Dr. JV Hebbar
Dr. JV Hebbar

@hebbarjv

14 Tweets 12 reads Jul 21, 2022
How to tackle knee pain in diabetic patients?
Dr MB Gururaja, Dr JV Hebbar:
In diabetic patients, knee pain can be felt more because of two reasons -
Increased oxidative stress on the knee joint and
Persistent mild inflammation in the vulnerable,
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weight bearing parts of the body, including the knees.
Ayurveda explains that all the three Doshas - Vata, Pitta and Kapha are involved in the pathology of diabetes.
Because knee joints are dominant in Kapha Dosha and Vata Dosha, these two should be tackled efficiently.
The primary target is the disease diabetes itself. Treating diabetes with suitable medicines, remedies and Panchakarma helps to lower the oxidative stress and inflammatory effect on the knee joints.
Next, for the nourishment of knee joints, oil massage with Mahanarayana taila or Dhanwantaram taila is very suitable. These are prime Ayurvedic oils that can be used for daily massage, available worldwide.
If these oils are not available, then sesame oil is also good for application.
How to apply?
Take a few drops of the oil on to your finger tips and apply the oil over the knees. Leave it on for 10-30 minutes and then wash off with lukewarm water.
Do this, once or twice a day, for best results.
If the pain is continuous, cotton swabs can be dipped in these oils and can be placed on the painful joints. This ensures that abundant quantities of oil are placed on the painful areas for maximum absorption and action.
Adding 5 grams of camphor powder to 200-300 ml of sesame oil can make a good oil to relieve pain instantly by creating a healthy mild burning sensation.
You can also add 5 grams of camphor to 200-300 ml of Mahanarayana oil for creating a counter-irritant effect, which helps you to forget pain easily.
Along with that, thigh strengthening exercises and Yoga poses can help to stretch the knees and release the pressure.
A few examples are -
Pada Hastasana - hand under foot pose
Paschimottanasana - seated forward bend pose
Bhujangasana - cobra pose
Paste application of anti-inflammatory Ayurvedic herbal powders is very good. For this, ginger, Guggulu (Commiphora mukul), Devadaru (Cedrus deodara), Dashamoola (group of ten roots), Shallaki (Boswellia serrata), etc. herbs, based on availability,
can be taken, made into a fine powder, added with a few drops of Mahanarayana oil and applied locally.
Oral Ayurvedic medicines such as Ksheerbala taila and Gandha taila are useful to soothe the nerves and to strengthen bones, muscles, tendons and ligaments of the knee.
A healthy diet with anti-inflammatory ingredients such as garlic, ginger, broccoli, walnuts, olive oil, onion, green tea etc. are very useful for both diabetes and knee pain.
There are a set of medicines used for external use, called liniments, which evaporate on application.
These liniments can relieve pain very quickly. Example -
Arthorub liniment,
Rhukot liniment
Apart from these, there are numerous Ayurvedic therapies for relieving pain and improving strength, such as Janu Basti (oil pooling on the knees), Panchakarma treatment etc.
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