No worries Start with Trayodashanga guggulu 1-0-1 Peedantaka vati 1-0-1 Dashamoola aristha 20-0-20 ml with equal water Mahanarayana taila- gentle massage to be done
Hello, If possible please share the MRI report to have the clear picture of the issue. Meanwhile please start the following: 1. Sahacharadi kashayam 15ml—0-----15ml one hour before breakfast and one hour before dinner by adding 30ml of boiled cooled water. 2. Rasnairandadi kashayam 15ml----0----15ml one hour after breakfast and one hour after dinner by adding 30 ml of boiled cooled water. 3. Yogarajaguggulu DS(AVN) 1—0----1 with medicine no.1 4. Lumbaton Plus soft gel capsules(AVN) 2----0----2 with medicine no.2 5. Murivenna+sahacharadi thailam to be warmed and apllied from lower back till toes one hour before the shower.
All the above for 90 days.
Please meet a physiotherapist for physio, which will als improve the mobility and strength. Take care, Kind regards.
THANK YOU FOR CONTACTING ASK AYURVEDA
PAIN IN THE HIP JOINTS WITH L4-L5,L5-S1 INVOLVEMENT, MORNING STIFFNESS, LOWER BACK PAIN WHILE WALKING, AND LEFT KNEE PAIN SINCE 7 MONTHS INDICATES A CHRONIC VATA DOMINANT WITH ASSOCIATED AMA AND DISC DEGENERATION.IN AYURVEDA, THIS PATTERN IS SEEN IN KATI GRAHA, TRIKA GRAHA, AND ASTHI MAJJA DHATU DUSTI. WHEN VATA GETS DRY, COLD, AND AGGRAVATED, IT CAUSES STIFFNESS IN THE MORNING, PAIN ON MOVEMENT, AND RADIATION TO HIP OR KNEE. WALKING INDUCED PAIN AND INFLAMMATION MEANS VATA IS MIXED WITH AMA.
THIS IS A CHRONIC ISSUE AND IT WILL NOT REDUCE WITH PAINKILLERS OR EXERCISES .THE MAINNAIM IS TO CALM VATA, REMOVE AMA, NOURISH NERVES AND DISC, AND STRENGTHEN SUPPORTING MUSCLES.
MEDICINES YOGARAJ GUGGULU One tablet twice daily after food with warm water, TO REDUCE INFLAMMATION AND JOINT PAIN
DASHAMOOLA KWATH -15, ML WITH EQUAL AMOUNT OF WATER TWICE DAILY AFTER MEALS, FOR BACK AND HIP PAIN ASHWAGANDHA + SHATAVARI OR ASTHISHRINKHALA -EACH OF TEASPOON WITH WARM MILK AFTER FOOD ONES
KSHIRABALA 101 CAPSULE - ONE CAPSULE AT NIGHT, FOR NERVE PAIN AND STIFFNESS
DAILY ABHYANGA OF LOWER BACK AND HIP WITH KSHIRABALA TAILA FOLLOWED BY HOT WATER FOMENTATION IF POSSIBLE, PANCHAKARMA THERAPIES LIKE KATI BASTI OR BASTI CHIKITSA GIVE EXCELLENT RESULTS IN CHRONIC CONDITION
AVOID COLD FOODS, CURD AT NIGHT, RAW SALADS, BAKERY ITEMS, DRY SNACKS AVOID LONG FASTING AND SKIPPING MEALS INCLUDE WARM, COOKED FOOD, RICE, MOONG DAL, VEGETABLE SOUPS ADD 2 TEASPOONS OF GHEE DAILY USE TURMERIC, GINGER, JEERA IN FOOD DRINK WARM WATER THROUGH THE DAY
DO NOT SIT OR STAND FOR LONG PERIODS AVOID SUDDEN BENDING, LIFTING WEIGHTS, OR JERKY MOVEMENTS SLEEP ON A FIRM MATTRESS MORNING STIFFNESS IMPROVES WITH OIL MASSAGE BEFORE BATH GENTLE YOGA AND STRETCHING ONLY AFTER PAIN REDUCES
THIS CONDITION IS REVERSIBLE AND MANAGEABLE,WHEN TREATED PROPERLY. SINCE IT IS 6 TO 7 MONTHS OLD, YOU CAN EXPECT IMPROVEMENT WITH IN 4- 6 WEEKS.
Hello I can understand your concern regardingI living with constant hip and lower back pain, especially with that morning stiffness. When it starts messing with your walking and even hitting your knee, you know it’s more than just a passing ache. Six or seven months of this definitely points to a long-term muscle and bone issue, not just a simple strain. But dont worry we are here to help you out 😊
YOUR CONCERN
–How long:-- This has been going on for 6-7 months. – Where it hurts:Your hip joints, lower back (L4-L5, L5-S1 area), and left knee –Other stuff: You wake up stiff, and walking brings on pain and swelling. The lower back pain even moves into your hip. –It’s a steady, getting-worse kind of pain that’s tied to how you move.
AYURVEDIC UNDERSTANDING In Ayurveda, your situation looks like:
Katigata Vata:- This means your lower spine is involved. Sandhigata Vata:-This points to problems in your hip and knee joints.
It’s mainly a Vata problem, with some Kapha mixed in (that’s the stiffness and swelling).
Since it’s been going on for a while, it suggests:
Dhatukshaya:-Things breaking down. Apana Vata dushti:.-Something’s off with this type of Vata energy.
Your joints aren’t getting enough lubrication.
That morning stiffness and pain when you walk really shout Vata dominance, which could mean early joint wear and tear or disc issues.
Things We Need to Rule Out First:
Before we dive deep into Ayurvedic treatments, it’s super important to check for: * Bulging or slipped discs. * Arthritis in the facet joints (small joints in your spine). * Problems with your sacroiliac joint (where your spine meets your pelvis). * Early arthritis in your hip or knee.
INVESTIGATION (Really Important!):**
If you haven’t already, please get these: * An MRI of your lower back (focused on L4-L5, L5-S1). * X-rays of your pelvis with both hips, and your left knee. * Check your Vitamin D and Calcium levels.
Treatments work way better when we know exactly what’s going on inside from these pictures.
TREATMENT GOAL * Less pain and swelling. * No more morning stiffness. * Making your joints and discs healthier. * Stopping things from getting worse. * Getting you back to walking and moving comfortably.
AYURVEDIC PLAN OF TREATMENT
INTERNAL MEDICATION
1.Yograj Guggulu: T ake 1 tablet twice a day after food. It’s great for long-term Vata joint pain.
2.Maharasnadi Kashayam:Take 15 ml with an equal amount of warm water twice a day. This helps with stiffness and swelling.
3.Ashwagandha Churna: A half teaspoon at night with warm milk or water. It strengthens muscles and calms nerve irritation.
4. Dashmool Churna:A half teaspoon twice a day. It fights swelling and helps balance Vata.
EXTERNAL THERAPY (Very Important!): Every day: –Massage your lower back, hips, and knees with oil (Mahanarayan Taila or Kottamchukkadi Taila). – After the massage, apply warmth with a hot water pack. – Just doing this can cut your pain by 30-40% in 2-3 weeks.
Special Detox Treatments (Panchakarma) - If Pain Stays:
Once your test results show things are stable, we can consider: – Kati Basti: For L4-L5 / L5-S1 issues. –Janu Basti:For knee pain. –Matra Basti:The best treatment for long-term Vata problems.
DIET AND LIFESTYLE
❌AVOID * Cold food and drinks. * Too much yogurt or cheese. * Dry foods. * Sitting for too long. * Sudden bending or jerky movements.
INCLUDE * Warm, home-cooked food. * Ghee (1-2 teaspoons a day). * Milk, lentils, veggies. * Warm water all day long.
Yoga and Exercise (Only After Pain Gets Better):**
Gentle moves: * Makarasana * Bhujangasana (carefully) * Pelvic tilt exercises * Slow walking on flat ground.
❌AVOID Go to the gym, do squats, or jump for now.
Remember, when something’s been bothering you for a while, it takes time and sticking with it.
You can definitely manage and improve your condition, but: * Don’t ignore those test results. * Don’t just rely on pain meds. * Don’t overdo the exercise.
Warm Regards Dr. Snehal Vidhate
