TFCC ? - #517
Pain on my left wrist since a year. Met a number of orthos. Each had a diff diagnosis. Not carpel tunnel/ not trigger finger/ not dequverinces. Pain killers helf for a few hours. Stopped medicine and now wearing a brace. Not a known HT/thyroid. But diabetes since 6 years. Under ayurvedic medicine along with metformin 500 mg once a day. Physio therapy doesn't help. Ki dly suggest. Thank you very much
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Doctors’ responses
From an Ayurvedic perspective, chronic pain in the left wrist that hasn’t improved with various treatments could stem from an imbalance in Vata dosha, particularly affecting the Sandhi (joints) and Asthi dhatu (bone tissue). Long-term issues like this, especially with a history of diabetes, often indicate deeper imbalances that affect circulation and nerve health in the area, resulting in persistent pain despite conventional approaches. Diabetes can also impair the body’s natural healing mechanisms, making the tissue in the affected area slower to recover.
To address this holistically, I recommend starting with gentle oil application and heat therapy. Massaging the wrist with warm Mahanarayan oil or Dhanvantaram oil followed by mild warmth (a warm compress) can improve local circulation and alleviate pain by balancing Vata. Additionally, herbs like Ashwagandha and Guggulu can help with joint inflammation and support bone and muscle strength, while Shallaki (Boswellia) can aid in pain management without causing strain on the digestive system.
For diabetes management and to support joint health, continue with Ayurvedic medications alongside metformin, but consider adding Triphala or Gokshura to support kidney function and circulation. Dietary measures, such as avoiding excessive cold, dry, or raw foods, will further help balance Vata. Incorporating warm, nourishing foods can keep your energy up and support healing. Gentle wrist movements and relaxation exercises for Vata grounding may also help. If pain persists, consult an Ayurveda practitioner for Panchakarma therapies like Pizhichil or Abhyanga, which may offer further relief by enhancing circulation and nerve health in the affected area.
Your wrist pain sounds frustrating and persistent—it’s disheartening when seeing different specialists doesn’t lead to a clear answer. Given your symptoms and history, an Ayurvedic perspective might offer some insights into managing the pain, especially when conventional approaches haven’t been as helpful.
From what you’re saying, this could be related to an underlying vata imbalance, which often happens with long-term pain and joint issues. Since you’re already working around diabetes, it’s important to find a balance without aggravating or complicating the condition. Let’s start with a bit about diet first: shifting to vata-pacifying foods might help. Steer towards warm, cooked foods like stews and soups, which are grounding. Use spices like ginger, cumin, and turmeric—turmeric, known for its anti-inflammatory properties, can be particularly helpful. But remember not to overdo it, especially with spicy stuff, since you’re managing diabetes.
Think about applying warm oil massages with sesame or castor oil on the wrist. This can help to relieve pain by improving circulation; do this gently, maybe twice a day, ideally after a warm bath or shower when the skin absorbs oils better. Also, keep your wrist warm — vata dislikes cold environments.
For yoga, gentle movements and stretches could ease the stiffness, but don’t overstrain — a smooth flow of Surya namaskar could be beneficial if done slowly. If the wrist ache worsens or other symptoms pop up, it’s crucial to loop in your healthcare provider. And of course, never discontinue your diabetes medication without consulting your doctor.
It’s always a delicate balance, handling pain without interfering with your diabetes treatment. It would be wise to maybe consider a close follow-up with an Ayurveda practitioner who can examine you thoroughly and provide a personalized approach.

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