Since you were healed pain, as persisted since last year and Ishika Swedha for four days has not helped. This suggest a chronic condition possible plantar fasciitis Calceneal spur or vata dominant heel pain in Ayurvedic terms
Short-term swedha alone is usually not enough for long standing pain
You can start with Yogaraja guggulu one tablet twice daily after food with warm water Ashwagandha churna 1 teaspoon with warm water at night Dashamoola aristha 4 teaspoon with equal amount of water twice daily after me
Isthika swedha can be continued for 20 to 30 minute daily followed by Dhanwantaram oil massage on the heel and sole
Avoid walking, barefoot on heart surface Use soft footwear Soak feet in warm water with rock salt once daily Avoid prolonged standing or uneven surfaces
Avoid cold, dry and processed food
Hello, 1. Please change the foot wear. 2. Keep your feet warm by wearing socks and appropriate foot wear which give good arch and soft. 3. See if you have any spur in the heal.
Medicines: 1. Yogaraaja Guggulu DS(avn)1—0—1 with medicine no. 1 for 60 days 2. Rasnasapthakam kashayam 20ml—0—20ml by adding 80ml of boiled cooled water. 45 minutes before breakfast and 45 minutes before dinner for 60 days 3. Burclavin soft gel capsules(avn) 2–0–2 after breakfast and after dinner with a cup of warm water for 60 days.
Take care, Kind regards.
Hello,
Your severe heel pain for more than 1 year, not linked to any specific activity and not responding to physical therapy or recent Ishtika Sweda (only 4 days) suggests a chronic condition, most commonly: Plantar fasciitis Calcaneal spur Vata–Kapha dushti with degeneration of heel pad and fascia Sometimes associated with long-standing strain, improper footwear, or metabolic issues
In chronic heel pain, short duration swedana alone is not sufficient. Ayurveda works by reducing inflammation, correcting Vata imbalance, improving tissue nutrition, and softening heel structures, which needs systematic and longer treatment.
🔎 Recommended Investigations (If not done in last 6 months) 1.X-ray Heel (lateral view) – to rule out calcaneal spur 2.Serum Vitamin D3 3.Serum Calcium 4.ESR / CRP – to assess 5.chronic inflammation 6.Uric acid (if pain is severe in morning or sudden flares)
💊 Internal Medicines Phase 1 – 21 days (Pain reduction + inflammation control + Vata pacification) 1.Yogaraja Guggulu – 2 tablets, twice daily after meals 2.Rasnadi Kashayam – 15 ml + 30 ml warm water, twice daily before food 3.Shallaki (Boswellia) capsule – 1 capsule twice daily after meals 4.Gandha Taila capsule – 1 capsule twice daily after meals
Phase 2 – 45 days (Tissue strengthening + chronic pain control) 1.Maharasnadi Kashayam – 15 ml + 30 ml warm water, twice daily before food 2.Trayodashanga Guggulu – 2 tablets twice daily after meals 3.Asthi Poshak tablet – 1 tablet twice daily 4.Ashwagandha Ghana Vati – 1 tablet at bedtime
🌿 External & Supportive Therapies 1.Abhyanga (oil massage) Kottamchukkadi Taila or Mahanarayana Taila Massage heel and sole daily at night, followed by warm water wash 2.Swedana (heat therapy) Continue Ishtika Sweda or Nadi Sweda Minimum 14–21 days required for effect 3.Upanaha (medicated poultice) – very effective in chronic heel pain Apply at night for 7–10 days
Footwear correction * Use soft cushioned footwear / silicone heel pad * Avoid barefoot walking on hard floors
🥗 Diet & Lifestyle Recommendations ❌ Avoid Cold water exposure to feet Excess walking/standing on hard surfaces Flat footwear, slippers without cushioning Sour, fermented, very dry foods Late nights
✅ Include Warm, oily, nourishing food 1–2 tsp cow ghee daily Sesame oil application to feet before bath Adequate sunlight exposure (for Vitamin D) Proper rest for feet
🧘🏻♀️ Gentle Exercises & Practices 1.Calf stretching (wall stretch) – twice daily 1.Ankle rotations – 10 rounds each side 3.Toe curl exercise 4.Avoid high-impact activities during treatment phase
🕉️ Follow-up & Expected Results Pain softening: 2–3 weeks Morning pain reduction: 4–6 weeks Significant improvement in chronic heel pain: 2–3 months with regular treatment
📌 Important: 4 days of Ishtika Sweda is too short for a 1-year chronic problem. Consistency is the key. If you want, you can tell me: Your age Whether pain is worse in the morning first step X-ray heel report if available I can fine-tune the treatment further
Warm regards, Dr.Sumi MS(Ayu)



