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Orthopedic Disorders
Question #46502
64 days ago
689

Hip and Lower Back Pain with Stiffness - #46502

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I am having pain in hip joints L4L5 L6 S1 SINCE 6 7 Months.Morning stiffness and lower back pain. While walking inflation and pain in lower back .leftknee pain.

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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

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Take these medicines for 2 weeks 1. Yograj guggul 2BD A F 2. Tab shallaki 1 TID AF 3. Dashmool kashaya 25 ml BF 4. Rhumalyan liniment for local application. 5. Tab rhumalyan gold 1OD after 1 week. Continue for 1 month This will take care of your issues

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Start with Trayodashang guggul 1-0-1 after food with water. L Rasnasapthakam kashaya 10ml twice daily after food with water and Laxadi guggul 1-0-1 after food with water Astiposhak tablet 1-0-0 after food with water Mahavatvidhvansh vati 1-0-1 after food with water Mahanarayan oil+ ashwagandha oil local application on affected area twice daily. Avoid sour fermented foods. Wear lumbo sacral waist belt during the day Wear knee cap during the day. Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily.

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Don’t worry take brihath vata chintamani ras 1tab,maha yoga Raja Guggulu with Gold 1tab, maha Narayan tail external application, dashamoolarista 20ml bd enough u ll get results

Dr RC BAMS MS

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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.

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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.

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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

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1. Lumbaton plus 2-0-2 after food. 2. Sahacharadi tailam for external application. Before application slightly boil oil in a double boil method. If possible dip a long cloth in oil and put it over lower back. Re warm the oil in 10 minutes gap ( for 5 days). Then after 5 days do slight leg exercise.

For left knee pain. Mix kottamchukkadi choorna with some warm water and apply all over knee region. For 3 days.

After that mix kottamchukkadi with sahacharadi tailam and apply the past over knee for 7 days.

You will definitely get relief.

Exercises is compulsory for stiffness relief and muscle strengthening.

Take care, Dr. Shaniba

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Hie you SUFFERS for lumber spondylosis with oestioarsthritis…it’s totally curable through ayurveda follow instructions:-

Divya PEEDANTAK KWATH=100gm Divya MAHARASHNA KWATH=100gm Divya NIRGUNDI KWATH=100GM… MIX ALL IN A JAR TAKE 1 TSP BOIL WITH 200ML OF WATER TILL REDUCES 100 ML STRAIN AND TAKE EMPTY STOMACH TWICE DAILY

LAKSHADI GUGULU ASHWASHILA CAP CHANDRAPRABHA VATI=1-1-1 TAB AFTER MEAL THRICE DAILY

ERANDA PAAK=1 TSP WITH WORM WATER AT BED TIME

KSHEERBALA OIL= FOR GRNTAL MASSAGE (LUKE WORM) AT NIGHT AND MORNING TIME

AVOID OIKY/SPICY/JUNK FOOD

REGULAR DO SUKSHMA VYAYAM= ANULOMA VILOMA/KAPALBHATI BHRAMRI UDGEETH…

REGARDS

DR ATUL PAINULI PATANJLI YOGPEETH CHIKISYAYALA

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1. Internal Medicines

Morning (after breakfast) Yograj Guggulu – 1 tablet Dashmool Kwath – 20 ml with equal warm water

Evening (after dinner) Yograj Guggulu – 1 tablet Ashwagandha tablet – 1 tablet

Bedtime Gandharva Haritaki Churna – 1 teaspoon with warm milk or warm water

2. External Treatment

Daily (preferably morning or evening) Oil massage (lower back, hips, left knee) with Mahanarayan Taila or Sahacharadi Taila Duration: 10–15 minutes Follow with hot water fomentation

3. Duration Minimum: 8–12 weeks Review after 4 weeks for response and adjustment

4. Diet Instructions

To take Warm, freshly cooked food Milk with turmeric at night Ghee in small quantity Rice, moong dal, cooked vegetables

To avoid Cold food and drinks Curd at night Fried, dry, bakery items Excess tea/coffee

5. Lifestyle Advice

Avoid long sitting and forward bending No heavy lifting Sleep on a firm mattress Avoid cold exposure

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take yograj gugulu 2 bd take lumbar tone + 2 tds after food ( avn pharma) 2 take castor oil 5 ml at night abhyan with mahanarayan oil apply and after stim avoid milk and milk product lemon ,imli etc furment foods

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Medicines 1 Maharasnadi Kwath – 20 ml + 60 ml warm water morning empty stomach 2 Tab Shallaki – 1 tablet morning + 1 tablet night after food 3 Trayodashang Guggulu – 2 tablets morning + 2 tablets night after food 4 Punarnavadi Mandoor – 250 mg morning + night after food 5 Dashmoolarishta – 20 ml + 40 ml warm water after lunch & dinner

Oil (must use daily) Warm Mahamasha Taila + Dhanwantaram Taila (1:1) apply at lower back + hip + left knee massage nightly followed by hot water bag 15 min

Daily Must-Do Legs elevated on 2 pillows 20 min twice daily No forward bending or heavy lifting Gentle walk 20–30 min daily (slow pace)

Diet Give only: moong khichdi + ghee, pomegranate, coconut water, thin buttermilk + roasted jeera Avoid completely: curd, cold drinks, spicy/sour, late dinner

Regards Dr Gursimran Jeet Singh MD Panchakarma

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Hello, Your symptoms chronic low back pain involving the L4–L5 and L5–S1 region for the past 6–7 months, associated with morning stiffness, hip joint pain, pain and inflammation while walking, and left knee pain, suggests a long-standing spine-related musculoskeletal condition.

The symptoms indicate involvement of the lower back joints and surrounding structures, leading to stiffness after rest and pain with movement. The treatment plan focuses on pain relief, reduction of stiffness and inflammation, strengthening of the back and joints, improving mobility, and preventing further worsening.

🔎 Recommended Investigations (If not done in the last 6 months) 1.X-ray Lumbosacral spine (AP & lateral) 2.MRI Lumbar spine (if pain radiates or increases) 3.ESR & CRP 4.Vitamin D3 5.Serum Calcium 6.Rheumatoid Factor (if joint pain persists)

💊 Internal Medicines For 3–4 weeks 1.Yogaraja Guggulu – 1 tablet twice daily after meals with warm water 2.Maharasnadi Kashayam – 15 ml + 30 ml of warm water, twice daily before food 3.Dashamoola Kwath / Capsule – 1 capsule or 50 ml decoction at night 4.Ashwagandha capsule / churna – 500 mg twice daily with warm water or milk

🌿 External & Supportive Therapies 1.Daily oil massage (Abhyanga) Mahanarayana Taila / Sahacharadi Taila Apply over lower back, hips, and left knee 2.Follow with hot water bath 3.Hot fomentation over lower back and hip once daily 4.Avoid cold exposure 5.No cold water bath 6.Protect lower back from cold wind

Clinical therapies (if available) Kati Basti or localized oil therapy under supervision

🥗 Diet & Lifestyle Recommendations ❌ Avoid * Cold, dry, refrigerated foods * Junk food, fried food * Excess tea or coffe * Long sitting or standing without break * Heavy lifting and sudden bending

✅ Include * Warm, freshly cooked meals * Soft, easily digestible food * Vegetables like bottle gourd, drumstick, carro * Cow ghee – 1–2 tsp daily * Warm milk at night (if suitable)

🧘🏻‍♀️ Exercise & Posture Care 1.Gentle stretching and walking as tolerated 2.Mild yoga postures only in pain-free range 3.Use a firm mattress 4.Avoid sleeping on the stomach 5.Maintain proper sitting posture with lumbar support

Reduction in pain and morning stiffness in 2–3 weeks Improved walking comfort Gradual relief in hip and knee pain Continued care helps prevent recurrence and progression

✨ With consistent treatment, lifestyle correction, and supportive therapies, chronic lower back and joint pain can be effectively managed and daily activities improved.

With kind regards, Dr. Sumi MS (Ayu)

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1.Mahayograj guggulu 2 tab twice daily with water after meals 2.Shallaki tablets 2 tab twice daily with water after meals 3.Maharasnadi kwath 20 ml with 20 ml water twice daily after meals 3.Mahanarayan taila- massage with warm oil twice daily followed by hot fomenation

🍲 Diet & Lifestyle Support - Prefer: warm, light meals, cooked vegetables, moong dal, soups, turmeric, ginger, garlic. - Avoid: cold foods, excess dairy, fried/oily items, red meat, and packaged snacks that aggravate vata/ama. - Daily routine: - Gentle yoga (cat‑cow, bhujangasana, pawanmuktasana) for spine and hips. - Pranayama (anulom‑vilom, bhramari) for stress and circulation. - Warm sesame or mahanarayan oil massage before bath. - Keep body warm; avoid exposure to cold winds.

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