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How to treat knee pain with low vitamin B12 and a history of peripheral neuropathy at age 38?
Orthopedic Disorders
Question #54789
20 days ago
353

How to treat knee pain with low vitamin B12 and a history of peripheral neuropathy at age 38? - #54789

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My right knee has a lot of pain and my blood report shows vitamin b 12 is less n my thyroid test are normal n haemoglobin A1c is 6.8 n my age is 38 n weight is 82.7 kg n height is 5.5 feet. I had history of peripheral neuropathy

How long have you been experiencing knee pain?:

- 1-6 months

How would you describe the intensity of your knee pain?:

- Moderate — affects daily activities

Does the pain in your knee radiate to any other areas?:

- Yes, to my calf

Have you noticed any specific activities that worsen the knee pain?:

- Climbing stairs

How is your overall energy level and fatigue?:

- Moderate — some fatigue

What is your typical diet like?:

- Balanced with fruits and vegetables

Have you experienced any other symptoms along with knee pain?:

- Numbness or tingling
Writing an explanation of your symptoms through Ayurveda...
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Doctors' responses

Your symptoms suggest a combination of Vata aggravation, possible joint inflammation, vitamin B12 deficiency, excess weight strain on the knee, and nerve weakness due to previous peripheral neuropathy. HbA1c 6.8 also indicates borderline/high blood sugar, which can worsen nerve and joint pain. You may start with: Yograj Guggulu – 2 tablets twice daily after meals Mahayograj Guggulu or Ashwagandha capsule may help in nerve weakness and joint support Apply Mahanarayan Taila gently on the knee and do mild hot fomentation daily. Diet & lifestyle: Reduce weight gradually with light walking and stretching. Avoid cold, packaged, fried, and excessive sugary foods. Include sesame seeds, cow ghee in small quantity, warm milk, leafy vegetables, sprouts, and B12-rich foods. Maintain proper sleep and stress control.

• Rasnasapthakam Kwath Tablet (Tab 100 Nos) - Kerala Ayurveda (Rasnasapthakam Kwath Tab 100 Nos) — x1 • Myaxyl Capsules (100 Nos) - Kerala Ayurveda (Myaxyl Capsules 100 Nos) — x2 • Prasaranyadi Kwath (200 Ml) - Kerala Ayurveda (Prasaranyadi Kwath 200 Ml) — x1 • Glymin Tablet (100 Nos) - Kerala Ayurveda (Glymin 100 Nos) — x2


0 replies

Your symptoms suggest an imbalance of Vata dosha, which affects the nerves and joints, leading to knee pain and neuropathy-like symptoms. Low vitamin B12 and high sugar levels further weaken the nervous system and tissues (Dhatus), causing pain and tingling. This condition is also influenced by Meda and Majja dhatu imbalance. With proper diet control, weight management, nerve-strengthening herbs, and regulation of blood sugar, this can be improved gradually. –Aushadhi 1) Maharasnadi Kwath – 20 ml with equal warm water, twice daily after food 2) Ekangveer Rasa – 1 tab twice daily after food (with honey) 3) Nirgundi oil (external application) – knee joint massage twice daily 4) Ashwagandha lehyam– 1 tsf with warm milk at night 4) Madhumehari yoga – 2 tab after meal twice daily — diet Low sugar, low rice intake Barley, green vegetables, moong dal preferred Warm, freshly cooked food Avoid curd at night, fried foods, bakery items –Apathya Cold food, excess walking on hard surfaces Day sleep Excess sweet & refined carbohydrates —Advice Regular walking (as tolerated) Weight reduction Monitor blood sugar regularly Vitamin B12 supplementation as per physician advice


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an HbA1c of 6.8 means your blood sugar has officially crossed into the diabetic range. In Ayurveda, this condition (Madhumeha/Prameha) creates sticky metabolic toxins that block the micro-channels feeding your nerves. Because your Vitamin B12 is also low, the protective coating around your nerves (the myelin sheath) is breaking down. This combination is precisely why your history of peripheral neuropathy has flared up, causing the numbness, tingling, and pain that radiates from your knee down into your calf. Furthermore, your height is 5.5 feet and your weight is 82.7 kg, which puts your BMI over 30. When you climb stairs, the mechanical load on your knee joint is multiplied by up to four times your body weight. Your knee cartilage is struggling under this mechanical pressure, and your weakened, inflamed nerves are misfiring under the load. ✓Ayurvedic Action Plan We need to immediately manage your blood sugar, deeply nourish your damaged nerves to stop the tingling, and relieve the painful Vata trapped in your knee joint. 1. Maha Yogaraj Guggulu Dosage: 2 tablets twice a day. Time: 30 minutes after your lunch and dinner. Vehicle: A glass of warm water. 2. Chandraprabha Vati Dosage: 2 tablets twice a day. Time: Taken alongside the Maha Yogaraj Guggulu. Vehicle: Warm water. 3. Ksheerabala Taila (For Local Application) Usage: Gently massage 5 to 6 drops of this medicated oil around your knee and down your calf every night before sleeping. ✓Crucial Care Rules Correct the B12 Urgently: Ayurvedic herbs need biological building blocks to repair tissue. Because your B12 is already tested as low and you have active neuropathy, you must speak to a local physician about taking an active B12 supplement (Methylcobalamin) or getting B12 injections immediately to stop the nerve damage. Stop Climbing Stairs: Until your weight comes down and the nerve inflammation subsides, you must stop climbing stairs as much as possible. Choose flat-ground walking for 30 minutes a day instead to improve blood circulation without grinding the knee cartilage. Strict Carbohydrate Control: To bring your HbA1c down from 6.8, you must minimize refined carbs and sugars. Avoid white rice, potatoes, and sweets completely. Focus your balanced diet heavily on cooked green vegetables, lentils, and proteins. Regards, Dr Gursimran Jeet Singh MD Panchakarma


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1. Rasnadi guggulu 1BD after food with normal water 2. Laksadi guggulu 1BD after food with normal water 3. Mahanarayan oil for external use in join pain 4. Haritaki tablet 1 HS after food with normal water 5. Maharasnadi kwath 15ml BD with same amount of normal water after food Avoid spicy oily and sour food and also all type of Pulses …chana…rajma and all heavy food because all heavy food creat vata in body and pain in our body is main cause increase of vata


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1.Yogaraj Guggulu 2 tab twice daily with water after meals 2.Ashwagandha capsules 2 cap twice daily with warm milk after meals 3.Maharasnadi Kwath 20 ml with 20 ml water twice daily after meals 4.Mahanarayan taila- massage with warm oil twice daily followed by hot fomentation Diet & Lifestyle -Diet: Warm, light meals; avoid fried, oily, and excess sweets. Include turmeric, ginger, garlic, leafy greens, pomegranate. -Hydration: Warm water, herbal teas (coriander, cumin). -Weight management: Small frequent meals, avoid late-night eating. -Exercise: Gentle yoga (Setubandhasana, Bhujangasana, Anulom Vilom pranayama). Avoid stair climbing until pain reduces. -Supplements: Modern B12 injections or tablets are essential — Ayurveda alone cannot correct deficiency.


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Hello, Your case is a combination problem, not just knee pain You have -knee pain radiating to calf -history of neuropathy -low vitamin B12 -prediabetes (HbA1c 6.8) -overweight (high BMI) so pain is likely from Nerve involvement + inflammation + joint stress Ayurvedic view -vata aggravation-> pain, radiating, tingling -kapha + weight-> joint load -majja dhatu weakness-> neuropathy So treatment must cover -nerves -joint -metabolism Internal management 1) Nerve + pain support (main) -Ashwagandha capsule= 1 cap twice daily after meals with warm milk =improves nerve strength + reduces pain 2) Joint + inflammation -Yogaraj guggulu= 2 tabs twice daily after meals =best for knee pain + stiffness 3) Strong vata + nerve correction -Mahayogaraj guggulu= 1 tab twice daily after meals =useful if pain radiates (nerve type) 4) Neuropathy support (important in your case) -Brihat vata chintamani ras= 1 tab twice daily after meals =deep nerve regeneration Modern view very important Your vitamin B12 deficiency Must be corrected -Take B12 supplements/injections Without this -nerve pain will not improve fully External treatment highly effective -Massage knee with Mahanarayan taila -daily 10-15min -follow with warm fomentation Diet Because HbA1c is high -eat low sugar diet -high fiber -warm food Avoid strictly -sugar, sweets -refined carbs -junk food Lifestyle most important -daily 30 min walking -weight reduction key for knee relief -avoid prolonged sitting Expected results -2-3 weeks= pain reduction -4-6 weeks= better movement -2-3 months= nerve recovery improves Your issue= knee pain= nerve + joint + metabolic problem Solution -treat B12 deficiency -reduce weight -support nerves + joints Do follow Hope this might be helpful Thank you


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