How to relieve severe knee and thigh pain in my 80-year-old diabetic mother at night? - #53864

At 80 with diabetes and severe night pain, this is usually Vata disorder (Sandhivata / osteoarthritis) with muscle weakness. Treatment should be pain relief + joint nourishment + safe for diabetes. Simple Ayurvedic medicines and dose 1. For pain and inflammation Yograj Guggulu Dose 1–2 tablets twice daily after food Maharasnadi Kwath Dose 30–40 ml twice daily before food 2. For bone and muscle strength Ashwagandha churna Dose 3 grams twice daily with warm milk Lakshadi Guggulu Dose 1–2 tablets twice daily 3. For local pain (very important) Mahanarayan oil massage Apply on knees and thighs, gentle massage 10–15 minutes Follow with hot fomentation For sleep and night pain Tagara or Jatamansi Dose 250 mg at night Diet advice Warm, soft food Add small amount of ghee daily Avoid cold food, curd at night Lifestyle Avoid stairs as much as possible Gentle movement only, do not overdo physiotherapy Keep joints warm

Hello, This appears to be vata predominant sandhivata (degenerative knee osteosrthritis) with possible vata-kapha involvement due to swelling, and possible muscular involvement in thighs. night pain, pain on climbing stairs, chronicity , age 80 years, and disturbed sleep strongly suggest aggravated vata affecting joints, muscles, and surrounding tissues. In diabetes, circulation and nerve nourishment also need attention Treatment goals -reduce knee and thigh pain -reduce swelling and stiffness -improve sleep disturbed by pain -support joint lubrication and mobility -nourish muscles, nerves, and aging tissues -prevent progression and improve walking comfort Internal medications 1) Maharasnadi kashaya= 15ml + 45ml warm water twice before meals for 12 weeks -helps chronic pain, joint pain, stiffness vata disorder and mobility 2) Dhanwantaram gulika= 1 tab twice daily after meals for 12 weeks =useful for pain, vata aggravation, and pain related sleep disturbance 3) RG forte tablets= 1 tab twice daily after meals for 8 weeks =support joint comfort and helps swelling External therapies 1) Dhanwantaram taila -warm oil gentle application over knees and thighs, especially evening or before bed daily for 8 weeks minimum =helps pain, stiffness, improve circulation, and often helps night pain If swelling/ stiffness is prominent= kottamchukadi taila for local application lifestyle advice -avoid stair climbing as much as possible -avoid overexertion and prlonged standing -use warm compress over knees at night -keep jonit warm, avoid cold exposure -gentle assisted knee movement only, avoid painful exercises -use western style toilet support or raised seat if needed to reduce knee strain Diet -moong dal -cooked vegetables -warm soups -small quantity ghee -ginger in food Reduce -cold foods -deep fried foods -very dry foods -excess sour/heavy foods if swelling worsens Gentle practices -very gentle seated leg movements if tolerated -nadi sodhana can help pain related poor sleep Do follow Hope this might be helpful Thank you

• Rg Forte Tablet (R G 100 Nos) - Kerala Ayurveda (R G Forte 100 Nos) — x1 • Dhanwantharam Gulika (50 Nos) - Kerala Ayurveda (Dhanwantharam Gulika 50 Nos) — x2 • Maharasnadi Kwath (200 Ml) - Kerala Ayurveda (Maharasnadi Kwath 200 Ml) — x2 • Dhanwantharam Thailam - Kerala Ayurveda (Dhanwantharam Thailam 200 Ml) — x1 • Kottamchukkadi Thailam - Kerala Ayurveda (Kottamchukkadi Thailam 200 Ml) — x1