What to do for severe Rheumatoid Arthritis pain and inflammation after 5 years of treatment? - #54561

●Myaxyl Pain Relief Oil-Quick relief from knee pain and spasms. Reduces swelling and joint stiffness. Soothes sore muscles and joints. Non-sticky and quick-absorbing formula. ●Yogaraja Guggulu Tablets-Relieves from joint stiffness - Kerala Ayurveda Yogaraja Guggulu Tablet is an ayurvedic joint care supplement enriched with guggulu, rasna, and saindava that help nourish the cartilage: the protective cushion surrounding bones in the joints. Eases joint pain - Guggulu and rasna, the key ingredients in Yogaraja Guggulu Tablet, are the foremost herbs or agryaoushada for all Vata-related diseases. They help to pacify Vata dosha and relieve joint pain. Enhances joint flexibility - Kerala Ayurveda Yogaraja Guggulu Tablet infused with joint-friendly herbs in a Ghee base improves mobility and reduces intra-joint friction. Improves mobility - By improving joint stability and enhancing the range of motion, Yogaraja Guggulu improves joint mobility. ●Balarishta -Helps relieve numbness: Balarishta helps ease numbness and lack of sensation. Calms muscles: A herbal muscle tonic with the goodness of bala and Ashwagandha. Regular application revitalizes and strengthens muscles, ensuring balanced energy and well-being. Nourishes bones and joints: Vata-pacifying and brimhana (strengthening) herbs in Balarishta deeply nourish weak muscles, bones, and joints, promoting an active and joyful life. ●Kokilakshakam-KwathUsed in the treatment of rheumatoid arthritis, arthritis, and edematous condition. Acts as anti-rheumatic. Acts as a diuretic. ●Balaswagandhadi Thailam-Improves muscle and joint strength. Enhances joint flexibility and mobility. Nourishes weak and atrophied muscles. Helps recover post-illness soreness and fatigue. ●Warm & Light: Foods should be freshly prepared and easy to digest to kindle the digestive fire (Agni). Best Grains: Red rice, barley (Yava), and small millet (like foxtail or Kodo) are recommended. Vegetables: Bitter gourd, snake gourd, drumstick leaves, bottle gourd, okra, and carrots are encouraged. Spices: Use spices like ginger (freshly grated), turmeric, cumin, and garlic to reduce joint pain. Fluid Intake: Drink warm water throughout the day. Buttermilk (Takra) mixed with spices is highly recommended ●Tadasana (Mountain Pose): Enhances joint mobility and overall body alignment. Bhujangasana (Cobra Pose): Strengthens the spine and improves flexibility. Seated Cat-Cow: Increases spine mobility without placing stress on knees. Tree Position: Promotes balance and gently strengthens hips. Savasana (Corpse Pose): Relieves mental and physical tension

Hello dear, I am very sorry to hear about the intense pain you are experiencing. Dealing with Rheumatoid Arthritis (RA) for five years, especially while managing the side effects of long-term medication, is incredibly taxing. ​In Ayurveda, severe chronic RA is often viewed as Amavata. This condition is understood as the accumulation of Ama (metabolic toxins) and the aggravation of Vata (the energy of movement), which settle in the joints, causing extreme inflammation and “lock-down” pain. ​When pain increases despite starting Ayurvedic herbs, it is often because the internal “fire” (Agni) is too weak to process the medicines, or the Ama is deeply seated. Given the severity of your symptoms and your history of gastrointestinal issues, a “deep-cleansing” approach is often recommended over simple oral tablets. ​The goal for chronic, severe Amavata is to neutralize toxins and then lubricate the joints. Since you are in Ahmedabad, you are in a great location to seek specialized care. ​Langhana & Deepana: Lightening the body and boosting digestion to clear the “sludge” that causes inflammation. ​External Therapy: In your state, treatments like Podikkizhi (herbal powder massage) or Dhanyamla Dhara (pouring of fermented liquids) are traditionally used to reduce swelling before any oil-based treatments. ​Nidana Parivarjana: Strictly avoiding curd, heavy sweets, and cold foods, which “feed” the inflammation. Prescription : ​1. Rasnadi Kashayam: Take 15 ml diluted with 45 ml of lukewarm water twice daily, 30 minutes before food. This is a potent anti-inflammatory for joint stiffness. 2. ​Kshirabala (101) Capsules: 1 capsule twice daily after food. This is a “processed” version of the oil that helps soothe the nervous system and chronic Vata pain. 3. ​Jirakadyarishtam: 20 ml with an equal amount of water after lunch. This helps specifically with the bloating and nausea you experienced from previous medications. 4. ​Pinda Thailam: For very gentle external application only. Do not massage vigorously; simply apply and leave it on for 30 minutes before a warm bath. ​ ​Since your pain is currently unmanageable and increasing, please visit an Ayurvedic hospital for “Panchakarma” (In-patient detox). ​Oral medicines alone often struggle to penetrate the tissues when the condition is this advanced. A 14 to 21-day course of clinical treatments like Virechana (purgation) or Vasthi (medicated enemas) can often provide a level of relief that tablets cannot achieve on their own.