Early onset Osteoarthritis

30/y/o male with pain in b/l knee joint while sitting with legs crossed or climbing stairs. No H/o DM, HTN or Thyroid disorders on examination B/l knee joint medial tenderness ++ Range of motion normal Painful weight bearing' B/l Crepitus ++ He is vata kapha prakriti with madhyam agni bala

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रोगी वात व्याधि से ग्रस्त है। चिकित्सा,,,,, वात शांत करने के लिए तिल तेल 25 ग्राम सुबह खाली पेट दें। महायोगराज गुगल अन्डी के तेल में मिलाकर सुबह-शाम सेवन कराएं। महानारायण महामासादि तेल को मिलाकर घुटने 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।

1.Trayodashanga guggulu 1-0-1 2.T.Asthiposhak 1-0-1 (after 1course ,fix this as regular base) 3.Triphala choorna 1tsf in glass of Luke warm water at bed time... 4.Arthorub for E/A fallowed by hot water fomentation. Fallow patya apatya Advise him to do some yoga's like soorya namaskara,Trikonasana,virabadrasana...etc on regular basis..

Can we suggest Panchkarma? What can we advise?
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X-ray to rule out bony changes 30years age is very uncommon for OA Pain may be due to obesity or genu varum deformity Avoid long standing and prolonged cross leg sitting *correlate clinically

Thank you @Dr. Twara Aashish
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Dear Dr. Vinod Mahajan Sir, Advice for the case. Advice for pottali abhyanga. Tab. Trilokya chintamani Ras . Avoid citrus and fermented food. Advice for light exercise.

Thanks @Dr. Twara Aashish
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Advise X-ray to analyse the pathology and extent of it. Advise not to sit crossed leg at it causes compression of nerves. Treatment as advised by Ayurvedic physicians.

Thank you Dr.@Nihar Ranjan Mohanty and @Dr. Shukla Vikram
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Orthopedic Surgeons Opinion and His or Her Suggested investigations Needed.

Any x-ray?? Rumalaya liniment and tablet orally can be advised.

Janu basti. Cap.Stresscom 1-0-1 Tab.Rumalaya fort 2-0-2.

Apart from homeopathy bry can work...

Is it? "apart from Ayurvedic" ? As Bry is Homoeopathic medicine.
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mahayograj gugulu+ashwagandha churna

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