Hi im 35 yr old suffering from Lumbar spondylitis n severe pain in left hand,left shoulder. Kindly suggest medication. I had taken a x-ray which says space reduced between L4 & L5 vertebrae. Now ortho says that symptoms show beginning of spondylitis thats affecting movement of my left hand. Kindly suggest medication

Dear Simi, The condition can be incorporated under "Kati{Lumbar Area} Shoola/Graha" in Ayurveda. I would like to know about your activities, job, diet, sleep, travel(Mode, Distance), Appetite, Bowel Habits, Menstrual history. Mention if you have hypertension, diabetes or any other illness. Provide details of investigations done so far. Kindly send the details so that we can provide you the best treatment option. Regards, Dr. Kiran AyurSEVA Hospital Jeevan Hall Building Behind Abhyudaya Bank/LIC Office Dharavi Main Road Mahim East Mumbai- 400 017 Maharashtra Phone: +91 22 2403 5001 +91 22 2407 5001

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Dr Kiran V.Mutnali

Hello Simijee, Pl.send the detail as rightly asked by Dr.kiran.Let me tell u along with the treatment ayurveda is a way of life.Simmijee ur age is35 yrs you are entering into a degenerative phase i.e once the things are degenerated it is very difficult to regenerate it,since you are in the "PITT KAL" of ur life(means catabolism and anabolism is disturbed). Meanwhile u can follow certan tips - -avoid bending,lifting heavy objects and stress. -must take care of ur bowels. -pl.take pippali 1 tsf along with ghee(cows),since pippali is a riches source of calcium and cows ghee is less in calorie and "PITT SHAMAK". Treatment can be further planned after getting ur details. Vd.S.K.Rai,Jaggottam,Allahabad.05322561406 09335118419

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vd.s.k.rai

Dear Dr.Kiran and Dr.Rai, Listed below are the details asked by you. I would like to give you firstly my medical history. I had a 2 caesaerians,first in 2004, in which i lost my baby.The surgery was done very abruplty (as said by all the gynaecs whom i consulted later).I had numbness in my left thigh for almost a year after surgery and used to get pain in leg and lumbar area. I had 2nd caesar in 2007 which had to be performed because as said by my gynaec,my tissues have become very rigid on account of prev surgery. I was given an injection after my first caesar to stop formation clotting of milk glands as my breast had hardened up.Im sorry i dont know the proper medical term used for this. After my second caesar my body hardly generated milk as a result i had to feed my child number of times with watever milk i had resulting in tremendous strain on neck n lumber area for almost 4 months. I consulted ortho but they used to give me pain killer. Almost a year back when i was asked to take lumbar x-ray it showed space between L4 and L5 reduced. The ortho also sd that there are symptoms of cervical spondy. as well bt never asked me to take x-ray.I was asked to take calcium tablets. Took them fr a yr bt pain went on increasing. Accupressure seatings gave me some relief.I avoid pain killers as they give me acidity. After this i got medication advice from Dr.Davinder Singh to take 2 Tabs of Kaishor guggulu (BD),2 tabs of Vaatvidhwasan (TDS),5gms of Ashwagandha Chooran (BD) and Vishgarb oil massage twice and doing salabhasana n bhujanasana. Im a working woman from mumbai.so 9 hours duty.office job.travel by crowded train and bus. Diet: have 3 chapatis n tea as breakfast at around 7.45 a.m lunch at 1pm 3 chapatis n bhaji. usually have something like biscuits or sandwich at around 5 pm Dinner: 2 chapatis n little rice with dal and vegetable,or sprouts or leafy vegetables or non-veg some days. Sleep: I get around 6-7 hours sleep in night. Menstrual history: regular 7 days Bowel Habits: once or twice in morning. And I have developed piles problem after my second delivery. But that is not a regular problem. No Diabetes. My BP did go a bit low once this year but no BP problem. I think i've given you reqd. details but if ive missed out anything please let me know. Looking forward to your valuable guidance! Simi

Simmije nice to have all the details,there seems to be degeneration of cartilage of L4-L5 vertrae and there is compression on the nerves this may be because of hormonal injection which was given to u , as u have mention .I would like to suggest following regim-- -avoid exercise . -take maximum bed rest and relax ur body. -use western toilet,hard bed without pillow and try to get up side wise. -there should be no constipation . -ur periods are for 7 days seems to be bit on higher side,means there is loss of iron and calcium than the normal. Now i will advice the ayurved treatment regime to be followed by u,under the supervision of competant Ayurvedacharya and Panchkarma expert-- -RAJAHPRAVARTINI VATI 2tab tds. -PUSHYANUG CHOORN(2GM)+AJMODADI CHOORNA(2GM)+TRIKATU CHOORN(1/2GM) along with udambraveleh twice after meals. -ASHOKARISTH (2TSF)+MAHARASNADI (2TSF)+ERAND OIL(1/2TSF) with 4tsf of water twice daily. -SINGHNAD GUGGULE 2tab thrice daily before meals. Panchkarma procedures as follows- -kati vasti. -sneh vasti. -utter vasti, these special procedures should be done under the panchkarma expert . My advice includes your hormonal management along with complete treatment according to the principals of Ayurved. Vd.S.K.RAI,JAGGOTTAM,ALLAHABAD,05322561406,09335118419.

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vd.s.k.rai

Dear Simi, You have given sufficient history to plan the treatment. I would suggest you to continue medicines prescribed by Dr.Davinder. Are you taking those medicines, if yes since when and what are the changes you have appreciated so far? You have mentioned menstrual flow is for 7 days, i would like to understand whether the amount is heavy, moderate or Scanty(Please mention the number of sanitary pads utilised each day). I would like to add following medicine which is specific for Kati Graha/Shoola (Lumbar Spondylosis): RASNAERANDAADI KASHAYAM - 4 tsf THRICE DAILY WITH 8stf WARM WATER AFTER FOOD. Also As mentioned by Dr.Rai, Kindly find time to get PANCHAKARMA treatments: 1. KATI VASTHI with Mahamasha _+ Vishagarbha Taila for 8 days 2. YOGA VASTHI- MATRA VASTHI with Dhanwantara Taila 40 ml + Sukumaara Ghrita 40 ml and Ksheera Vasthi with Erandamooladi. These Panchakarma treatments should be administered under strict medical supervision and by competent Ayurvedic Medical Practitioner. WIsh you speedy recovery. Warm Wishes Dr.Kiran

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Dr Kiran V.Mutnali

Dear Simi, First you should do fast for three days only on hot water. than Moong(green gram)'s Pani. You should have take swedan Treatment with this. Spondylitis is cured by ayurveda. Thank you, With regards, Vaidyaraj Amrutbhai Prajapati Ayurvedyog Centre, Kitrtistambh, 301, Prathmesh Plaza, Rajmahal Road, Baroda. Gujarat. India. Pin: 390001. Contact: 9327711235, 8000164921. E-mail: ayurvedyog@gmail.com or in.com Web: http://solveproblemfree.hpage.com/

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Ayurvedyog-Panchakarma

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Sr.consultant cum Physician DTIL Hospital, Palampur