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Suggest An Alternative Treatment For Knee Pain
Question: Dear Doctor, My Father is having knee pain past 1 year. His nature of work was standing or sitting by cross leg for more than 8 to 10 hours a day. When we consulted a doctor he suggested us to go for Knee Replacement surgery. I want to know, do we have any other alternative option for this problem. Attaching the photo copy of the MRI report, please suggest the same. Thank you!
Brief Answer:
Opinion and necessary options
Detailed Answer:
Dear
Thanks for contacting Ayurveda with your health concern and although Age can be one risk factor (knee OA increases after the age of 45) in developing OA changes, do let me know about certain additional risk factors:
i. WEIGHT: being overweight can contribute to the problem
ii. Any past injury or infection
1. Going by the MRI report it is in advanced stage (3-4) of knee OA thus following guidelines are recommended:
i. Get an expert opinion from.an Orthopaedic Surgeon:
. If there is no response to routine treatment
. If knee is swollen,warm and tender
. If there is excessive or large effusion
. If there is wasting of Quadriceps muscles.
ii. Check as routine: Hb%,WBC,ESR,RA Test, X-ray [AP & Lat]
iii. New form of treatment for Knee OA is visco supplement i.e.intra articular injection of hyaluronic acid.
iv. One may go for Osteotomy,.whereas knee replacement is the last resort but with side effects like:
. Infection at the incision site
. Blood.clots
. Require extensive physical and occupational therapy.
v. Take: old brown rice,horse gram,brinjal, garlic,pomegranate XXXXXXX lemon,black grapes,ghee,oil,cocomut water,milk, tamarind,light massage,ise of walking,stick,
Avoid: peas,bitter.gourd,late nights,excess walking and eating,sitting on.floor,climbing stairs as far as possible.
If you are interested in Ayurveda management and treatment do let me know so that it can be initiated at earliest.
Dr. Munish Sood
Consultant & Physician
Naimittika
Opinion and necessary options
Detailed Answer:
Dear
Thanks for contacting Ayurveda with your health concern and although Age can be one risk factor (knee OA increases after the age of 45) in developing OA changes, do let me know about certain additional risk factors:
i. WEIGHT: being overweight can contribute to the problem
ii. Any past injury or infection
1. Going by the MRI report it is in advanced stage (3-4) of knee OA thus following guidelines are recommended:
i. Get an expert opinion from.an Orthopaedic Surgeon:
. If there is no response to routine treatment
. If knee is swollen,warm and tender
. If there is excessive or large effusion
. If there is wasting of Quadriceps muscles.
ii. Check as routine: Hb%,WBC,ESR,RA Test, X-ray [AP & Lat]
iii. New form of treatment for Knee OA is visco supplement i.e.intra articular injection of hyaluronic acid.
iv. One may go for Osteotomy,.whereas knee replacement is the last resort but with side effects like:
. Infection at the incision site
. Blood.clots
. Require extensive physical and occupational therapy.
v. Take: old brown rice,horse gram,brinjal, garlic,pomegranate XXXXXXX lemon,black grapes,ghee,oil,cocomut water,milk, tamarind,light massage,ise of walking,stick,
Avoid: peas,bitter.gourd,late nights,excess walking and eating,sitting on.floor,climbing stairs as far as possible.
If you are interested in Ayurveda management and treatment do let me know so that it can be initiated at earliest.
Dr. Munish Sood
Consultant & Physician
Naimittika
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
1. Yes, my father is over weight (Height - 170 cms and Weight - 90 kgs)
2. Once he slipped on the floor
We already consulted with the ortho physician and following are the treatment history.
1. Medicines
2. Physiotherapy for knees
3. Knee injection
but still the pain and knee problem is not cured.
I want some opinion in Ayurveda about the alternative treatment for the problem as I heard from my college that He underwent a treatment in Ayurveda for his spinal-cord disc location.
As the problem is in very advance stage, can you please suggest which option is the best by considering his age factor.
2. Once he slipped on the floor
We already consulted with the ortho physician and following are the treatment history.
1. Medicines
2. Physiotherapy for knees
3. Knee injection
but still the pain and knee problem is not cured.
I want some opinion in Ayurveda about the alternative treatment for the problem as I heard from my college that He underwent a treatment in Ayurveda for his spinal-cord disc location.
As the problem is in very advance stage, can you please suggest which option is the best by considering his age factor.
Brief Answer:
outlook for advanced stage
Detailed Answer:
Dear
Thanks for reverting back.
1. boil 100 gm black pepper powder in 280 ml sesame oil: filter and massage.
2. dry heat [baluka sweda] is best
PS. can be given with hot water bottle,hair dryer or from sand obtained from local popcorn vendor or from suppliers and then heating it.
3. boil 1 spoon dried ginger in 4 cups water till 1 cup remains, filter it and add 2 spoons castor oil and drink.
4. Injection which he is been given are steroidal preparation, so you may ask for hyaluronidase injection.
5. reduce weight, [optimal weight is necessary] since it will significantly decrease the pain.
PS. Physical activity should be regular to maintain range of motion and strengthening muscles around knee. [avoid sedentary life style]
6. surgery may be necessary if response to medical treatment is not adequate.
7.
. gokshuradi vati and rasnadi vati with punarnvaadi kwatha
. mahayograj guggul and aamvaatari ras with honey
. dashmoolarishta and ashwagandha arishta [after meals]
. vrihat saindhavadi taila or maha vishgarbha taila [local application]
Dr. Munish
Naimittika
outlook for advanced stage
Detailed Answer:
Dear
Thanks for reverting back.
1. boil 100 gm black pepper powder in 280 ml sesame oil: filter and massage.
2. dry heat [baluka sweda] is best
PS. can be given with hot water bottle,hair dryer or from sand obtained from local popcorn vendor or from suppliers and then heating it.
3. boil 1 spoon dried ginger in 4 cups water till 1 cup remains, filter it and add 2 spoons castor oil and drink.
4. Injection which he is been given are steroidal preparation, so you may ask for hyaluronidase injection.
5. reduce weight, [optimal weight is necessary] since it will significantly decrease the pain.
PS. Physical activity should be regular to maintain range of motion and strengthening muscles around knee. [avoid sedentary life style]
6. surgery may be necessary if response to medical treatment is not adequate.
7.
. gokshuradi vati and rasnadi vati with punarnvaadi kwatha
. mahayograj guggul and aamvaatari ras with honey
. dashmoolarishta and ashwagandha arishta [after meals]
. vrihat saindhavadi taila or maha vishgarbha taila [local application]
Dr. Munish
Naimittika
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Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Answered by
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