What to do for my 60-year-old mother with severe knee pain after 18 years of multiple myeloma treatment? - #53692

Start Medicine 4 5 months Yograj guggulu-2 tab 2 times 2 times. RG forte tablets - 1 tab 3 times a day Myxal tablets- 2 tab 2 times a day after food Ostoact Tablet- 2 tab 2 times after food Kokilakshakam Kwath- 2 teaspoon 2 times Bala oil - warm 3to 4 teaspoon oil gently massage 3 times Maharasnadi Kwath Tablet-1 tab 3 times a day

🩺 Important Medical Checks (Very Important) If not done recently, please consider: X-ray / MRI of knee (to rule out bone lesions) Serum calcium levels Vitamin D & B12 Kidney function (important in myeloma patients) 👉 If pain is increasing, a hematologist review is strongly advised. 🌿 Ayurvedic Approach (Safe & Practical) 1. External Therapies (Most Effective in her case) These will give real relief: Abhyanga (oil massage) with: Mahanarayan oil Dashmool oil Janu Basti (highly recommended) → Warm medicated oil retained on knee joint → Excellent for severe pain Nadi Swedana (steam therapy) → Reduces stiffness + improves circulation 👉 If you run TRIPT AYURVEDA, you can easily incorporate these therapies regularly (3–5 times/week initially) 2. Internal Ayurvedic Medicines (Adjust carefully ⚠️) She is already taking many rasayanas, but I would suggest rationalizing instead of increasing: Continue: Ashwagandha (good for strength) Shatavari (if tolerated) Add (after consulting your physician): Yograj Guggulu → for Vata + joint pain Lakshadi Guggulu → for bone strength Dashmool Kwath → reduces inflammation ⚠️ Be cautious with: Excess Shilajit (can burden kidneys in myeloma) Multiple rasa preparations together (like Pushpadhanwa Ras) 3. Diet (Very Important) Focus on Vata-pacifying + bone nourishing diet ✔ Give: Warm, soft foods (khichdi, soups) Cow ghee (small amounts daily) Sesame seeds (til) Almond milk (if digestible) ❌ Avoid: Cold foods, curd at night Dry, stale food Excess raw salads 4. Simple Home Remedies Hot fomentation (daily) Castor oil + dry ginger paste (local application for pain) Turmeric milk at night (if digestion allows) 5. Gentle Movement (Don’t stop completely) Even with pain: Light movement is necessary Bed rest will worsen stiffness 👉 Try: Passive knee bending Supported walking (very short distance) 💊 Pain Relief (Don’t hesitate here) If pain is “very severe and unbearable”, Ayurveda alone may not be enough. 👉 It is completely okay to use: Mild painkillers (under doctor guidance) calcium + Vitamin d supplements Pain control = better healing 🚫 not to do don’t ignore worsening pain don’t do aggressive therapies or strong panchakarma in her condition