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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hip Pain

I am looking for a possible diagnosis and realize I need treatment quite soon. Just looking at the differential diagnosis for hip pain. Have had intermittent left groin pain x about 4 weeks, generally noticeable the day following a workout or spent in heels. Almost forgot about it as it has been a bit over 2 weeks since it bothered me. Worked out Monday evening and Tuesday afternoon had some SI pain, stiffness, discomfort and by evening groin pain and difficulty doing stairs then certain motions led to level 9 (temporary) screaming pain. Took a vicodin and slept OK. More groin pain today so I started Prednisone (have a bottle on hand due to UC-recent flare). Worse by evening and 1/2 vicodin seemed to help about 30%. A couple wrong moves turning in bed and screaming pain again. I am actually concerned about phyical exam as manipulation will send me through the roof! Pain at rest about a 3 right now, but I recently took another 1/2 vicodin.
Mon, 27 Nov 2017
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Ayurveda Specialist 's  Response
hi sir/madam,
Let me advice you for your problem.
Low back ache may be a pre-monitory (prodromal) symptom in fistula in ano, sciatica, gouty arthritis, hernia, emaciation disorder etc. Pain is confined to lower part of the spine (back bone) especially lumbar region or lumbo-sacral area (rarely sacro-iliac region also). If it is secondary, earlier history of fall or injury may be associated. Rarely, radiating pain may be complained by the patient towards lower limbs. But it is quite common in low back aches if the defect is in the discs between vertebrae (back bones). Often the movements of lumbo-sacral region like flexion and rotation are hampered either partially or completely.
Low back pain may be found in mild form in case of anemia, sciatica, rheumatoid arthritis, hemorrhoids, urinary calculi, uterine disorders etc also.

Line of treatment as per Ayurveda:-

The general principles of treatment of vata dosha are adopted in case of katishoola (low back pain). It includes various measures to suit its varied clinical entities, stages and associated complaints.

1. Snehana (oleation) – by sneha dhara (pouring oil), abhyanga (oil massage), avagaha (tub bath with oil or oleaginous medicaments), kati basti (retaining medicaments on the back) etc.

2. Swedana (sudation) –avagaha sweda (sweating treatment with tub bath), pizichil (kayaseka), nadi sweda (sudation through a tubular device – local sudation), panda sweda (sudation through medicated paste or powder) etc.

3. Mridu Samshodhana -mild purgation.

4. Basti (medicated enema) like eranda basti, vaitarana basti, pippalyadianuvasana basti etc.

Formulations indicated in Low back ache as per Ayurveda:-
1. Dashamoola kwatha.
2.Maharasnadi kashaya.
3. Rasnaerandadi kashaya.
4. Sahacharadi kashaya.
5. Gandharvahastadi kashaya.
6. Trayodashanga guggulu.

And for local application these oils will help:-
1. Ksheerabala tail.
2. Mahanarayana tail.
3. Dhanwantaram tail.
4. Maha narayan tail.

Avoid these for better results:-

1.Bitter, astringent and pungent food
2.Cold water
3.Fear
4.Exhaustion
5.Standing
6.Driving
7.Cold food and beverages etc.

Hope i was helpful.
Have a healthy day.
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Suggest Treatment For Hip Pain

hi sir/madam, Let me advice you for your problem. Low back ache may be a pre-monitory (prodromal) symptom in fistula in ano, sciatica, gouty arthritis, hernia, emaciation disorder etc. Pain is confined to lower part of the spine (back bone) especially lumbar region or lumbo-sacral area (rarely sacro-iliac region also). If it is secondary, earlier history of fall or injury may be associated. Rarely, radiating pain may be complained by the patient towards lower limbs. But it is quite common in low back aches if the defect is in the discs between vertebrae (back bones). Often the movements of lumbo-sacral region like flexion and rotation are hampered either partially or completely. Low back pain may be found in mild form in case of anemia, sciatica, rheumatoid arthritis, hemorrhoids, urinary calculi, uterine disorders etc also. Line of treatment as per Ayurveda:- The general principles of treatment of vata dosha are adopted in case of katishoola (low back pain). It includes various measures to suit its varied clinical entities, stages and associated complaints. 1. Snehana (oleation) – by sneha dhara (pouring oil), abhyanga (oil massage), avagaha (tub bath with oil or oleaginous medicaments), kati basti (retaining medicaments on the back) etc. 2. Swedana (sudation) –avagaha sweda (sweating treatment with tub bath), pizichil (kayaseka), nadi sweda (sudation through a tubular device – local sudation), panda sweda (sudation through medicated paste or powder) etc. 3. Mridu Samshodhana -mild purgation. 4. Basti (medicated enema) like eranda basti, vaitarana basti, pippalyadianuvasana basti etc. Formulations indicated in Low back ache as per Ayurveda:- 1. Dashamoola kwatha. 2.Maharasnadi kashaya. 3. Rasnaerandadi kashaya. 4. Sahacharadi kashaya. 5. Gandharvahastadi kashaya. 6. Trayodashanga guggulu. And for local application these oils will help:- 1. Ksheerabala tail. 2. Mahanarayana tail. 3. Dhanwantaram tail. 4. Maha narayan tail. Avoid these for better results:- 1.Bitter, astringent and pungent food 2.Cold water 3.Fear 4.Exhaustion 5.Standing 6.Driving 7.Cold food and beverages etc. Hope i was helpful. Have a healthy day.