A male pt. Age51 yr, Having numbness on both hands and pain associates from neck to palm since 3-4 month, Pt. Have constipation problems Loss of appetite, Pt is taking allopathic treatment hv not too much relief, pt. Wants ayurvedic treatment plz doc's advice rx N/H/O of Dm, Htn

Cervical spondylosis is a common degenerative condition of the cervical spine which is caused by age-related changes in the cushion between the joints of the neck and the neckbone. It is also called as Osteoarthritis of neck. In this disease intervertebral disc which acts as a cushion between two vertebrae gets damaged due to age-related changes or other reasons. As disk degeneration occurs, movements of neck get restricted; also edges of vertebra get damaged & these changes increases pressure on nerves originating from cervical vertebrae. Due to this there are many symptoms found in this disease. According to Ayurveda, this condition occurs due to Sandhigata vata of Neck. Vitiated vata dosha causes following symptoms. Tips for treatment- 1. Avoid amla (Sour), kashay(pungent), highly acidic foods like red meat, citrus fruits and even white potatoes which increases vata dosha in body which further damages bones. 2. Avoid Constipation at all cost, it increases pain & stiffness of neck. Ayurveda uses anulomana medicines during treatment, which avoids constipation & also pacifies vata dosha. For that medicated castoroil, Rasna erandadi kashay, Nimba amrutadi eranda taila, triphala is used according to condition & severity. 3. Cows ghee is best vata shamak & acts best in degenerative diseases, so snehapana (oleation therapy) should be done withmedicated cow ghee like- Panchatikta ghrut, Mahatikta ghrut etc. 4. Also (Snehana-swedana)external application of medicated oil followed by steam relieves muscle spasm around neck & pain can be minimized. 5. Ayurvedic Basti/Vasthi (medicated enema) has been described as best treatment for vata diseases. Ayurveda classics had mentioned Panchatikta kshir basti in treatment of osteoarthritis which is also found very beneficial in treatment of cervical spondylosis. 8 days treatment with such basti shows marked improvement in this disease. ayushmanbhavayurveda.business.site 6. Manya Basti orgreeva basti can also be done for treatment of cervical spondylosis. In Manya Basti neck region is bathed in pool of medicated warm oil for 30 minutes. 7. Avoid diet that’s very high in protein. It can interfere with the absorption of calcium. Also,avoid salt, phosphorus (from fizzy drinks), caffeine and alcohol can affect calcium obtained. 8. Exposure to cold,cold baths and any violent exercise of the neck muscles are very bad for the patients. 9. Ayurvedic medicines like shallaki, Rasna, Guggulu (Commiphora mukul), Guduchi (Tinospora cordifolia), Ashwagandha (Withania somnifera), Shunthi (Ginger) as well as some rasa medicines like vata vidhvans rasa, bruhat vata chintamani rasa are best medicines for treating cervical spondylosis but these must be used with experts advice. 10. During study or office work your sitting posture should be straight, don’t lean too much while reading or during office work. 11. Sleep on a firm mattress that keeps your head level. The pillows should not bend the back more than 15 degrees. Avoid sleeping on your stomach as it extends the neck. It is ideal to sleep on your back or your side.

64 year-old woman with pain in her left knee since 6 years. Over the past month, she notes that the pain has worsened. She denies experiencing recent injury or having any precipitating event. On physical examination, she has moderate effusion, full range of motion, and no crepitus with repetitive knee flexion. Anteroposterior radiograph of the left knee is obtained. She has been refereed for knee replacement surgery, Please suggest what should be done? Can surgery be avoided in this case?

66year old lady having swelling on both the legs for 1year,30 year back burn marks on left leg , pain in knee, withDM help to to diagnose and treatment

65 years old male with pain in B/l knees while walking or climbing stairs since 3 years. There is no history of any other systemic disease. On examination: Rt knee- tenderness ++ medially, crepitus ++, movements normal but painful. Lt knee- tenderness +, crepitus ++, internal rotation and flexion limited due to pain. He is kapha vata prakriti with avara agni bala. He eats very less and sometimes feels more acidity and sour eructations.