Low back pain and left knee pain

60 year-old man presents with a history of chronic low back pain and left knee pain. X-ray LS spine is obtained. On examination there is tenderness at L4-L5, SLR- Rt- 70 degrees, Lt- 60 degress b/l lasegues +ve B/l femoral strech test -ve He is vataj prakriti with krura koshtha and avara bala.

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osteoarthritis cap. aquarious ortho, praval panchamrut, maha vishgarbh tail.
Yograjguguul, arand tel, rasanadikwath
Avoid weight lifting Rx Kali carb
रोगी वात व्याधि से ग्रस्त है। महायोगराज गुगल अन्डी के तेल में मिलाकर सेवन कराएं, महामासादि तेल की मालिश करें रस राज रस 1 रत्ती एकांग वीर रस 2 रत्ती सत गिलोय 4 रत्ती शहद के साथ दे निश्चित रूप से लाभ होगा योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं
Avoid sour,fermented and packed food. Erandbhrushta haritaki with lukeworm water at bedtime. Janubasti and katibasti. Cap.Bonton 1-0-1 Cap.Stresscom 1-0-1 Cap.Rasnadi guggul 2-0-2.
I think MRI of spines is required. May be disc herniation is causing pain. Till then Basti Snehan swedan Yograj guggulu Triphala guggulu Mahavatvidhwas ras Maharasnadi kwath
Panchakarma therapies can be adopted. Begin with deepana, pachana, sneha, sweda, shodhana. Later sthanika chikitsa with internal medicines.
Tryodashang guggalu 2 bid Tab aljoint 1 bid Mahavishgrav tail l/a Syp Rheumo parwahi 15ml bid Mahavatvidvansh ras 2 bid
Bed rest, mahanarayan oil plus Kashmir olive oil for body massage, calcium and vitamins d.
Dear Dr. Nidhi Sharma Ma'am, Advice for the case. Kati basti and janu basti.
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