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Orthopedic Disorders
Question #48577
40 days ago
451

Seeking help for worsening ankle pain after ligament tear - #48577

Client_f60b80

hii i had a ankle ligament tear, Dr. advised 15 days plaster after my MRI report, its aready 4 weeks now but wheanever i walk it againswell and pain worsen , i applied Maha narayan tel but it has worsen my pain.Kindly help

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Hello I get why you’re freaked out and annoyed. You’ve been in a cast, but your ankle still puffs up and hurts when you walk. It’s natural to worry that you’re not getting better. But dont worry Ligament takes time, and with the right care, you can heal up pretty well.

✅YOUR CONCERN

From what you’ve said: Main things: Ankle ligament tear (MRI showed it) Cast for 15 days, now it’s been 4 weeks total Swelling and pain came back when you walk Pain got worse after using Mahanarayan Taila

What this means:

Too much Vata in your joint – that’s the pain cause Something’s blocked (Srotorodha) – swelling’s from bad blood flow Trauma (Abhighata) – your tissues aren’t fully fixed Local Ama + inflammation – causing the swelling to keep coming back

Mahanarayan Taila is usually for long-term pain, but when you’re first healing and have swelling, it can make things worse sometimes. It’s a bit heavy and heats things up.

WHAT WE’RE TRYING TO DO

Get the swelling down Help your ligaments heal Balance Vata where it hurts Stop any more damage Get you moving again bit by bit

AYURVEDIC PLAN OF TREATMENT

1. INTERNAL MEDICATION

Yograj Guggulu – 1 pill, twice a day after food → Helps with joint swelling and pain

Shallaki (Boswellia) Capsule – 1, skip one, 1 → Amazing for ligaments and swelling

Dashmoolaristha 30ml-0-30ml after food → Eases pain from the injury

Triphala Churna – ½ tsp before bed → Helps tissues heal from the inside

EXTERNAL CARE

❌ Stop using Mahanarayan Taila

Instead (first 5–7 days) Ice pack in a cloth 10 minutes, twice a day

Once the swelling goes down: Light massage with Murivenna / Bala Taila / plain sesame oil Really light, just around the area (don’t push hard)

If swelling sticks around: Make a paste: Multani mitti + turmeric + water Put it on for 20 minutes each day

DIET PLAN

INCLUDE

Warm foods Moong dal (lentils) Veggie soups Turmeric milk at night Dates (2 per day) Ghee (1 tsp)

AVOID

Cold drinks Fried stuff Bakery stuff Too much sugar Yogurt at night

LIFESTYLE

Super important: Don’t walk too far yet Avoid stairs, running, jumping Wear an ankle support Keep your leg up when you’re chilling

When the pain is less: Start easy physiotherapy / ankle workouts slowly

Ligament injuries need 6–12 weeks to fully heal. Walking too soon or using strong oils can slow things down.

Right now, your ankle needs: – Rest – Help with the inflammation – Easy healing, not pushing it

Be patient for a few more weeks. With the right care, your ankle should get better.

Warm Regards Dr. Snehal Vidhate

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IN LIGAMENT INJURIES HEALING IS ALWAYS SLOW AND EVEN AFTER PLASTER REMOVAL THE INNER TISSUES REMAIN WEAK AND INFLAMED FOR SEVERAL WEEKS AT THIS STAGE PAIN AND SWELLING ON WALKING INDICATES THAT THE LIGAMENT HAS NOT YET COMPLETELY STRENGTHENED AND IT IS GETTING STRAINED AGAIN MAHA NARAYAN TAILA IS A STRONG WARM OIL AND IT IS USED ONLY WHEN SWELLING AND INFLAMMATION HAVE FULLY SUBSIDED APPLYING IT DURING THE ACTIVE INFLAMMATORY PHASE CAN INCREASE PAIN AND SWELLING WHICH IS WHY YOUR PAIN WORSENED FOR NOW IT IS BETTER TO AVOID ANY HOT OR HEAVY OILS YOU SHOULD GIVE THE ANKLE MORE REST AND AVOID WALKING FOR LONG PERIODS USE AN ANKLE SUPPORT OR CREPE BANDAGE AND KEEP THE LEG ELEVATED WHILE RESTING COLD COMPRESS OR ICE APPLICATION FOR SHORT DURATION CAN HELP REDUCE SWELLING FROM AN AYURVEDIC POINT OF VIEW THIS IS A VATAVRANA CONDITION WITH STILL PRESENT SHOTHA GENTLE AND COOLING MEASURES ARE REQUIRED AT THIS STAGE ONCE PAIN AND SWELLING REDUCE GRADUALLY THEN ONLY STRENGTHENING AND WARM OIL APPLICATION CAN BE STARTED PLEASE DO NOT IGNORE PERSISTENT PAIN PROPER REST AND GRADUAL HEALING ARE VERY IMPORTANT TO PREVENT CHRONIC ANKLE PAIN OR RECURRENT INJURY WITH THE RIGHT CARE MOST LIGAMENT TEARS HEAL COMPLETELY AND YOU WILL BE ABLE TO WALK COMFORTABLY AGAIN

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Start with Laxadi guggul 1-0-1 after food with water Mahayograj guggul 1-0-1 after food with water Murivenna oil for local application twice daily. Gokshuradi guggul 1-0-0 after food with water.

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Take Gandha tail capsule 1tab bd Ksheerabala tail capsule 1tab bd Maha yoga Raja Guggulu with Gold 1tab bd Bala ashwagandha tail external application

U ll get relief

Dr RC BAMS MS

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Please consult your nearest Ayurved Hospital for better management.

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consult near doctor and take asthisrukhala ghee 5 ml at morning with water empty stomch some time oil do more swelling so dont use this time mahanarayan oil as per my advise

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Hello, Did you repeat the MRI after removal of plaster? 1. Application of Murivenna after warming and pouring hot water after 45 minutes every day, once a day 2. Gandha thailam. Softgel capsules 2—0–2 45 minutes before breakfast and 45 minutes before dinner for 30 days. 3. Mustadi marma kashaya 20ml+80ml of boiled warm water with medicine no. 1 for 30 days.

Take care, Kind regards.

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Hi! Since your ankle pain and swelling are worsening after 4 weeks, and massage/oil made it worse, you should see your doctor urgently. This could mean incomplete healing, a serious ligament injury, or other complications. Do not put weight on it until a doctor evaluates it. You can elevate the leg, apply ice, and keep it rested until you are checked.

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Take 1) syp. Dashmoola arisht 15 ml +15 ml luke warm water subha sham khane ke baad 2) tab yograj guglulu 2 goli subha sham khane ke baad

For 15 days

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Ligament takes time to heal . And mahanarayan tail is not the right for injured ligament. You have to be more patient with it Take these medicines. 1. Lakshadi guggul 2BD A F 2. Tab shallaki 1 TID 3. Murivenna tail for local application only. 4. Cap gandha tail 1 BD A F. Use warm oil I suggest you watch janu pichu procedure in youtube and use murivenna oil for the same. This will accelerate your recovery. Do come for follow up after 15 days Dr Akshay negi MD PANCHAKARMA

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I understand your concern ligament injuries take longer time to heal and even though the plaster period is over the tissues are still weak and inflamed that is why swelling and pain return on walking at this stage applying mahanarayan oil can worsen pain because it is heating in nature so please stop oil massage for now avoid pressing rubbing or exercising the ankle give complete rest as much as possible avoid long walking standing and uneven surfaces keep the leg elevated whenever you sit or lie down you can apply cold compress wrapped in cloth for some time daily to reduce swelling avoid hot water and heat completely for some more days use ankle support during the day and eat light non spicy food with good hydration once pain and swelling reduce gradually then only gentle strengthening and healing measures should be started under guidance ligament healing needs patience usually six to eight weeks or more so do not hurry recovery and if pain and swelling persist it is better to get reassessment before starting any further treatment

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

🧊 External Care - Cold fomentation (sheet pinda sweda): In the presence of swelling, Ayurveda recommends cold applications (like ice packs or cold decoctions) rather than hot oils. - Avoid massage until swelling subsides. Gentle application of Shallaki gel or Ayurvedic pain-relief liniments may be safer.

🍲 Supportive Diet - Warm, cooked meals with turmeric, ginger, and garlic. - Protein-rich foods (dal, milk, nuts) to support tissue repair. - Avoid cold, raw, and heavy foods that aggravate Vata and slow healing.

Warm Regards DR. ANJALI SEHRAWAT

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Mahanarayana Taila is a heating and heavy oil. Applying it on an actively swollen, inflamed joint acts like putting a blanket on a fire, it traps the heat inside, increasing the swelling and throbbing pain.
Here is the corrective advice to heal the ligament properly.

1. STOP Massage Immediately Do not apply any oil or massage the area until the swelling is 100% gone. Apply a Cold Compress (Ice pack) for 10 minutes twice a day to bring down the inflammation caused by the oil.

Ayurvedic Prescription 1. External Application (To Reduce Swelling) Dashanga Lepa: Mix this herbal powder with water (or egg white/aloe vera gel) to make a thick paste. Gently apply over the ankle (do not rub). Leave it for 30-40 minutes until dry, then wash off.

2. Internal Healing (For Ligament Repair) Lakshadi Guggulu: 2 tablets twice daily. Time: After food with warm water/milk.

Gandha Tailam (Soft Gel Capsule): 2 capsules twice daily.

Mechanical Support Anklet / Crepe Bandage: You must wear an ankle binder strictly for another 2 weeks. The fact that it swells when you walk means the ligament is still loose. It needs external support to hold the joint together while it heals. Rest: Avoid putting full weight on that foot. Use a stick if necessary.

Regards Dr Gursimran Jeet Singh MD Panchakarma

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HELLO, IMMEDIATE CARE (acute phase- first few weeks) -REST AND IMMOBILISATION= avoid walking or putting weight on the ankle until swelling and pain reduce Use splint or support as advised -COLD THERAPY= apply a cold compress for 10-15 min, 2-3 times/day to reduce inflammation. avoid oils if there is acute swelling SWELLING AND PAIN MANAGEMENT -Avoid heavy massage or strong oils like mahanarayan taila in acute inflamamtion- it can aggravate pain RECOMMEDED -Haldi p aste= anti microbial, anti inflmamtoryy AFTER ACUTE PHASE/SUBACUTE PHASE -once swelling decreases usually after 2-3 weeks if healing weeks -apply very gently to avoid stressing the ligaments HERBAL FOMENTATION= mild steam over the ankle for 5-10 min to improve circulation STRENGTHENING AND REHAB -PASSIVE AND ACTIE EXERCISE -toe flexion, ankle circles, towel scrunches -gradualy process to standing balance and resistance band exercises DIET -Anti inflammatory diet= warm, easily digestible foods, turmeric, ginger, green leafy vegetables AVOID= cold drinks, heavy fried foods, excessive salt and sugar REST= adequate sleep support ligament regeneration MEDICATIONS 1) ASTHISHRUNKAL TABLET= 1 tab twice daily after meals 2) LAKSHAA GUGGULU = 2 tab twice daily after meals THANK YOU DO FOLLOW HOPE THIS MIGHT BE HELPFUL DR. MAITRI ACHARYA

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