Advice Warm & Cooked: Eat only warm, freshly cooked, and soft foods. Healthy Fats: Include adequate amounts of Cow Ghee and Milk in the diet to combat internal dryness. Soups: Consume meat soups (if non-vegetarian) or moong dal soup with garlic and ginger. Exclusions: Strictly avoid dry foods (crackers, biscuits), cold water, raw salads, potatoes, and peas.

Lifestyle Advice Rest: Do not force walking beyond your capacity. Rest is crucial when pain is acute. Assisted Movement: Use a walking stick or walker to reduce the load on the spine and knees. Protection: Keep the back and knees covered and warm at all times; avoid exposure to cold wind or AC drafts. Gentle Movement: While lying in bed, gently rotate ankles and tighten/release kneecaps to maintain circulation without weight-bearing.

Regards Dr Gursimran Jeet Singh MD Panchakarma

Avoid spicy foods milk curd lemon tomatoes Take lubrtone (avn pharm) 2 tds Take rasnadi gugulu 2 bd Take mahanarayan oil for external apply Do spinal dhara knee dhara at panchkarm centre Do matra basti with 20 ml mahanArayan oil 20 ml mahatikta ghurth 20 castor oil for 7 days continuous than 2 times week

Hi this is Dr soukhya as considering your problem… See this problem is due purely age related…we can’t bring back to 50 so we just mentain body to that it should be balanced perfectly… There may be degeneration of bone …and if you have Bp or sugar follow these medicines along with these medicines… Rx-Ksheerabala 101 daily 2 Times 1 tablet Brihatavatachintamani 1-0-1 after food Apply Mahanarayana taila for back and joint…for 15min massage then have bath…

Some regime you should follow

✔️Do’s:✔️ Eat freshly cooked food. Chew an inch of fresh ginger half an before meal. Eat only fruit vegetables. Limit dairy products (stop if possible)

🧘‍♀️Yoga🧘‍♀️ Virabhadrasana Trikonasana Vrukshasan Prasavkonasan Bhujangasan Balasan Shavana

🧘‍♀️Pranayam🧘‍♀️ Anulom Vilom Bhastrika Kapalbhati

❌Dont’s:❌ Sitting directly under a fan or right in front of the A.C Oily, spicy, processed food. Packed food products. Sour and fermented items. Bakery items. Fried food products. Potatoes.

💊Medication💊

Tab. Ampachak Vati. 2 tabs twice a day before food. Tab. Sinhanad Guggul 2 tabs twice a day before food. Tab. Punarnavadi Guggul. 2 tabs twice a day before food. Cap. Arnopen 2 caps twice a day before food. Syp. Maharasnadi Kwath 3 tsp twice a day before food with warm water.

Tab. Shankhavati 2 tabs twice a day after food. Suck and eat like hajmola

Sunthi Siddh Castor Oil. 3 tsp at bed time with a cup of hot water.

Maharasnadi guggulu 1-0-1 Yograj guggulu 1-0-1 Dashamoola kwath- 1 tsp in 400 ml water boil until it remains 100 ml filter n drink twice daily on empty stomach Dhanwantaram taila - ext appn Avoid lifting heavy weight Sudden bending

Dealing with spinal and joint pain at 77 can really limit your everyday activities. First off, let’s explore a few practical Ayurveda solutions to bring some relief. The pain you’re experiencing might be associated with an imbalance in Vata dosha, often responsible for such discomfort.

Start with warming oils like Mahanarayan oil for gentle massage on affected areas. Apply it daily before a warm bath or shower. It can aid in reducing stiffness and enhance blood circulation. Keep the pressure gentle to avoid exacerbating the pain.

Posture is crucial too. Ensure your sitting posture supports your back well and avoid slouched positions—maybe consider a lumbar roll when sitting.

Diet plays a significant role in managing Vata-type pain. Maintain a Vata-pacifying diet, which is warm, nourishing, and oily to some extent. Focus on cooked cereals like rice, oats, and warm soups. Incorporate spices like ginger and turmeric, known for their anti-inflammatory properties. Avoid excessive raw foods and cold beverages which can aggravate Vata.

Hydration is equally important. Drink warm water regularly throughout the day to stay hydrated and aid digestion.

Simple and gentle exercises like yoga can gradually help strengthen your body. Practice poses like tadasana (mountain pose) and supta matsyendrasana (reclining spinal twist) —these help improve flexibility in the spine without putting too much pressure.

Finally, consider taking herbal formulations like ashwagandha and shallaki (boswellia) for joint health. Consult with a physician before starting them, especially considering any other medications that you might be on.

If the pain persists or worsens, it’s essential to consult an Ayurvedic practitioner or a healthcare provider for more personalized care. This guidance should fit well with your lifestyle, but never delay seeking professional evaluation for your condition.

Your symptoms suggest an imbalance primarily in the Vata dosha, influencing both the structural elements (bones and joints) and the nervous system. This often manifests in elderly individuals as weakening of the sapta dhatus, especially asthi (bones) and mamsa (muscles). To address this, it’s important to integrate both internal and external treatments.

First, consider applying medicated oils like Mahanarayana Tailam or Dhanvantaram Tailam to affected areas. Gently warm the oil before applying and massage it into the skin in circular motions for about 10-15 minutes. Doing this at least once daily, ideally before a warm shower or bath, can help improve circulation and reduce stiffness.

Internally, Ashwagandha Churna and Shallaki tablets can support joint health and reduce pain. Take Ashwagandha with warm milk before bedtime, as it can also improve sleep and energy levels. Shallaki can be taken twice a day with meals to manage inflammation.

Dietary adjustments could also be beneficial. Emphasize warm, cooked foods with healthy fats. Incorporating sesame seeds, walnuts, and ghee can support bone and muscle health. Avoid cold, raw, and excessively spicy substances, as they can aggravate Vata further.

In terms of activity, gentle stretching exercises like Pandikashayanam (a type of Siddha Yoga) might benefit in maintaining flexibility without overstraining. However, ensure to perform these under the guidance of a knowledgeable instructor or physiotherapist.

While these suggestions may aid in managing discomfort, given your symptoms and limitations in mobility, it’s prudent to consult with a healthcare professional promptly to rule out serious conditions such as osteoarthritis or spinal issues. Ayurvedic measures can compliment conventional treatments but shouldn’t replace immediate medical evaluation where necessary.