Doctor Session Knee Health

So many doctors still feel that, you know, the conventional medicine is the only way of treating your body, right? So today I'm here to help you all to expand your awareness, expand your consciousness regarding your own body and regarding your own pain. So many of us, if not most of us, have been been, um, have been suffering from pain at some moments of our life. And, um, as an orthopedic doctor, I have treated like thousands, if not tens of thousands of people. And, um, many, many people, many patients I come across where the reports are normal, the X-rays are normal, the blood tests are normal, yet they have a pain which doesn't decrease at all, right? So yeah, just a second, I'm, I'm trying to figure out how to see everyone here. Okay, okay, okay, okay.

View option on the top left, right side, top view.

Okay.

Try setup view and you can select gallery.

Just a second, I think. Yeah. Select. Do I have permission to share my screen?

Yes, yes, yes, you have.

I do, right? So I'd like to share a small presentation. Just, yeah, hello.

Also, I'm sharing a link everyone in the chat box to share your takeaways, okay, after this session and also after this practice. Yeah, go ahead. Thank you.

Yeah, you can see this, right?

Yes, we can see.

So this is something which, uh, which has, which is prepared by me using my years of experience in treatment, treating patients, and also my experience in spirituality, breathwork, and all. So this is something called health in totality, right? So here, you know, the problem with the modern pain medicines, what we come across, is that whenever, whenever someone, or someone goes to a doctor, suppose they say knee pain, so the entire focus of the doctor will be on the knee pain. So how many of you here believe that a person is not just a sum of its parts? A person is not just a knee, or a person is not just shoulder pain, a person is not just back pain. So whenever a pain comes in any part of the body, it is associated with the entire systems in the human body. So what I understood is your entire Your entire pain is based on this model. This is a classic pain model where you have tissue damage, inflammation, and pain sensitization. And what we do as clinicians, or what you do as patients who go to a medical shop and take a tablet or something, you just try to suppress the superficial symptoms of the pain. But so many patients I've come across where there are very severe MRI changes, severe change in the X-ray, but there is minimum pain. As well as there are so many patients where there's normal images, normal X-rays, normal MRI, but there is severe pain. So you see this paradox where the reports are normal but the pain is severe, and on the other side, the reports show there's a lot of inflammation, there's a lot of damage to the joints, but the pain is normal. And I even come across people, especially from the rural areas, where even their knees are bent. And, um, but they say, sir, I'm able to sit down, get up, climb stairs, and do everything on my own. Whereas if you see other people, their knees are straight, they are fit, healthy, but still they're not able to do all these things. So that's a paradox, right? So that's where I felt, you know, a person's pain is just a symptom. It is, it is not a, it is not a definitive endpoint. It's just a symptom. So here, this is the, um, this is where I felt you have to see the health in totality, not just some of the parts. So here, if you've seen, our pain, um, it is, it is affected or it is influenced at a level of the health, if you see in the center here. And not just health, even the mental, the state of your mind, the state of your thoughts. What are the kind of thoughts you have in day-to-day life? And what is the kind of energy you keep up in your day-to-day life? And the kind of emotions. Emotions are so powerful. Emotions are very powerful. You know, previously we used to think that emotions, you know, There used to not even be a word for mental health. Say like a few decades ago, if someone says mental health— leave a few decades ago. If you go and speak to your elders, if you go and tell your grandparents, I'm having this, I'm feeling depressed, or I'm feeling anxious, or I'm feeling, I'm feeling low on energy, they'll be like, what is, what is speaking this energy, anxiety and all? In our age, which have none of it, we just go and do our work. So how many of you have heard these kind of words from your parents or from your grandparents? Say yes in the chat box. Yeah, same here. But nowadays we are again like expanding our— as we go through our life, we are expanding our awareness, we are expanding our consciousness, and Yeah, so mental thoughts, the emotions which you have, which you carry, the predominant emotions. Not like, you know, you suppress the emotions and you say that I shouldn't be negative, I shouldn't be depressed, I shouldn't be anxious. That's not how it goes. It's very important to express whatever is going inside. So beyond this, the energy, the kind of food you eat, the kind of The kind of exercise you do, the kind of diet you take, the timing of the diet— all these are very important. I'll go all this layer step by step. Then the environment, you know, what kind of environment do you stay in? Natural environment or in a polluted, in a polluted area? Or even as simple, as simple as grounding, you know, walking barefoot on the grass And the time you sleep, the time you wake up, not watching phones while sleeping— all these things also play a role in your pain. And then community. I don't need to tell about how important community is to have a healthy life, to have a pain-free life. And this virtual community or physical community, both are equally effective. And I'm so glad that Madhuri has has made such an amazing community of conscious breathers. So, and then spirituality. Spiritual doesn't mean that, you know, pray to particular gods or follow a particular religion or read particular books. It's spiritual. Spirituality also means how you connect to yourself in your life, how you connect to what you feel your purpose is in your life. And again, purpose doesn't mean that, oh no, what am I doing in my life? What am I, you know, what do I have to do in my life? You don't need to ask such deep questions. Purpose is nothing but enjoying whatever you're doing, enjoying whatever you're going through in your day-to-day life. So the core principle of any kind of pain is it is expressed physically. It is processed in the brain neurologically. Our emotions amplify the pain, and our body— the particular hormones, as all of you know, like cortisol, stress hormones, and all these things— all these hormones cause inflammation in the body, stress hormones. So it's sustained metabolically. Our environment modulates the pain, our environment influences the pain, and we interpret it existentially. So Coming to the physical layer, you know, especially I'll, I'll try to give more examples. Badri has asked me to give, uh, to speak specifically, um, about knee. But then I thought, you know, many people even in the middle to old age, they have knee pain, they have shoulder pain. And just before joining, uh, this session, I heard someone speaking about rheumatoid arthritis helping getting improved with all the practices that's being done. So I thought I'll just give a general pain overview with specific focus on the knee. So pain is caused by tissue injury, joint degeneration, and which causes inflammation, and pain signal pathways are activated. So what happens when conventionally when you have pain, you go to a doctor, the doctor sees the particular part of the body, and he prescribes NSAIDs. NSAIDs are nothing like painkillers like dicloacetylene and all things. So it just decreases the inflammation around the particular joint. It gives temporary relief, but then if you are not conscious, or if you— if your other layers of the head are not properly taken care of, the pain tends to come back. How many of you here have experienced this, where you take medications, whatever that the doctor has given, you use the medications, and then say after 1 week or after 10 days, again you go back to the doctor saying after the painkiller, um, effect is decreased, the pain has again come back. How many of you have experienced this thing? Say yes in the chat box. Yeah, so this is what happens. And then especially when it comes to me, trust me, um, it's very important to find a doctor who, um, doesn't focus only on surgery. Like I said, someone whose knees are bent but still he's pain-free doesn't need a surgery. Someone whose knees are straight but he has a lot of pain, even he doesn't need a surgery. So it's very important to find a doctor who knows how to balance and how to understand. So I usually tell my juniors, junior doctors and all, don't read the x-rays. You treat the patient, you don't treat the x-rays. Commonly what's, what is done is a doctor sees the x-ray and says, okay, here is arthritis, this is the degeneration, you need a surgery, right? Where, like I said, it all depends on, depends on how the patient is feeling rather than the x-ray. So beyond that, we do have a few other regenerative therapies like PRP, bone marrow stem cells and all these things which help in regeneration of the knee joint. These are the newer modalities where there is a, there is an opportunity for us to improve our knee cartilage using our body's own potential through stem cells and PRP, platelet-rich plasma. And we can postpone this knee surgeries, we can postpone the knee replacement for few years, or You can complete— if you follow a proper lifestyle modification, you can completely avoid it also. So like I said, after taking medicines, what happens? The pain persists after healing, and the pain increases or decreases day by day. Without any injury, without any exertion of the body, suddenly the pain flares up. And some people, they— you take medicines, still the pain doesn't go. That's like pure poor response in some patients. So the tissues may heal, but the entire body, your entire system, including the mental, emotional, energetic— this entire systems, it remembers the pain. So that's why even if the tissue heal, when the body holds on to that memory of the pain, the pain keeps coming again and again and again. So that is where the healing from a deeper level is important. So coming to the mental layer, you know, pain is generated in the brain. So the tissue sends signal to the brain and then you feel the pain in the brain. And it doesn't necessarily mean that, you know, some people have such a high threshold of pain that even if even if there's a cut, even if there's a big injury, they still feel less pain. Whereas some people's threshold is so less that even a small cut or even a small, even pinprick, some people even a needle, if you want to give injection, they cry a lot, they shout a lot. Why is that? Yeah, so it's all in the brain. The input of the pain signals isn't necessarily corresponding to the brain perception. So Why is that so? We'll just see in the subsequent slides. Okay, so that's called sensitization, subtle sensitization, where some people have lower threshold or some people have higher threshold. When we have a lower threshold, say for example you are depressed or you are— you, you had a fight with your family, or you had a fight with your husband or wife. And when you go throughout the day, how many of you here have experienced this? Especially when you have this emotional relationship disturbances, that when you have this emotional disturbances, your feeling of pain increases. Your pain sensitization is more. Um, you feel body pains, you feel back pains, or you feel knee pain. How many of you here experience that where, um, you— your pain has increased because just because you've had a fight with your family members? Say me in the chat box. Yes. So that's what it is, you know. It's, uh, the pain response to your emotions. The pain responds to your thoughts. And that's where, if you say clinically, that's called fibromyalgia, where you don't find any issue in the body but there's pain. And even people with chronic knee osteoarthritis who had years of knee pain, they also have this thing where the flare-ups, the sudden increase in the pain, happen when you're emotionally disturbed. The sudden increase in pain happens when when you have some negative thoughts or when your mind is constantly thinking about something or the other, right? So yeah, and that is where I, as a doctor, um, in, uh, specifically, and also if you speak to people around, it's very important that language is the first step of your pain modulation, you know. When you speak to yourself, it's very important that you speak in a positive way. You, like Madhuri was saying, you're disconnected with your body, you're disconnected with your knees, you're disconnected with your pain. So when you complain, for example, what is this? Why is my body always so full of sickness? What is this? Why is my knees so bad all the time? Why can't I walk all the time? I really hate this. What is this life? I can't even walk. You know, all these negative things, if you say, they actually increase your pain, or they don't allow your pain, your tissues to heal and the pain to decrease. Whereas you just shift the language, you shift the language where you say that it's okay, the pain is there, I'll take care of it, I'll make sure, I'll do whatever it that needs to be done to take care of the pain, don't worry. I'm there for my body. I'm, I'm here to support my body. You know, the first relationship when you come into this world, when you are born, which is the first relationship which— yeah, so which is the first relationship when you are born into this earth? Can you just type in the chat box? Yes, mother. Okay, mother, mother, child, mother, breath. Very good. Mother, mother, best first try. Even before the breath, just imagine this, even before the breath, which is your first relationship? Vanilla, very true. The body, you know, when your soul enters into your mother's womb, the body is the one, is a vessel which holds your soul. So your body is the first relationship that you develop when you enter into this earth, and you forget your first relationship. It's like, you know, it's like an ex. It's like a very bad ex where you forget about your ex-boyfriend or girlfriend and then, you know, have issues with that memory. It's very important to nurture this relationship. It's very important to be connected with your body. You know, very true. The first and the last relationship is definitely the body. And you know, we are not physical beings having a spiritual experience. We are spiritual beings having a physical experience. Remember that. It's very important to be connected to your body and to You know, till the age of 30 years, your body has taken care of you. Yes or no? You eat how much ever you want, the body still kept up, kept up without giving any symptoms. You fell down, you got up, you've had fractures, the body healed. You know, you've had so many smoke, cigarettes, alcohol, but still the body didn't complain. You know, when the body has taken care of you for till the middle of your life, till 30 to 50 years, I think it's time for us to take care of the body from now, isn't it? Yes or no? Yes. Same like our parents. Our parents take care of us till we grow, uh, big and support ourselves, and then it's our responsibility to take care of our parents when they grow old. Same thing with the body, right? So If you, um, just a second. Yeah, so language is very important. Speak loving language with your body. Don't just push it off, right? And clinically, if you see in, um, the next layer, when you go to the emotional layer Whenever we have this negative emotions, the emotions release something called stress hormones— cortisol, adrenaline, and all these things. And this cortisol, adrenaline, and all, they increases the inflammation in the body. Before, uh, before we used to not focus on this thing, but nowadays more than, you know, the biggest cause of diseases in the world right now is stress. It's not stress, but not knowing how to handle the stress. Yes. So, uh, when you have that cortisol dysregulation, your sympathetic system increase, uh, goes on overdrive, and that is what causes all the heart problems, all the liver problems, your obesity, thyroid. Someone said rheumatoid arthritis. Rheumatoid arthritis is also a huge contribution is the stress, not being able to handle that stress, right? And you know, this is something which is very important, which I want to tell anyone, everyone here. So when you're in chronic stress, there's an increase in the interleukins and TNF, you know, basically the chemicals in the body which, which change the tissues and increases the inflammation. So many people, especially men here, We, we see that, we feel that, you know, suppressing our emotions, not expressing our emotions, that is a sign of strength, right? But I'm telling you, when you suppress emotionally, when you, when you suppress your feelings and emotions, the body goes into a sympathetic overdrive. Sympathetic overdrive is nothing but the body absorbs the stress absorbs the suppression and it releases again the stress hormones, the cortisol and all. So when you suppress the emotions, there's a lot of stress. And when there's a lot of stress, there's a— again, there's a lot of inflammation, there's a lot of pain in the body. And having so much of inflammation and pain, does that make you strong or does it make you weak? Hey, can you just type in the chat box? It makes you weak, right? So emotional suppression is not a sign of strength. Emotional suppression makes your body weak. So express yourself in a healthy way. It's very important that especially men, we need to soak in this fact, right? Um, so like I said, I've seen so many patients where when they're in emotional conflict, when they are in financial stress and have family illness, the pain increases even without any physical change. Right? So the immune system, the, uh, you know, the immune system in the body which fights against the infections, the immune system in the body which fights against the inflammation, it listens to your emotions more than any reports or any blood tests which you've gotten done, right? And next comes the energy layer. So how many of you here have experienced this, that you have pain so much throughout the week, or you have pain from the morning, and by the evening or even afternoon, you feel so much, so drained, you feel so weak, you feel so fatigued. Yeah, you don't feel like doing anything. You, you just want to just sit down or lie down and sleep. Yes, Aarti, Pratima.

Yes.

So why is that? It's not just a psychological thing, it's not just a mental thing. Pain is energy expensive. Your mitochondria, the ATP in the body— ATP is the currency of energy. So the pain signaling, it consumes a lot of ATP. And when the energy is consumed so much, it leaves little energy for healing of the body, right? So when the energy is given to pain the energy which is required for healing decreases. And when the energy required for healing decreases, the inflammation increases, the pain increases, right? So what do we do? What do we do to improve our energy? First thing is, um, food. Right, um, can someone, uh, type in the chat box what are the different sources of energy? ATP is a molecule in our body which is required for energy, which is required for all the processes to happen in our body. Right, so carbohydrates, food, solar, very good, um, sun, pranic energy, meditation, exercise, beautiful. I can see that you guys are so much aligned with your body and self that you're able to figure out the sources of energy, right? So yeah, like all of you said, food, the type of food which you eat, um, you know, in, in Ayurveda Of course, he was knowing that sattvic, tamasic, rajasic foods and all. Um, same thing, sattvic has higher energy, tamasic has lower energy, and your food also influences your thought process and emotions, right? Um, the quantity of food which you eat is also important. If you— even if it's sattvic food, you eat stomach full You feel low on energy, right? And when you eat optimum food, like 70 to 80%, you are filled. That gives you optimum energy. The time you eat— how many of you here have eaten food properly but have eaten in odd times or have not been regular in eating it in the proper times? You feel that acidity, you feel that burning, and again the pain increases, again the stress happens, and all these things. So the timing of the food is also very important. And, um, the antioxidant-rich foods are very important. So, uh, examples of antioxidant-rich foods are colored foods, um, berries, strawberries, uh, dried fruits, and capsicum. Um, you know, all these colored foods are— nuts, yes. Um, all these are anti-inflammatory, so try to have this anti-inflammatory diet, anti-pain diet. You can easily search it online, or I have a file, I'll share it with Badri. Um, the food. Second, sun energy, right? This is something which I've come across very recently, um, that if you spend at least half an hour to 45 minutes in the sun right, not the, not the harsh sun of the noon, but sun in the before, say, 7, 8 o'clock. And you spend like half an hour to 45 minutes, your body feels so energetic that your appetite is also suppressed, you know. Uh, your appetite comes down, your body feels energetic, and the sun, especially the infrared light of infrared spectrum of the sun, it helps to decrease the inflammation in the body. It helps to decrease the cortisol levels in the body, right? And when it decreases the inflammation, cortisol, the pain is improved. So I, again, especially for my patients who come to me with chronic knee pains or chronic body pains, I tell them to spend half an hour to 45 minutes in the sun. And third thing is grounding. Grounding is when you put your foot on the earth or on the grass. You know, in our body there's something called ROS, oxygen-free radicals. So these oxygen-free radicals cause inflammation in the body. And they are natural byproducts in the body of your metabolism and all these things. But when you do grounding, when you put your bare foot on the ground or the grass, this— the electrons which come from the earth, they neutralize this oxygen free radicals, and that helps in inflammation, right? And energy, again, uh, if you have told good thoughts, yes, absolutely. How many of you here Just by feeling gratitude, just by feeling happy, and just by speaking good words, you feel more energetic. Now, classic example: when you, when you go to some party where there's a lot of gossip, which is a lot of gossip, there's a lot of rumor-mongering, there's a lot of negativities, you come out drained. You just go back drained, even if it's just 1 hour of a party. How many of you have felt that? Yes, you feel drained, you feel claustrophobic. Yeah, so even if it's for one hour, your energy feels so drained. But here, when you speak such powerful things in this session, even if it's for 3 hours, even if it's for 4 hours, you go back feeling refreshed, isn't it? Yeah, so thoughts, words, emotions, all these things are also a source of energy. And this, very few tell these things, but keep this in mind. Be very conscious and aware of your thoughts, and it helps that you are in this kind of energy, this kind of community and gathering where you are being given positive thoughts both in intention and in words, right? Yeah, whole day during retreats also. Yes, you don't feel, uh, you don't feel drained during the retreats, right? So let me just share my screen again. Yeah, so all these things are sources of, sources of energy, right? And like I said, environmental air, light, sleep. Uh, yes, I'll share the anti-inflammatory diet, okay, with the Badrinath, and he'll share it with you guys. So, um, melatonin— when you are exposed to sun in the morning, your body releases something, a molecule called melatonin, and that melatonin is the most powerful anti-inflammatory, uh, compound in your body. So when this melatonin gets released, your body's inflammation decreases and it protects the tissues in your body from the damage, right? And when you have low melatonin, you, you have poor sleep, you have increased pain sensitivity, and you have reduced healing. Especially, you know, keep this in mind, guys, uh, nighttime especially, when you look at your phone, the blue light from your phone goes into your eyes and it it makes— it tells your body that it's still morning, it's not nighttime, it's still morning, and it suppresses the release of melatonin, right? And when it suppresses the release of melatonin— melatonin is also responsible for a good sleep, a good, uh, healthy sleep. So when it suppresses the melatonin, you keep— it gives the brain day mode, and it increases the sympathetic. Sympathetic tone is nothing but your body says that, okay, I need to do— I need to do something, I need to work something, I, I shouldn't be resting. Right? When the body gets the signal that I shouldn't be resting, even if you go to sleep afterwards, you won't have such refreshing sleep. And you wake up with feeling drowsy, or your eyes keep, you know, you have drying sensation in the eyes. You don't feel so energetic. So try to avoid blue light at night, especially try to avoid at least 2 hours before you sleep. Yes, Gitanjali, evening sunlight exposure is also good. So basically, remember this, okay? Morning before 9 o'clock, before 9-10 o'clock, and evening from a few hours before sunrise, it is rich in infrared light. And this infrared light is the one which, which improves your inflammation status. Infrared light is the one which helps you feel more energetic and all, um, whereas the afternoon time, uh, 12 to 2 and all, that is rich in UV rays. And this UV rays is also good in limitation because UV rays help to, uh, help to release the vitamin D in your body, right? So the vitamin D, as you all know, it is, it is very important for the joint health and bone health, okay? So yeah, the evening exposure is also good. So it has been clinically seen that grounding also helps to improve your sleep and it decreases the pain perception. And coming to the next layer, there's a community layer. How many of you here feel more, you know, feel your pain threshold has increased or your pain has completely come down when you are with a good group of people, or when with your— when you are with your favorite people, right? Even, even if it's with your family, how many of you feel that you completely forget about the pain? Yes. And that is the power of community. That is the power of good circle of people that you develop. Around you. You know, you've— when you feel safe among good people, your body feels relaxed, your body feels— your body doesn't release those stress hormones. When it doesn't release the stress hormones, you— your inflammation status improves, your pain perception improves, right? So that is the reason why it's very important to have a good community. So the pain reduces faster in safe environments than sterile ones. This is more for a doctor. If anyone is a doctor here, they can understand this. Next comes spiritual layer. So in spiritual layer, like I said, spirituality is nothing to do with religion. Spirituality means having that sense of meaning, sense of coherence, sense of purpose. You know, the meaning, coherence, purpose can be as simple as the sense of wanting to live healthy for your family. That can also be a meaning, that can also be a purpose for you, right? Sense of living to have a good— to make good memories with your kids, to make good memories with your grandkids. That can also be, and that can also act as a purpose for you in your life. So when you have a purpose, when you have a, a goal or an ambition towards which you work, your brain gets activated. Your brain gets activated, uh, where it suppresses the pain because the brain feels that, okay, I need to, I need to go and achieve that. You know, this is one of the most, uh, common Examples that I give to patients: a soldier, an army person at the battlefield, he goes and he fights in a war and he gets hit with a bullet injury. He still doesn't feel the pain because he's on a mission. He's ambitious, he's on a mission to save his country, to save his people, and he keeps fighting, fighting, fighting. And then after everything gets over, he comes back, he's taken to a hospital, and in the hospital, that is when the pain hits him. Yes. How many, how many of you have come across such instances in your life where you're so focused on something that even, even if you have some pain, you completely forget about it? And then once you come to the— come home and then just lie down on your bed, and then you see all the pain starts acting up. Yes. So that is strength of purpose in your life. You know, someone who has— yes, even in sports, very true. Even in sports. Even, even suppose a mother, a child is almost about to get injured, a mother tries to go and shield the child, protect the child. Even if she gets injured, that time she doesn't feel the pain. Only after going and keeping the child safe will she again come back and she'll, okay, get her injury treated. So your meaning alters the pain circuits, right? So when you have a purpose in your life, your body— again, the cortisol levels decrease, the stress hormones decrease, and there's more parasympathetic tone, there's less inflammation. Shamla, true, very true. So, uh, when you identify with your pain, many people, when they don't have purpose in their life, they are— they always keep thinking— the easiest thing to think about is what is bothering them. Right, when you don't have any purpose, you just, your mind automatically goes towards what's bothering you. So you identify yourself with the pain, you identify yourself with your issues, you identify yourself with your complaints, you identify yourself with everything that's going wrong in your life. And when that happens, again, it's like a vicious cycle. You identify yourself with that, that it expands, it amplifies. Right, so heart-brain coherence practices like gratitude, hope, having meaningful goals also helps improve the pain, like I've told, in the, in the mental layer, right? So when pain has meaning, the suffering reduces even before your tissues heal. Right, so if anyone wants to take a screenshot, you can take a screenshot of this. In short, this is the HIT model which I've told in, in the last half an hour or 45 minutes. And I'll just go to the next slide. So your pain, like I said, it's not just— pain is just a symptom. Symptom for a, uh, malaligned system or a dysregulated system. So when your systems, your entire system, your entire body, your entire, um, you know, all the layers are aligned, that's when the pain dissolves. And so you want to take a screenshot, please take it fast. So yeah, like again, if I have to explain this slide For each layer, what are the practices that you can do, right? So for physical layer, like all of you know, targeted exercise, movement, strength, mobility, all these things. For mental layer, I think the most effective thing for mental layer is to practice gratitude. That is something which I strongly believe in. That is something which I feel is beyond any other psychiatric technique that you can go through. Gratitude is the most powerful thing you can do for your mental layer. For emotional layer, your breathwork. I think I don't need to tell about breathwork. All of you know that breathwork and emotional expression, healthy emotional expression, and also being aware of your stress and regulate it. For energy, like I told, sleep optimization. I try to get at least 7 to 8 hours of sleep. Avoid phones in the night and expose yourself to sun early morning when you get up. That's why our ancestors, even my guru, after they wake up, immediately they go to the sun and they salute the sun and pray to the sun. That's the first thing they do, even brushing— before brushing their teeth, right? And having a good environment, being Attend retreats like how Madhuri has done. Attend such beautiful retreats where you are at least temporarily for that 4 days, 5 days, or 1 week, you are exposed to that kind of environment, right? And build your own circle of friends both offline as well as online. And online anyways, you have this beautiful community. And have some meaning, have some purpose. If you don't have any meaning, purpose, figure it out, find out, you know. It's not age-dependent. Even a person who is 90 years can have a purpose, and even a person who is like 10 years, a small child, they can also have a purpose. And for a child, the purpose can be as simple as making good friends, or the purpose can be as simple as, you know, having good moments with their families, right? So yeah, this is the thing. And just a second. Yeah, HIT means health in totality. So seeing health not just as a sum of your body parts, but health in totality. So this is the final take-home that I want you guys to have. The chronic pain comes when your— the memory of your system holds on to the memory of the pain. So the structure matters, system decides. So Like I said, the system, guys, just try to figure out what to do in all the layers, uh, that I've told, and you should be very good with your body and with your pain, right? So type in the chat box which layer are you guys going to work on this week. Come on, come on, chat in that— sorry, type in the chat box which layer are you going to focus on this week besides all the practices that you are going to do in the Community. Gratitude. Very good. Emotional. Thank you, Aarti. Energy. Mental. Very good. Emotional. Emotional. Mental. Physical. Very good. Gratitude. Knee problems. Who said knee problems, guys? Don't focus on knee problems, okay? Uh, focus on it. Take some medicines and all, but then after doing whatever needs to be done for the knee problem and focus on the other things. Okay, emotional, having a purpose. Beautiful, beautiful, guys. I'm so glad that all of you have been so receptive, have been so open to what I have to say, uh, coming from it, coming from a doctor like me. Uh, I hope, I hope all of you are able to understand what it takes to overcome whatever physical challenges that you have in life. Spiritual energy. Thank you so much, guys. Um, Badri, back to you. By the way, you're on mute. I can't hear.

Am I audible now?

Yes, yes.

So thank you so much, doctor, for taking this powerful, powerful session. I think you covered total as a pain, like pain whether it is knee, shoulder, joint, or anything. And one of the powerful takeaway for all of you today, I think, uh, focus. If you're focusing on knee pains, that means the pain will increase. It's not going to reduce. You understood, right? I hope from this session, like, you should not focus on the disease or pain. You have to focus on what you have to implement to come out of that pain, right? So very, very powerful lesson, and thank you, thank you so much for sharing this. And now we'll take a couple of questions. And how was the session, everybody? Please unmute yourself and say.

Doctor of Satyugh, not of Sanyug! Thank you so much for this wonderful award, Doctor Biju. Can we get some congratulations? Excellent patient— thank you very much. Very happy to share whatever he has done well. It was wonderful experience so that, you know, we can refer to a lot.

Means a lot.

Thank you, thank you, thank you, thank you so much, Doctor, and Badri sir, for introducing such powerful person and the talk. Basically, it is having a very positive impact.

Thank you so much. And so thank you. So I know many of them are asking, like, they want you to come again and again, it seems. So, so yes, you are on mute.

You are on mute.

Yes. Yeah.

Yes, I, um, anytime, anytime for your community. It always— it's, it's easier to speak to a community than many ignorant people in my community, doctors community.

Thank you, thank you, thank you so much. It means a lot. And thank you so much, all of you, making me proud and like making these doctors come again and again. And by the way, are you coming to Chennai? Any chance? Like for FPR this time? No?

Yeah, yeah, yeah, I'm there for, I'm there for FPR this time.

Yeah. Okay. Are you coming on Sunday or Monday?

I still haven't booked my tickets.

If you can come on Sunday, Sunday we have a Chennai meetup. And if possible, like, uh, we request you, if at least in the evening, we'll be having from 3 to 9 PM.

I'll be there.

I'll be there.

Come in the morning, I'll come and we can meet in the afternoon.

I'll let you know. Yes, thank you, thank you so much. All the Chennai people, you are lucky. And we are having Bangalore meetup also on, uh, uh, like 25th actually. And yeah, thank you, thank you so much. Um, yes, uh, Sujata ji, like, go ahead. You, you have to leave and you want to share something to the doctor before I take the questions. Yes, are you here? Good morning, sir. Good morning.

Thank you very much.

Thank you, thank you so much for your kind words. Means a lot. And like, all your blessings is what helping me to do whatever I'm doing right now. I just wanted to translate few things. Like, you invest so much on your children so far, like, but children are nowadays not even taking care, right? Um, so here, uh, like, uh, like, we are just charging hardly 1.5 lakh for you, and we are helping you for rest of your life to live a better life emotionally, physically, mentally, spiritually, in all the directions. The, like, the money you have invested on your children, the money you have passed on to your children, how much are they coming and taking care of your physical health, your mental health, your emotional health, how we are behaving, how we are living, your spiritual health, your community, and all. Compared to this, what you have paid is peanuts. That is what she is mentioning. Understand, at least realize and, um, like at least now and be part of like our higher level programs so that like you can get, learn deeper level things and heal yourself and have that community. Like that is what he was mentioning, right? Doctor was mentioning positive people, community of people, positive people. Doctor is also coming to Chennai. We all are meeting. We are gonna meet in FBR. Why we keep going and going and going though we know that we learn same things? Because we want to belong to one community. We want to connect with like-minded people. I meet him every 6 months, um, in a, like, in my community, like Siddharth Srashyaka's community, Internet Lifestyle Hub in Chennai. So this is the only reason we just wanted to stay connected. We want to connect with like-minded people, whoever thinks, um, dear friends. So your clinic is where in Telangana? One person is asking, like, it's nearby Hyderabad.

So I have my hospital, it's called Aegur Prime Hospitals, it's in Jachchala. It's like an hour from the airport towards on Bangalore Highway.

Yeah, it's on Bangalore Highway, so it's, I think, near to Kanashanthi also, I guess.

Yeah, I actually went to Kanha. I met the CEO and all, and we spoke on the same level. Okay, same level.

Wellness center, you met a wellness center?

Yes, I met the— no, yes, I met the wellness center.

They also have hospital.

Yeah, yeah, I haven't met the doctor in the hospital, so My wife is associated with one of the doctors there, so we'll be working together soon.

Sure, sure. Thank you, thank you so much for sharing that. So yeah, like, uh, you can search Agar Hospitals and you will get that. Yeah, let's go ahead, Mamta, then I will take a couple of questions.

First of all, it was really powerful, and, uh, I am Your voice is breaking.

I think you can turn off your camera and speak. Please turn off your camera and speak.

Okay. Hello? No.

Yes, this is— no, still it's breaking.

Okay.

Yeah, that's okay, that's okay. I think your internet quality is not good, I think. Yeah, go ahead, Basaraji.

Maybe, uh, good morning, Dr. Ankit, and good morning to everybody. Uh, it was a powerful session, morning exercise by Badri sir, and followed by a wonderful, uh, presentation by you. Uh, this, this I have personally experienced, that even because I had a gut, uh, health issue, I used to have a stomach pain. When at work, I used to be normal, though I used to feel the heaviness and all, but sooner return home and have cup of tea and sit, the pain used to start. It happened many times. Okay, my only question is, uh, is it that when you have a pain of any type, both your, your allopathic treatment and other focusing on your mental, emotional, spiritual things go on parallelly?

See, uh, again, depending on this severity of— like I said, right, your reports. Suppose if your report says something, if your report say that you have some damage or some ulcer or some issues, uh, allopathic allopathic treatment definitely helps to, um, heal the immediate cause of it, right? But in the long run, in the long run, for it not to come back, in the long run, all these other practices will help support your allopathic treatment. At the same time, helps, helps it not to come back. Okay, it is a total recovery, it means? Yes, yes, long run it's a total recovery. But in the short run, if you have any issues which have come up in the reports, Don't neglect your, uh, medicines.

Okay.

Yeah.

Thank you, doctor. Thank you.

Thank you. Thank you, Basaraji. And it works in holistic level. I'm taking some questions. And all of you, before that, I want all of you to go through— go to the portal, open your app, go to the portal and share your takeaways here. So I'll share this with the doctor after this session, and that only can inspire him to come again. So please go and share your takeaways. What did you learn from today's session? And share your takeaways here under this in the comments, and I will take the screenshots and share it to the doctor later. Yes, so please everybody open your app, or I'll have shared the link in the chat box and use that, and, uh, please share your takeaways over there. Yes, uh, the next question I would like to go ahead, and some people are still confused about the sunlight part, uh, so he has mentioned like morning, like a morning before 10, before 9 Uh, you have said like it's mainly for inflammation, infrared rays. We'll be having infrared rays, it's mainly for helping for inflammation and all. And in the afternoon, like around between 10 to like, or 10 to 2, 3 o'clock, it's more rich in UV rays.

UV rays, UV rays, like for 5-10 minutes is fine. So yeah, that's what I'm just going through, few, uh, questions even in the chat box. Someone has asked like how many times, um, I mean like How many times do we do grounding and sunlight and also basically, um, if possible, do grounding daily. Um, see, for example, if you have some garden or if you have some good, uh, good mud to walk on, try to walk for half an hour in a day on the mud, on the grass, uh, between 7 to 8. There, your walking is done, your grounding is done, and your exposure to sunlight is also done. So it's like 3 in 1, right? You don't need to do specific things separately. So if possible, try to do daily. If not, at least try to do 4 to 5 days in a week.

Yes, got it. And nowadays, grounding footwear also coming, uh, something like earthing, rooting and all. What do you—

what is your opinion See, I honestly try, try to go as naturally as possible. All the things—

nature can be created, right?

So whatever is in the nature, though there are grounding mats also there, grounding footwear is also there. See, I strongly believe that nature knows what's best for us more than what we know what's best for us. So try to be close to nature.

Yes, this is true, true, true. Thank you, thank you so much for that, doctor. And, um, and the next question, like, before the doctor goes to next question, again, people are asking for the link, a diamond deposit link. As you know, 9:30 PM, 9:30 AM, we have a welcome party. So here is the link in case if you wish to still thinking and in the, uh, in the fence, so make that decision. Okay, so the next question people are asking is, um, is there any specific test to diagnose fibromyalgia? Correctly, doctor, without medication, can one manage the pain?

See, rather than a particular test to diagnose fibromyalgia, if all the tests are normal, that's fibromyalgia. So like, you know, you have body pains and all, there are, there are some inflammatory markers that we check for, like CRP, you know, rheumatoid factor, RA factor, hsCRP, and all these things. And if all the reports are if your X-rays are normal, if your MRIs are normal, then it definitely— it's fibromyalgia. Got it. And also, I, I again, um, came across a question someone asked for PRP, if it's useful, it's helpful, right? Uh, so I am also studying now regenerative medicine, regenerative medicine where we use our body's own products like blood and bone marrow to heal the joints, right? And the latest studies which have come up are strongly in favor of using these molecules. But suppose for any arthritis, there are 4 grades: grade 1, grade 2, grade 3, grade 4. When you are in 4th grade of knee arthritis, then PRP won't be so useful— PRP or even bone marrow. Bone marrow stem cells, they won't be so useful. Uh, grade 1 to grade 3, it's definitely useful. And I personally, I'm giving to my patients many PRPs, uh, along with ozone therapy, and it's— I can see a lot of change. So grade 1 to grade 3, you can use. More than that, it won't help so much.

Got it, got it. Perfect. At 61 years old— at 61 years, while I had earlier 2 years ago due to less optimum levels. Presently I am not having supplements like vitamin D, calcium since over 1 year. I do not yet have any symptoms, overt symptoms. Is that okay? Especially as my doctor has told to continue above for maintenance. The reason for my aversion is to have medication, and my medical history is being a cancer survivor, and since 10 years supplements, having bronchitis, and Nivea inhalers also, inhalers, uh, to once a day, being pre-diabetic. Okay, so she's asking whether should I continue that supplements or not because she's having and all the same, like, she doesn't have any symptoms.

See, uh, one thing is especially in ladies, especially in females, after menopause your, your body tends to lose the bone mass. So menopausal women tend to have become osteoporotic. So to arrest that osteoporosis, we suggest the supplements. You can take vitamin D, you can take calcium, and you can take, you can take supplements continuously, or you, if your diet is making up for the deficiency of calcium and vitamin D, like I told, the sun exposure is enough. Daily half an hour to 40 minutes sun exposure is enough to fill your vitamin D, um, reserves in your body. But if you take a diet rich in calcium, say, um, especially in Indian scenario, that ragi we say, right, ragi mutha and all, ragi and leafy vegetables, green vegetables, nuts, and all these things. When you're able to fulfill the dietary requirements through a proper diet, then supplements are not needed. But if not, if you, uh, you can get test done to see if you are osteoporotic. You can get the test done to see how much your vitamin D levels. If you are deficient, then definitely supplements will help.

Great, does it answer your question, Anita Ji? You are here.

Uh, thank you so much, it answers. My diet is good.

You can keep checking the parameters every 6 months. You can take the reports. If you see vitamin D levels are going up.

Yeah, thank you. So I keep periodically checking my levels. Otherwise it's normal, doctor. Thank you, sir, Badri sir. And thank you for, uh, doctor, for explaining this well, because I'm always confused if I should have vitamins, uh, for maintenance.

You can have, you can have. There's no harm in that.

There's no after effect, right?

No, no, no. Supplements that say But, uh, good quality supplements are no harm in taking that, especially in older age.

Thank you. Thank you very much. Thank you, Badri sir. Thank you, doctor.

Thank you. Thank you so much.

Very useful.

Can meniscus tear be fixed?

Um, see, again, this is a general question, but I'll try to give some parameters on which, uh, you need to— I mean, the doctor decides on it. So meniscus tears, if it is a recent tear, say less than 3 weeks, then it can be fixed. Second thing, meniscus also has something, uh, so basically there are, there's zones of meniscus— white zone, red zone, red-white zone. So if it is in the white zone where there's less vascularity, there's less blood supply, then, um, they usually shave it, they usually remove it. If it's in a red zone that heals properly. So they are fixing the meniscus, uh, helps in healing. So yeah, besides this, the morphology of the tear— if the tear is too big, uh, or if it is very complex and all that, the doctor decides on the table which are the parts which can be fixed, which are the parts which can't be fixed, and they have to remove it a little bit.

Perfect. Did it— does it answer for Preeti? Or anything else you want to ask.

Can you hear me?

Yes, we can hear you. Thank you.

Hello, I live in Chicago, and all of a sudden I was walking and my leg started hurting. And when I went through the MRI, it says I have meniscus tear. But what he's saying, and I'm very impressed with you, because only Advice was your meniscus tear and you rest and ice your leg. That's it.

And then you come and see me.

So there is no other suggestions or anything. What he's saying is because it's, it's close to the bones inside, so you cannot do any surgery.

You just heal the bones.

Yeah, on inside the joints or Okay, the knee bone.

So how old are you, Preeti?

67.

67 years. Okay, uh, one thing is, um, if you don't— if you don't do any high-impact activities, like, um, you know, if you're not a sports person, or if you're not someone who does trekking and all, if you are not someone who, uh, does jogging, like, like marathon, something like that. Simple meniscus tears, uh, at your age, you don't need to operate if it's simple. Again, I don't know the MRI. If it's simple, you can, um, you don't need to operate. And ice and resting, along with that physiotherapy is very important. You need to, you need to strengthen the muscles around your knee joint, like the hamstrings and the quadriceps, at least for 4 weeks. You need to see, um, If after 4 weeks also still the pain persists, then you need to do something about it.

Okay, so he's not advising anything. That's why I thought I'll ask you the questions. If any of the natural things what you were suggesting, anything else could help?

Everything will help. Everything, everything will definitely help. But, uh, uh, specifically for, um, meniscus, like I told, knee physiotherapy is, I think, one of the most important components. Exercise.

Okay, thank you.

And, and also, uh, try to avoid squatting, sitting on the floor, or try to avoid the stairs till the pain completely decreases.

Okay. Yeah, thank you.

Thank you very much.

Thank you. Thank you so much. So will the knee degeneration— will the degeneration in the knee and joints are reversible?

Um, Like I said, um, one thing, there's degeneration, there's pain, right? You can have degeneration without the pain, or you can have the pain without degeneration also, right? So if we speak about purely the pain in respect to the degeneration, uh, it can obviously be reversed by following all this HIIT model and whatever Madhuri teaches in the program. But if you are speaking only purely about the degeneration in the knee joint, uh Classically speaking, once the knee degenerates, it's not reversible. That's what, that's what science taught us. That's what science found, uh, in so many decades of research. But recent advances, if you speak about, if you speak about stem cells, if you speak about bone marrow, if you speak about, uh, PRP therapies to some extent, You can, uh, there are studies where they have measured the cartilage, they have measured the degeneration of the knee joint, and using these therapies, the cartilage, it reappeared or it increased in thickness. So definitely with these newer regenerative therapies, there is reversal of degeneration, but not to normal levels. Suppose grade 3, uh, if it's arthritis, maximum it may go to grade 2, but definitely it doesn't go back to grade 1. So there is limitation, but yeah, uh, future is exciting in regenerative therapies, but we have a good start with respect to all the recent studies.

Thank you. And how to distinguish pain due to osteoarthritis or, uh, due to RA?

Okay, see, um, if you speak— if there is pain only in the knee joint, okay, only in the knee joint, if I speak about, uh, because osteoarthritis is commonly in the knee joint in the Indian population, so I'm, I'm, I'm just assuming that you're speaking about the knee joint pain. So osteoarthritis pain is the pain because of the degeneration of the knee joint. Whereas rheumatoid arthritis is a pain because of the inflammation of the synovium. Synovium is the lining of the knee joint. So osteoarthritis, like suppose, let's say this is a knee, okay? This is a knee. Exactly at the level of the knee joint, you'll have pain, right? Whereas rheumatoid arthritis, it is associated with pain in the entire joint and also inflammation. There's more swelling of the joint. In addition to that, rheumatoid arthritis is commonly associated with multiple joint pains, um, small joints of the fingers, both knees, or both shoulders. So opposite joints are also affected. And rheumatoid arthritis, you have early morning stiffness. So when you wake up in the morning, you have stiffness of the joints, and the stiffness is more than what you have with osteoarthritis. And Cold, it increases your pains in rheumatoid arthritis. So in, during winter seasons, you'll have more pain, and during, during summer seasons, or when you put hot, hot packs and all, your pain is lesser. And rheumatoid osteoarthritis, it, with the, with the medicines, with the conventional medicines, simple painkillers, and doing some exercise, it comes under control. As rheumatoid arthritis, with using classic treatment, it doesn't come under control. They have a separate group of medications for that which is called DMARDs. So DMARDs, only if you use those medications, the arthritis will come under control. And there are many investigations like rheumatoid RA factor, anti-CCP, ANA, all this, uh, all these letters also are positive in rheumatoid arthritis, whereas that's negative in osteoarthritis. So in general, these are the differences between RA and OA.

Got it, got it. Perfect. Thank you, thank you so much, doctor, for clear explanation. And I have neuropathy and I can't walk on ground or grass in barefoot. Okay, what can be done?

You have neuropathic pain, neuropathy?

She has.

Okay, neuropathy. Got it, got it. See, uh, there's no hard and fast truth. Like I said, no, uh, you need to respect your body, you need to listen to your body, and you need to, uh, give the benefit to your body whenever it's not able to do something. So if you have neuropathic pain, I'm, I'm just assuming you have that, uh parasitic pinpricks over your sole of the foot and you're not able to walk on grass or ground, that's fine. You can walk using, like Badri said, there are grounding slippers or grounding shoes. In India, I'm not sure it's taken off in such a way, but in the US, definitely there are grounding shoes, grounding slippers and all, which help with this to some extent, but definitely don't go against the signals of your body. So it's okay, you can—

I think to add to that, I think there are other 95 things doctor has mentioned, you can focus on those. Yes, because, uh, like, you're very— if you're only focusing on what you cannot do, but there are 95 other things which you can do. So I recommend you to focus on that before all of this, so that neuropathy also maybe you can reverse slowly, and then you can able to walk on bare effort. Because that is what I tell people who cannot sit on the floor. I cannot ask them to sit on the floor and do the exercises. I will make them to sit on the chair, do some exercise, and whatever is possible for them, they can do it, right? So if you have like BP, you cannot do Kapalabhati, but there are hundreds of other breathing exercises you can do. So, uh, like that also, same here, like focus on the things which you can do rather than focusing on what you cannot do. And my daughter is having sciatica from 5 years and no tablet is really helping, and she's young, not the like very old also.

Okay, see, sciatica, um, if it's not helping, first of all, uh, investigations and all you need to do, especially MRI scan. MRI scan, it shows that if there's any disc problem or if there's any problem in the hip which is called— which is compressing on the sciatic nerve and that's causing, uh, the sciatic pain. So if there are no physical causes— physical causes in the sense the nerve getting pinched, the nerve getting compressed, the nerve getting, you know, stretched— so if there are no physical causes, then you say, depending on the nature of the work— again, since I have a bit less information from what you've asked, try to see what kind of work What kind of posture she's maintaining at work. So if it's a standing or if it's sitting, if she has adequate support in the back, if she's sitting properly, or if she's sitting, um, you know, tilted on one side, or— and all this thing, uh, correct the posture at work. And third thing, physiotherapy. Physiotherapy, whether they do the sciatic stretching exercise, they, um, they help with the strengthening of the back and all. And sciatic stretching exercise, your posture at work, and your investigations. If everything is done and everything is normal, then there can be few deficiencies, vitamin deficiencies. Most commonly vitamin deficiencies show up as palm or foot paresthesias or pins and needles sensation. So, but still, if nothing else works, then you can definitely get a blood test and see if there's anything deficient and all. Um, beyond this, I don't think so there should be. Uh, if all of these are normal, then follow what we've just told today in the last 1 hour.

Yeah. Question.

Sure.

What is her age? 22 years. She knows Telugu also, right? Yeah, yeah, she can speak in Telugu as well. Yeah, or English. Yeah, go ahead, ask her to speak.

Uh, good morning, sir.

Good morning.

Uh, so actually I've been having this from 5 years, and my main cause was because of horse riding. During my high school. And from then, any MRI scanning, any test, everything came normal. All the medications I've been trying, nothing helped. Even physiotherapy I was doing, again it comes back to zero.

Okay, no, it comes back to zero in the sense physiotherapy helps and then it comes back?

Yeah, like the relief of the pain during physiotherapy comes gets better, but after— right after a couple of weeks, it, it comes back. The pain comes back, and I'm not able to do the basic, uh, tasks in a daily task. And even standing, uh, any standing activities strains me because of that.

Okay, so, uh, why does it come back after physiotherapy? Do you stop doing physiotherapy?

Yeah, I do stuff, uh, after that I do exercise for that particular thing, but still it pains. I mean, I'm not that regular, but at the same time I, I keep maintaining that exercises, but still the pain is always there.

Um, where do you stay?

I stay in Hyderabad.

Okay, you stay in Hyderabad. Good. So now one thing is, uh, The sciatic— seen, there are different kinds of nerve injuries, okay? So like I said, this sciatic nerve, if there's a long-standing injury or if it has not been diagnosed or treated since very long, so the nerve gets injured, right? So when the nerve— you know, in the body, nerve is the one of the longest tissues to heal.

Heal.

Sometimes it takes years together, right? So, uh, one thing is you need to keep doing physiotherapy, you need to keep doing the static stretching exercise, and you need to keep taking few supplements which helps with the nerve healing, right? And you need to have a lot of patience because nerves— yeah, because like you told, uh, horse— while doing horse riding, it must have happened, or, um, you doing some structural damage, like physical damage, it might have happened. So it can take years, and you should be doing your exercise, you should be doing stretching. You, you, do you do any breathing exercise?

Yeah, I've been lately doing a lot.

Yes, keep doing all these things and it will help in improve the healing of the nerve. If everything else is normal, this is the best suggestion, uh, I can give from my side, that you need to have patience and, uh, trust the process.

Okay.

I mean, I also do have tingling all the time, especially during night, because, because of that, the sleep cycle is all disturbed.

Are you taking medications for the tingling?

I, I did take for a long time, but now the doctor hasn't prescribed any.

Okay, um, I'll do one thing. I have my, um, I have my cousin here in Hyderabad, so he's a neurosurgeon. Um, I can connect him with you to see physically what's the issue with your sciatic pain. And also, uh, I can from my side be, uh, recommend you to him so that he'll take a bit more closer care for you. That, that is thing I can do.

Thank you so much, that would be really—

Thank you, thank you so much. And the last question, so last question we'll take for today, Dr. It's getting late, so knee stiffness, pain, lack of strength in hip region, varicose veins, crackling sound in knee joints, um, she's having Okay, uh, osteoarthritis—

I mean, um, osteoarthritis has all these things, and I'm assuming she has osteoarthritis.

Ramaji, would you like to explain more?

Here, sir.

Good morning, sir.

Good morning. Your face—

okay, okay, sir. Yeah, sir, he can understand Telugu, sir. Okay. And I don't want to do operation. 60s.

Okay. Uh, make English. No, no problem, sir. I can. Okay, so, so basically, for varicose veins, again, depending on the size of the veins, depending on the symptoms Suppose if your foot has— if your leg has started becoming discolored. Discolored means it started becoming blacker, darker in color. That shows that your circulation is not happening properly, first thing.

Second thing, that is there.

Okay, second thing, any injuries— if the circulation is not proper, any injury to the leg, it won't heal easily. Okay, third thing Uh, you'll have cramping kind of pain near the calf and all. You'll have that cramping kind of pain, and you'll have a little bit of, uh, paresthesia, uh, uh, I feel that in my thigh, sir. Okay, so, uh, all these things are there. Then, um, nowadays for varicose veins, uh, you have laser. It's not surgery, it's just laser treatment through which they decrease is the varicosity of the veins, okay? So if you have the symptoms, then don't neglect it, okay? Because it is— it's a structural damage, it's a structural failure of the veins. So for that, no matter what you do, it's very difficult for it to reverse. I, I haven't seen it, okay? So better to focus on things which are in your hands. And, uh, things which are not in hands, you go and get treated according to the latest protocols. So this is for varicose veins. If you have all those things, try to definitely go for a laser treatment and it will give you a lot of relief. Okay, second thing, uh, when you're walking, you're saying you have the sounds, right, in the knee joint? Yes. Uh, first thing is that it's crep, that's a name of the sound. If you have the crepitations, if you have the sound in the knee joint, that's fine. But if the sound is associated with pain, so if the sound is painless, don't worry about it completely, don't worry about it. But if the sound is having a pain, that means it's because of the arthritic pain. For that, again, One thing which helps a lot in with the stiffness and with the pain and with the sound, and many people are scared that if we walk, the pain increases. If you walk, the knee joint becomes more degenerated. So, but in the contrary, when you walk, when you walk, the movement of the knee joints help to help to have the nutrients to get absorbed inside your knee. So the movement and the pressure when you're walking, it helps to improve the health of the knee. So that will definitely— walk only when there's no pain. Again, I'm telling you this thing, walk when the pain is less, right? So when you walk, it will help in stiffness for sure. Second thing, it will also help in that crepitations and all, it will decrease to some extent, right? So walk throughout the day. If you take at least half an hour to 45 minutes, go for a walk, and this will help with all. And if not walk, swimming. Someone even asked, I, I forgot to answer that swimming will also help because when you are in the water, you float. When you float, there's less stress on your knee joints. And when you move with the less stress, you can move better with the less stress on the knee joints and your muscles get strengthened. So swimming, walking, all these things are very good for your knee joint to help with the stiffness as well as with the, uh, crepitation to some extent.

Thank you, thank you so much, doctor.

Thank you.

And also, if possible, if you have time, like, you can visit his hospital and get physically checked also. It's, uh, anyway, you live in Hyderabad, uh, if you go for, uh, you can call the reception and check check what times doctor is available. Accordingly, you can answer physically.

Can we get the address, sir?

Aguru Hospital, right?

Uh, I'll just drop in the message. Um, yeah, yeah, it is Aguru Prime Hospitals. It's in Jetchery.

You don't need to come from Chennai and different places, but yeah, of course, but people who are in Hyderabad, I think it's better, uh, if you can like utilize that opportunity. If you want to come, like maybe you have to ask them before itself, like otherwise. Else whenever you're coming to retreats at— in Hyderabad, that time you can also plan, like this time I'll also ask Dr. Ankit to be there for the retreat, our retreat, next retreat, so that you can be—

What's the problem is I don't want to go for any operation or anything, sir. So they are asking 3 lakhs for that laser treatment.

3 lakhs, sir. Where do you stay, Rama?

In Hyderabad, sir.

In Hyderabad, okay. I— so my hospital is affili— I mean, is linked to a hospital in Hyderabad, and I, I know a vascular surgeon. She does it very nominally, hardly in 1-1.2 lakhs.

Okay, so laser treatment also, they are telling some glue treatment is there? And something that they told—

I'll do one thing. I'll, um, I'll give your— I'll give her in the ref— I'll give you her reference, and definitely you can go and speak, and I'll put in a word for you.

Okay, okay, okay, sir.

Okay, sir.

Thank you, sir.

Thank you, thank you so much. All the Diamond members, we are planning one another, uh, small session with the doctor. Uh, don't worry, like you'll have a interactive session, one interactive session also in the coming months. So go ahead, last question. I know that you have been waiting. Yes.

Okay, sir. Yes, yes. Okay, sir.

Okay, uric acid 5.3, 6 low, okay. Second thing, uric acid, vitamin C-rich foods. Okay, okay. I said 71 years. Okay, okay. So at the same time, BMDN, 7-21 years, DEXA scan, bone density and check.

So density normal.

And okay, okay.

Okay, okay.

See, first of all, 71 years. Okay, okay. At the same time, 71 years. 5 minutes, 10 minutes rest.

Okay, okay, okay. Okay, okay, okay, sir. Thank you, thank you, sir.

Thank you, thank you, Andy. So we'll meet in December, okay? So physically, yes. So, uh, yes, that's what like, um, it's about, right? As he has mentioned, it's a recovery time. Even for the sports people, when they play, they have recovery time and everything they also consider. So considering the time, I think we need to close now. Thank you, thank you so much, everybody, whoever is here. Please bring him to Bangalore as well. No, he's coming to Chennai, that's why I asked him to come little, uh, this time anyway he's coming to Chennai. So we'll see in the future if we can travel. Um, so I want all of you to watch this podcast also. Please make sure that you are watching this podcast and sharing your takeaways under this podcast. And whatever the takeaways, the best takeaways will get the journal from us. And today make sure that you are watching this podcast. I'm sharing the link I think. And next, so please share your takeaways under this. So already 23 people have shared. I request other members, all the 200 members whoever is here, so please do share, like, so that others will understand the importance of these kind of sessions. And we have invited more than 15,000 members, only 500 people were here, 400-500 people are here. Others also will understand the importance of this once you go and share here. So you can see, doctor, like, a lot, very, very big messages I hope you are able to see. And, uh, uh, so like, please, please make sure that you are going and sharing here. Okay, so I will share this to doctor also later on. It's perfect. So with this, all of you, thank you, thank you so much. Thank you, doctor, once again for coming and taking your time on this weekend, and looking forward to see you once again.