Managing Joint Pain and Stiffness in Elderly - #48364

Hello

Ayurvedic Diagnosis (Probable)

Sandhigata Vata (osteoarthritis) with Shotha (swelling) and Aama involvement (if heaviness & stiffness more)

Main Dosha: Vata predominant Associated: Kapha / Aama due to swelling & stiffness

🌿 AYURVEDIC PRESCRIPTION (30 Days)

1) Internal Medicines (Main Prescription)

A) For Joint degeneration + pain

Yograj Guggulu

Dose: 1 tablet (250–500 mg) twice daily

After food with lukewarm water

Duration: 30 days

✅ Reduces pain, stiffness, improves mobility.

B) For inflammation + swelling

Punarnava Mandur

Dose: 1 tablet twice daily

After food with warm water

Duration: 30 days

✅ Best for swelling/edema in legs + inflammation.

C) For cartilage support + strength (Rasayana)

Shallaki (Boswellia) capsule 400 mg

Dose: 1 capsule twice daily after food

Duration: 60–90 days

OR

Lakshadi Guggulu

Dose: 1 tab twice daily after food

Duration: 60 days

✅ Supports bones/joints.

D) If stiffness is severe in morning / digestion weak

Rasnadi Kashayam / Maharasnadi Kashayam

Dose: 15 ml + 15 ml warm water

twice daily before food

Duration: 30 days

✅ Excellent for knee joint stiffness + swelling.

2) External Applications (Very Important)

A) Oil massage

Since patient already has Kottamchukkadi Tailam (good for pain + stiffness):

Kottamchukkadi Tailam

Apply warm (slightly heated) oil on both knees

Massage 10 min

Twice daily

B) Hot fomentation (Best)

After massage do: Hot water bag / warm towel fomentation

15 minutes

Twice daily

✅ Best combination for stage 4 pain.

C) Knee pack (if swelling present)

Nirgundi leaves poultice (or powder)

Mix Nirgundi powder + warm water

Apply like paste over knee

Keep 20 min, then wash

Once daily

3) Home Remedies (Safe & Effective)

Remedy 1: Turmeric support

Haldi + warm milk

1 pinch turmeric in milk at night (If digestion permits)

Remedy 2: Fenugreek for stiffness

Methi water

Soak 1 tsp methi overnight

Drink water in morning (3–4 days/week)

Remedy 3: Ginger + cumin digestion tea

If heaviness/swelling:

Boil dry ginger + cumin

Sip warm 1–2 times/day

4) Diet Plan (Pathya-Apathya)

✅ Recommended foods

Warm, light foods

Moong dal khichdi

Wheat rotis + cooked sabzi

Bottle gourd, ridge gourd, pumpkin, carrot, spinach (cooked)

Garlic (2–3 cloves cooked)

Cow ghee 1 tsp/day

Warm water only

✅ Helps Vata + joints lubrication.

❌ Avoid strictly

Curd at night

Cold items: cold water, ice cream, fridge food

Bakery, biscuits, fried snacks

Excess tea/coffee

Excess tomato / brinjal / potato (may increase inflammation)

Pickles & very salty foods (increase swelling/BP)

5) Lifestyle Instructions

✅ Daily routine

Avoid sitting cross-legged

Avoid squatting (Indian toilet)

Use knee cap support if walking

Avoid stairs as much as possible

Sleep early, wake early

✅ Walking

15 minutes slow walk twice daily (only within pain limits)

✅ Weight management

Even small weight reduction reduces knee load.

6) Yoga & Physiotherapy (Elderly-friendly)

Best exercises (very safe)

✅ Quadriceps strengthening

Sit on bed, stretch leg straight, hold 5 seconds

Repeat 10 times each leg

✅ Ankle pump

Move ankle up/down 30 times (reduces swelling)

✅ Chair support movements

Sit-to-stand with support 5–7 times

Yoga (gentle)

Vajrasana not recommended (bad for knee)

Only:

Tadasana (support)

Pawanmuktasana part-1 joint movements