Complain:
A 61 year old housewife approached us with symptoms of pain in the left knee that was radiating to the ankle. She also complained of stiffness in the right knee, pain and numbness. She had difficulty walking after having walked for 20 minutes and was unable to climb stairs. Her reported symptoms included irritability and mood swings.
Investigation & Diagnosis
On investigation it was found that she was a pure vegetarian with no history of smoking/ alcohol consumption. She was unable to do any exercise.
2 weeks prior she had reported a problem of lower back pain.
Since 2007 she was suffering from very high blood pressure and was on hypertension medications. She has been taking Metformin for her diabetes for the past 4 years.
She had a Hysterectomy due to fibroids more than 20 years ago. She also has a history of Intestinal obstruction and hernia.
Acidity - resolved
Constipation - no
Bloating - no
Cervical pain - due to fracture a few years ago.
An X-Ray revealed left knee degeneration. Her RA factor was found positive.
Further, examination revealed the following:
Tongue - white coating
Stools - normal
Weight gain - unable to lose weight
Nadi - Pitta Kapha Pradhana
The patient was diagnosed with Amavata
Treatment
Her treatment started with detoxification through Ama Pachana and Agni Deepana medicines consisting of Amruthottaram Kashayam, Hinguvachadi Churnam, Arthronil capsules, Maharasnadi Kashayam, Rasna Saptakam Kashayam, Yogaraja Guggulu, and some medications to reduce blood sugar including Salacia -O capsules. For external application, oils like Kottamchukkadi oil, Murivenna, Karpoora Thailam were prescribed.
She was advised a diet of easy to digest pulses and grains and a regular dose of barley water.
Stretch exercises, pranayama, and a daily 15 minute walk were recommended.
Relief
Her condition considerably improved in 20 days and her pain subsided by 60-70 % within 2 months. Arthronil was continued for 3 more months and she is now able to walk for 1 hour every day and do her daily chores without any pain /stiffness.
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Dr. Greeshma Nair
Dr. Greeshma Nair(B.A.M.S) is a Staunch believer that Ayurveda is not merely a science but lifestyle too. Her holistic approach towards diagnosis and treatment is based on the root cause of disease and gives you a three-dimensional solution to a condition that includes Ahaar (diet), Vihaar (lifestyle) and Aushadhi (medicines).