Kindly check Hba1c, vit B12, vit D, NCS test. Your work involves long sitting this contribute a lot to your current situation. - If possible stand up and walk for 5 minutes to strech your overall body and it will help in blood circulation to overall body. ( Atleast in a gap of 1 hour, of possible in btw 30 minutes. - Elevate your leg during night and also in possible times. - Posture is also important while sitting, avoid cross legs. - In sitting position you can do slight excercise like flex and extend ankles. - Continue your gym routine. - If you haven’t any difficulty in wearing compression stockings - use it in day time. These are the things that you should do along with medication. 1. Punarnavadi kashaya tablet 2-0-2 half an hour before food. 2. Vaiswanara choornam 1/2 tsp with warm water at lunch time. 3. Avipathy choornam 1/2 tsp with ghee at night. Follow up after 2 weeks Take care, Dr. Shaniba
Thank you for sharing in detail—15+ years of one-sided leg swelling with new numbness needs a thoughtful, safe approach Good thing: your energy and digestion are good—that helps a lot in recovery. Your pattern of swelling (more during the day and better in the morning) suggests that this is mainly due to circulation issues from prolonged sitting, not a dangerous condition, but something that needs proper management. The most important step is movement—please try to get up every 45–60 minutes and walk for a few minutes. Avoid sitting continuously for long hours. I would strongly recommend using compression stockings during the day, as they are very effective in preventing fluid accumulation in the legs. Since you’ve now started feeling numbness in your toes, it’s important not to ignore this. It could be due to nerve compression or circulation, so getting a Vitamin B12 level checked and, if possible, a vascular or nerve evaluation would be helpful. From an Ayurvedic perspective, you can take support with punarnavadi kashayam for swelling and gokshuradi guggulu → circulation + swelling and do gentle upward massage of the legs with warm oil like sahacharadi tailam. You’re already doing well by going to the gym—just add some walking and leg elevation after workouts. With consistent care, this condition can be managed well, but regular monitoring is important.
Long sitting leads to poor circulation Likely vein/lymph blockage Numbness , nerve weakness (possible Peripheral neuropathy or Diabetes) Don’t sit > 30–40 min continuously Walk 5–10 min frequently Keep leg raised while resting Take Punarnava tablets / Punarnavadi Kashayam 1tab 2times after food Gokshura 1tab 2times after food improves fluid balance Yogaraj Guggulu 1time 2times after food improves circulation & nerve function Ashwagandha 1tab 2times after food helps nerve weakness External treatment Daily leg massage with Mahanarayana taila or Sahacharadi taila
Some regime you should follow ✔️Do’s:✔️ Eat freshly cooked food. Chew an inch of fresh ginger half an before meal. Eat only fruit vegetables. Limit dairy products (stop if possible) ❌Dont’s:❌ Sitting directly under a fan or right in front of the A.C Oily, spicy, processed food. Packed food products. Sour and fermented items. Bakery items. Fried food products. Potatoes. 💊Medication💊 Tab. Ampachak Vati. 2 tabs twice a day before food. Tab. Punarnavadi Guggul. 2 tabs twice a day before food. Tab. Gomutra Haritaki 2 tabs twice a day before food with the syrup. Syp. Rasnasaptak Kwath 3 tsp twice a day before food with warm water. Tab. Shankhavati 2 tabs twice a day after food. Suck and eat like hajmola Castor oil 3 tsp at bed time with a cup of hot water Sunthi Siddh Castor Oil. 3 tsp at bed time with a cup of hot water.
Start with Punarnavadi kwath tablet 2-0-0 after breakfast with water , will help remove excess water from the body. Ashwagandha lehyam 1tsp. -0-1tsp with water after food. will help strengthen nerves. Apply kshirbala oil on toes that are numb twice daily. Do pranayam lom -vilom kapalbhatti bhastrika daily for 5-10mins. Restrict intake of salt in your diet Keep your feet slightly raised when lying on bed. Recommended medication are attached here, you can buy them Follow up after 1 month
• Punarnavadi Kwath Tablet (Punarnnavadi 100 Nos) - Kerala Ayurveda (Punarnnavadi Kwath Tablet 100 Nos) — x2 • Ashwagandhadi Lehyam (Aswagandhadi 500 Gm) - Kerala Ayurveda (Aswagandhadi Lehyam 500 Gm) — x1 • Ksheerabala Thailam - Kerala Ayurveda (ksheerabala Thailam 450 Ml) — x1
Hi Long term sitting has disrupted your blood circulation your blood vessels might have be compressed fir prolonged sitting For this you can take Tab arjun ghan vati Massage at your back with mahanarayana oil Actually you have payment attention more at your lower back for this you can visit a physiotherapist You will be fine not to worry
Namaste, Your symptoms—long-standing leg swelling during the day (especially with prolonged sitting) and now numbness in toes—suggest a combination of circulation issue + vata involvement in nerves. Since swelling reduces in the morning and increases through the day, it is likely related to fluid pooling and reduced movement rather than a serious acute condition, but the numbness indicates that nerves also need attention now. Sitting continuously for long hours is a major factor here, even if you are exercising in the evening. The body needs movement throughout the day, not just once. Start with simple changes: • Every 45–60 minutes, stand up and walk for 3–5 minutes • While sitting, try ankle rotations and toe movements to keep circulation active • When resting, elevate your legs slightly (keep them above heart level if possible) Avoid very tight clothing around thighs or legs, as it can restrict circulation further. Home support: • Daily gentle massage of legs and feet with warm sesame oil, especially in upward strokes (from feet towards knee), helps circulation and nerve function • After massage, if possible, take a warm water bath • Soaking feet in warm water for 10 minutes in the evening can reduce swelling and discomfort Diet and routine: • Keep salt intake moderate • Stay well hydrated, but avoid excessive caffeine • Include foods that support circulation and nerves—like nuts (almonds, walnuts), seeds, and a little ghee • Since your digestion is good, maintain a regular meal routine Ayurvedic medicines with dose and timing: • Punarnava Mandur – 1 tablet twice daily after food (for swelling and fluid balance) • Gokshuradi Guggulu – 1 tablet twice daily after food • Ashwagandha Churna – 1 teaspoon at night with warm milk (for nerve support) These can help reduce swelling gradually and support nerve health. You may start noticing reduction in swelling within 2–3 weeks, and numbness improvement may take a bit longer (4–6 weeks). Important: Since numbness has started recently, it is good to once check blood sugar, B12 levels, and circulation (Doppler if needed) to rule out any underlying cause. With regular movement during the day and consistent care, your condition can be managed much better 👍
1.Punarnavadi guggulu 2 tab twice daily with water after meals 2.Chnadraprabha vati 2 tab twice daily with water after meals 3.Arjunarishta 15 ml with 15 mlwater twice daily after meals 4.Dashmoola kwath 20 ml with 20 ml water twice daily after meals Lifestyle & Routine---- - Leg elevation: Raise legs for 10–15 min after work to reduce swelling. - Break sitting cycle: Every 45–60 min, stand and walk for 2–3 min. - Yoga: Viparita Karani (legs up the wall), Tadasana, and simple ankle rotations improve venous return. - Diet: Avoid excess salt and heavy/oily foods. Include barley, horse gram, green leafy vegetables, and pomegranate. - Massage: Gentle Abhyanga with sesame oil on legs improves circulation and nerve health.
✓Medicines Punarnavadi Mandoor – 250 mg twice daily after food Gokshuradi Guggulu – 2 tablets twice daily after food Dashmoolarishta – 15 ml + 30 ml warm water twice daily after meals Ashwagandha capsule – 500 mg at night with warm water ✓Oil & Local Care (Daily) Warm Mahanarayana Taila or Ksheerabala Taila – gentle upward massage from foot to thigh 10–15 min nightly followed by hot water bag 10 min ✓Daily Must-Do Continue gym 1 hr evening (add leg elevation exercises) Legs elevated 15–20 min 3×/day (especially after work) Avoid prolonged sitting – stand & walk every 30–45 min Wear compression stockings (class 1–2) during day if doctor approves Warm water sip all day (2.5–3 L) ✓Diet Light & warm: moong khichdi + 1 tsp ghee, cooked lauki/pumpkin, pomegranate, thin buttermilk + roasted jeera Avoid: cold, excess salt, fried, processed food ✓Get Doppler venous/arterial study of legs, nerve conduction if needed, kidney function, thyroid Rule out chronic venous insufficiency, lymphedema or early neuropathy Regards Dr Gursimran Jeet Singh MD Panchakarma
The condition and symptoms you describe above is pointing towards the combination of imbalance of vata Rakt and vata vyadi which is both vascular and nerve related issue Is the swelling is worse during the day and improve doctor sleep it indicate it depend on Gravity and possible circulation stagnation We will focus on improving circulation reducing swelling and nourishing the nerves 1) Sahacharadi Kwath- 15ml+45 ml lukewarm water twice daily 30 minutes before food 2) Ksheerabala (101) Capsules-1 capsule twice daily after food 3) Punarnavadi kwath - 15 ml +45 ml lukewarm water twice daily before food 4) Punarnava Guggulu- 2 Tablets twice daily after food 5) Sahacharadi Thailam- Gentle upward massage in morning before bath Include light easily digestible food focus on ginger garlic and turmeric in your cooking Drink warm water throughout the day Avoid high salty food pickles Papad heavy dairy product curd at night and fermented food Since your work involve continuous sitting use a small foot stool to keep your legs slightly above Every 45 minutes perform ankle exercise to 20 times feet up and down At night keep the leg elevated above the level of your heart for 15 to 20 minutes using a pillow
