Suggest treatment for severe knee pain with swelling
Patient: my wife has swelling below the right knee. she has had off and on knee pain that ihas been helped by wearing a knee brace. The swelling in only one leg below the knee is worse at bedtime and better in the morning she has had gout two months ago in here big toe on same leg her job will not alloe any sitdown time and she stands at a cash register for aleast four straight hours withou any sitt down time Doctor: hi sir/madam,it can be treated easily by the help of ayurveda.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 food2.Cold water3.Fear4.Exhaustion5.Standing6.Driving7.Cold food and beverages etc.Hope i was helpful.Have a healthy day.