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How to treat back and hip pain in a 69-year-old diabetic man?
General Medicine
Question #54435
15 days ago
332

How to treat back and hip pain in a 69-year-old diabetic man? - #54435

Client_106947
$3

I am 69 males Diebatic for the last week I have a pain in my back and on the hips When I walk and stand pain is worst need advice my name is ronish Sharma

How long have you been experiencing this back and hip pain?:

- Less than 1 week

How would you rate the severity of your pain?:

- Very severe — unbearable

Does the pain radiate to any other areas?:

- Yes, down the legs

What activities worsen your pain?:

- Walking

Have you experienced any other symptoms like numbness or weakness?:

- No, just pain

How is your blood sugar control at the moment?:

- Poorly controlled

Have you tried any treatments for this pain before?:

- No, this is the first time seeking help
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Doctors' responses

Your pain is mainly due to an aggravation of Vata Dosha, which affects the nerves and causes pain from the back to the legs, similar to Gridhrasi. This imbalance increases with age and can be worsened by weakness and improper lifestyle. You should take rest, keep the body warm, avoid excessive walking, and follow a Vata-pacifying diet. Gentle oil massage and proper Ayurvedic treatment will help reduce the pain and improve movement. – I am prescribing u medicine for 15 days if no relief then will do an xray of lumbar spine and hip region -Dx: Vataja Gridhrasi + Diabetes Rx: 1) Aimil Muscalt Forte Tab – 2 BD after food 2) Aimil BGR-34 Tab – 2 BD before food 3) Muscalt Oil/Spray – Local application BD + hot fomentation 4) tab trifla 1 tab at night with Luke warm water —Advice: Warm diet, rest, avoid prolonged walking/standing, Vata-pacifying regimen


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This condition suggests acute Vata aggravation (similar to Gridhrasi/sciatica type pain), worsened by age (Vata stage of life) and poor diabetes control. Since pain is severe and radiating to legs, early treatment is important. Ayurvedic Internal Medicines: Maharasna kwath tab - 2tab twice a day after meal Yograj Guggulu – reduces Vata, relieves joint & nerve pain Mahayograj Guggulu – stronger option if pain is severe Dashmool kwath – anti-inflammatory, good for back & hip pain Erand (castor oil) with warm milk at night – relieves Vata + mild bowel cleansing External Therapy: Daily warm oil massage with Mahanarayan oil (back & hips) Follow with hot fomentation (steam or hot bag) This reduces stiffness and improves mobility Panchakarma: Kati Basti (oil pooling on lower back) – very effective Matra Basti (oil enema) – best for Vata in elderly Diet & Lifestyle: Take warm, soft, unctuous food (add ghee) Avoid cold, dry, and heavy foods Strict blood sugar control is essential (pain worsens if uncontrolled) Avoid prolonged standing/walking; take rest but do gentle movement


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Since the pain radiates down the legs and is worsened by weight-bearing (standing/walking), it may involve nerve compression or inflammatory changes in the lumbar spine. ** I have prescribed medications for your condition take them consistently , it can take some time because ayurveda works slowly as it acts on roots cause of your problem . The Dos✅ • Prioritize Sugar Control: In diabetes, high blood sugar can lead to neuropathy (nerve damage), which may worsen pain. Monitor your levels daily and consult your primary physician to stabilize them. • Gentle Heat: Apply a warm heating pad to the lower back for 10–15 minutes. This helps relax the muscles around the spine. • Firm Sleeping Surface: Sleep on a firm mattress. Placing a pillow under your knees while sleeping on your back can take pressure off the spine. • Rest: Since walking worsens the pain, limit movement to short, necessary distances until the severity decreases. The Don’ts❌ • No Sudden Movements: Avoid bending forward at the waist or lifting heavy objects, as this can exacerbate nerve compression. • Avoid Vigorous Massage: If there is underlying nerve inflammation, deep tissue massage can worsen the injury. Stick to gentle application of medicated oils. • Don’t Ignore “Red Flags”: If you develop sudden leg weakness, numbness in the groin area, or loss of bladder/bowel control, seek emergency medical care immediately.


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Hello, For back and hip pain in a senior patient with diabetes, Ayurveda focuses on balancing Vata Dosha, which naturally increases with age and can cause dryness or degeneration in the joints and nerves. ​ ​In this view, the pain is likely Katishula (lower back pain) or Gridhrasi (sciatica), caused by Vata accumulation in the bone tissue (Asthi Dhatu). In diabetic patients, this is often complicated by Dhatu Kshaya (tissue depletion), requiring nourishing yet sugar-regulating treatments. Prescription :​ 1. ​Sahacharadi Kwath (Tablet/Liquid): Specifically targets pain from the waist down. ​Dose: 15 ml liquid with 45 ml lukewarm water (or 2 tablets) twice daily, 30 minutes before food. 2. ​Kshirabala 101 Avartti (Capsule): A potent nerve tonic and anti-inflammatory to strengthen the spine. ​Dose: 1 capsule twice daily after food with warm water. 3. ​Myaxyl Oil (External Application): A non-sticky oil to improve circulation and relieve stiffness. ​Dose: Apply gently over the lower back and hips twice daily. Do not massage vigorously; follow with a warm compress. ​ ​Since pain can sometimes be linked to diabetic neuropathy, continue monitoring your glucose levels closely. ​ Avoid lifting heavy weights or prolonged standing. Use a firm mattress for sleeping.


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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) Include ragi millet, black eyed pea, rajgira, soya, tofu as vegetarian source of protein and egg as non vegetarian source ?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. Sinhanad Guggul 2 tabs twice a day before food. Cap. Palsinuron 2 caps twice a day before food. Cap. Arnopen 2 caps twice a day before food Syp. Dashmoolarishta 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.


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Mr. Sharma, sudden severe back and hip pain radiating down the leg, worse on walking/standing—suggest a condition like sciatica (Gridhrasi in Ayurveda), often due to nerve compression plus Vata aggravation. Because: Pain is very severe Radiates to the leg You are 69 and diabetic (poor control). RX- ⚫Tab.Mahayograj Guggulu – 1 tablet with warm water daily twice after meal. ⚫Dashmool Kwath – 15 ml + equal warm water after meal twice daily. Night ⚫Ashwagandha churna – ½ tsp with warm milk 👉 Helps nerve strength and reduces pain ⚫Nishamalaki churna 3gm before meal twice daily. 2. External Treatment Twice daily Gentle massage with Mahanarayan oil (lower back + hip + leg) Follow with hot fomentation (warm compress) Strict precautions ❌ Do NOT bend forward suddenly Avoid lifting any weight Avoid prolonged standing/walking Avoid cold exposure (AC direct हवा, ठंडा पानी) What to do ✔️ Take proper rest (but not complete bed rest >2–3 days) Sleep on a firm mattress Keep posture straight while sitting. Dr. Muskan Chopra Ayurveda Consultant


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1.Mahayograj guggulu 2 tab twice daily with water after meals 2.Shallaki tablets 2 tab twice daily with water after meals 3.Nishamalaki churna 1/2 tsp twice daily with warm water 30 min before meals 4.Rasna saptak kwath 20 ml with 20 ml water twice daily after meals 5.Mahanarayan taila- massage with warm oil twice daily followed by hot fomentation Vital Precautions -Rest: Since walking and standing make the pain “unbearable,” you must prioritize rest. Avoid bending forward or lifting heavy objects. -Posture: Sleep on a firm mattress and keep your back straight when sitting. -Diet: Avoid cold, dry, or “gas-forming” foods (like sprouts or heavy beans). Stick to warm, freshly cooked meals with a little Ghee to pacify Vata.


0 replies

Hello, Your symptoms -severe back + hip pain (sudden onset) -pain radiating down the leg -worse on walking/standing -age 69 + diabetes (poor control) This strongly suggests -sciatica/ nerve compression possible disc issue or nerve irritation Immediate caution Because -pain is very severe -radiating to legs -diabetes is poorly controlled You should not rely on this initially, consult docotr ortho/neuro if pain is unbearable or worsening Internal medications Nerve pain + vata control 1) Yogaraj guggulu= 2 tabs twice daily after meals for 6 weeks Pain + inflammation relief 2) Dhanwantaram gulika= 1 tab twice daily after meals External treatment very important -Murivenna oil -apply on lower back + hip twice daily -follow with hot fomentation =reduces nerve irritation, relieves stiffness and pain Rest and posture (critical) -avoid prolonged standing/ walking -avoid bending forward -sleep on firm surface -use support while sitting Gentle movement -do Not do heavy exercise -only mild walking if tolerable Diabetes control very important high sugar delays nerve healing and increases pain -strict diet control -monitor sugar regularly -continue prescribed medicies Expected results -3-5 days= slight pain reduction -2-3 weeks= better mobility -full recovery depends on cause This is likely nerve compression , not simple muscle pain Early proper care= prevents chronic problem Do follow Hope this might be helpful Thank you


0 replies

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