sandhigat vat

Male patient 75 yr with B/L osteoarthritis C/o -- pain in both legs in knees from 6-7 yr. H/o -- No DM ,HTN , Thyroid . Not any history of smoking or alcoholic. He had taken analgesics for pain . I've given -- yograj guggulu , vatgajankush ras , asthiposhak vati , rasna saptak kwath . Panchgun oil for L/A. For 15 days , But not relief . Plz guide me in this case sir/mam . @@Dr. Hemant Adhikari Dr@. D. P. Singh

(Edited)

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Add glucosamine, diacerin, and quadriceps exercise.

Add glucosamine 500 bd for at least 60 days , ice pack compression followed by diclo/aceclofenac spray 2-3 times a day... Dietary modifications and zero resistance exercises for weight loss... If grade of OA is high then go for injection hyaluronidase .. quadriceps (vastus medialis)exercise is very helpful..

Ad Glucosamine HCL tds Multivitamins Antioxidant CalmagD3 Salmon omega 3 Co Q 10 Protein all plant power Daily multivitamins

Refer the patient to Physiotherapy Along with medicine exercise is needed. Good physio will relieve pain within 15 days... PT Rx- Electrotherapy as per pain type n site Mulligan mobilization for knee, Patelar mobilization, Sqe,atm, SLR, hip n knee ankle muscle strengthening, Proprioceptive training.

JL.jnii no no j

Simple abhyanga with sahachadi taila followed by patrapinda sweda if no aam If aam Baluka sweda Follwed by medicine as u given

Sir , can I change the aushadhi yograj guggulu to mahayogaraj and vata gaajankush to vatvidhanshak ras and panchamrit lauh guggulu . Is it effective to change the drugs ...
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Vatari Guggulu Vaiswanar churna Maha visa garbha taila Helpful

? ARTHROPATHY.. MANAGEMENT.. ETEROCOXIB 90MG OD.. VITAMIN D.. CALCIUM SUPPLEMENTS.. GLUCOSAMINE .. SYMPTOMATIC T/T..

Thank you doctor
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Do janu basti..

Thank you doctor
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Add glucosamine 500mg TDS

Thank you doctor
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