Pain and swelling in left knee

A 56-year-old woman presents with a 3-day history of gradually worsening pain and swelling in her left knee. She denies injury, fever, or other complaints. She has never experienced this type of pain before, and she states that she is fairly active. The patient’s vital signs are normal; physical examination is normal except for a small left knee effusion and slightly limited range of motion. On Examination B/l medially tenderness ++ B/l crepitus ++

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Dx:Knee effusion Rx 1. Dashmoolarishta 2. Trayodashang guggulu 3. Kaishore Gugglu 4. Shallaki Tab 5. Shastik Shali Pind Swedan @Anu Parmar
Nice management@Dr Hemant Mitra.
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रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,, महायोगराज गुगल अन्डी के तेल में मिलाकर सुबह-शाम सेवन कराएं। महानारायण तैल की मालिश करें और फिर उस पर उपनाह बांध दें। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। निश्चित रूप से लाभ होगा योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं।
Tab rumalaya fort Trayodashaag guggulu Shallaki tab Punarnvadi guggulu Avipittikar churna Proper diet management
use trio dashang guggul with maha rasna kara and punarnava guggul. locally apply lin. pyroflex
Rhumayaog gold Triyodasang guggul Punarnava kashyam Kottamchukaadi churan local application
Crepitus in joints is an early sign of osteoarthritis.
Rx Cal phos, Arnica ,RT.
Arnica and natrum phos
What about modalities
Bry 30 (4) dose bd
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