Symptoms of Diabetes 

If you have several of these symptoms and you are not sure about your blood sugar, it is better to have it checked than to let it progress to the point that you will be more likely to experience complications. Symptoms of diabetes may be mild initially, particularly in the case of type 2:

• Excessive thirst and urination, as the kidneys are working harder to get rid of the excess sugar,
• Extreme tiredness, because high blood sugar hampers the way your cells get energy from it
• Weight loss that cannot be explained, especially seen in Type 1 diabetes
• One eye blurred, due to fluid changes affecting the lens of the eye
• Slow healing wounds or recurrent infections.
• Nerves are beginning to be affected, as evidenced by tingling or numbness in hands and feet.

Common causes and risk factors include:

Type 2 diabetes is the most prevalent disease and is caused by a combination of lifestyle and genetic factors. Diabetes is seen as a weakness of Agni (digestive fire) and aggravated Kapha dosha in Ayurveda and it is mainly associated with the malfunction of sugars and fats in metabolism. Factors that increase the risk include:

• Excess body weight (particularly abdominal fat)
• A lack of exercise and physical activity helps your body to utilize insulin less efficiently
• Baseline risk is real look at your family history and genes.
• Risk increases significantly after 45-years-old.
• Poor diet, specifically too much sugar, refined carbohydrates and processed foods.
• High blood pressure or high cholesterol (usually with diabetes risk)

Prevention of Diabetes 

One of the more preventable chronic conditions, type 2 diabetes is and even those who already have the disease can manage it much better with the right habits:
 

• Keep a healthy weight even a small amount of weight loss makes a difference in the control of blood sugar.
• Exercise regularly, physical activity increases insulin sensitivity
• Eat whole, unprocessed food, and reduce sugars and refined carbs.
• Regular blood sugar monitoring, particularly if there is a family history of and/or if age is over 45
• Control stress and sleep, both impact blood sugar control
   

About Dr. Rajeev Keloth Nambiar

Most patients seeking ayurvedic diabetes treatment in Pune are already on medication and want to keep their sugar levels stable long-term, rather than watching them creep upward year after year. Dr. Rajeev Keloth Nambiar (BAMS, MD) of Dr. Nambiar's Advanced Ayurveda believes that diabetes is a Prameha and treats it by correcting the imbalanced Agni and Kapha levels with herbal remedies, individualised diet correction and lifestyle advice while ensuring proper monitoring.

Dr. Nambiar has helped countless patients achieve better and more stable blood sugar control and, in select patients, will progressively decrease dependence on medication over time, under medical supervision, and not by abruptly eliminating treatment.

Symptoms

AS doesn't make a lot of noise. It sneaks up on you slowly, and the initial symptoms are mistaken for the usual tiredness, or a lousy mattress. Watch out for:

• Pain in the lower back and/or hip that is worse in the morning or after sitting quietly for a while, and improves with movement
• Early morning stiffness that is often more than 30 minutes long
• Tiredness that doesn't go away with rest, caused by ongoing inflammation in the body
• Aches in other joints, such as: shoulders, knees or ankles
• If the rib joints become involved, it may be difficult to take a deep breath and cause tightness in the chest.
• Heel pain (as the tendons around the heel can get inflamed as well),

When back pain and stiffness persist for over three months and worsens with rest, and not movement, it's time to get it checked.

Common Causes and Risk Factors

Doctors haven't pinned down one single cause of AS, but a few things clearly raise your risk:

• The HLA-B27 gene: Most people with AS carry this gene, though not everyone with the gene develops the disease.
• History in the family: If there is a family history of AS, your risk is increased.
• Age and gender: It typically manifests before age 40, and more frequently in males.
• Immune system reaction: System of immunity attacks healthy tissues around the spine and joints leading to inflammation.
• Other health problems: Individuals with bowel disease such as irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD) may be more likely to develop AS.

Prevention

Although it is not possible to always prevent the development of AS in a carrier, they can reduce the chance of it worsening:

1. Keep doing light stretching and mobility exercises!
2. Sit and stand well for the whole day
3. Don't smoke as this makes stiffness and breathing difficulties worse
4. Follow a basic anti-inflammatory diet, avoiding excess in processed foods.
5. Don't take early onset of pain and stiffness for granted, check it out early!

About Dr. Rajeev Keloth Nambiar

Here, Ayurveda will come to the rescue. Treatment in Dr. Nambiar's Advanced Ayurveda in Pune aims at correcting the internal imbalance in the body's Asthi and Majja dhatu (bone and marrow tissue), not just at relieving the symptoms. Combination of diet and lifestyle changes with certain ayurvedic therapies is used to reduce inflammation, restore flexibility and minimize reliance on painkillers and steroids. In the first week of therapy, many patients will notice a significant improvement in their movement and posture.

Dr. Rajeev Keloth Nambiar, BAMS, MD is the lead clinician for this treatment with more than 26 years of clinical experience treating spine, joint, autoimmune diseases. If you have been suffering with AS for years and could not find any permanent solution to the problem even with the conventional medicine, this clinic that offers ankylosing spondylitis treatment in Pune is a trusted one.

Symptoms of Osteoporosis 

Most people don't realize that they have osteoporosis in the early stages because it doesn't cause pain. Be alert for:

• A fracture caused by a trivial fall, such as a fall from a height which is not high enough to have fractured a normal bone.
• Unknown back pain which might be a very small compression fracture in your spine
• A progressive loss of height over the years.
• A stooped or hunched posture, especially in the upper back.
• Poor hand grip or feeling of weakness in wrists.

The challenge is that the first true indicator of fractures is often something is wrong. That's why doctors suggest bone density testing is done before symptoms appear after the age of 45 or 50.

A list of frequent Causes and Risk Factors

Bone is an organ of living tissue. It is continually turned over and remodeled in your body over your lifetime. However, when this rebuilding process slows down and the breakdown process takes over, osteoporosis occurs. But there are a few factors that will tip the scales:

• Age: Everyone gets lower bone density after the age of 50.
• Falling Estrogen Levels: Bone loss is accelerated in women as their estrogen levels drop.
• Family history: If one of your parents had osteoporosis or suffered a hip fracture, so do you.
• Low calcium and vitamin D: Having too little calcium and vitamin D in the diet leads to understocking bones after years.
• Inactivity: Bone requires weight-bearing activity to maintain strength, sitting all day – a bad thing!
• Smoking: directly disrupts bone formation, as do excessive amounts of alcohol.
• Long-term steroid use, such as from a condition like thyroid disease, rheumatoid arthritis, or diabetes can weaken bones over time without anyone knowing.
• Body frame: individuals with thinner or smaller body frames tend to have a lower peak bone mass.

Prevention of Osteoporosis 

While there is no guarantee that you will not develop osteoporosis, especially with the influence of genetics, age, and other factors, you can slow the process of osteoporosis markedly:

1. Eat sufficient amounts of calcium and vitamin D, dairy products, leafy greens, nuts, eggs and safe sun exposure, as directed by your doctor with supplements if necessary.
2. Engage in walking, climbing stairs or some light weight training a few times a week.
3. Stop smoking and reduce alcohol consumption, as both will gradually weaken your bones without your realising it.
4. If older than the age of 50, post-menopause, or have a family history, get a bone density scan to beat the bone loss before it hits you.
5. If you're an older adult, fall-proof your home because a fall is often the first sign of osteoporosis.
6. Check the long-term use of a drug such as steroids with your doctor, as some of these drugs can impact bone density over time.

The most important aspect of good osteoporosis treatment in Pune is to have the necessary medical and nutritional support, an accurate diagnosis and habits that are actually followed.

About Dr. Rajeev Keloth Nambiar

By the time osteoporosis is diagnosed, the bone loss has usually been building for years, quietly, without any pain to give it away. At Dr. Nambiar's Advanced Ayurveda in Pune, Dr. Rajeev Keloth Nambiar (BAMS, MD) looks at this from an Ayurvedic lens: osteoporosis is largely a depletion of Asthi Dhatu, the body's bone tissue, driven by an aggravated Vata dosha that dries out and weakens bone over time.

Rather than only recommending calcium and vitamin D on paper, treatment here focuses on improving how well your body actually absorbs and uses these nutrients, alongside herbal formulations that support bone density and joint strength from within. Diet correction, Vata-balancing routines, and targeted therapies work together to slow further bone loss and, for many patients, reduce the aches and fragility that come with it.

With over 26 years of experience treating spine, joint, and bone-related conditions, Dr. Nambiar has worked with many patients who were told there was little to do beyond "managing" their osteoporosis.If you're looking for osteoporosis treatment in Pune that goes beyond just monitoring the condition, his approach treats it as something you can actively work against.

Symptoms Urticaria (Hives)

Although the symptoms of hives may vary slightly from person to person, it is generally accepted that these symptoms include:

• Sneezing, itchy, raised, pink or red skin spots that can suddenly appear.
• Patches that change shape or move to a different part of the body within hours.
• Burning or stinging, along with the itch, in some cases.
• Swelling around the eyes, lips or throat (angioedema), which requires immediate attention if it happens to the eyes, lips or throat and interferes with breathing.
• Welts that fade after 24 hours, only to form new welts elsewhere.
• A flare up is associated with heat, stress, a tight fit on the skin or certain food items, in many patients.

If your hives have been present for more than 6 weeks or if they keep coming back every few weeks despite taking medications, then you have chronic urticaria and typically require a more fundamental change in lifestyle or treatment than the short term use of antihistamines.
 

Common causes and risk factors:

In chronic cases, there is frequently no one obvious cause, and modern medicine fails to clearly identify a cause. In Ayurvedic terms, urticaria is closely associated with the blood tissue (Rakta Dhatu) and is caused by the imbalance of Pitta and Vata in the blood tissue.

Some triggers and risk factors include:

• Some foods combined together: incompatible food combinations (Viruddha Aahar in Ayurveda), dairy, nuts, shellfish, fermented foods.
   
• Weather extremes: sudden exposure to heat, cold or humidity.
   
• Recurring hives are commonly associated with poor digestion, hyperacidity and sluggish digestion.
   
• The stress and lack of sleep, which can be a big aggravation to an outbreak.
   
• Synthetic clothing and skin contact irritants.
   
• People with chronic hives are more likely to have underlying conditions such as thyroid problems and other autoimmune diseases.
   
• Often forgotten too is worm infestations or gut imbalance, which happens in Ayurvedic practice.
   
• Certain medications, including painkillers and antibiotics, in sensitive individuals.

Prevention of Urticaria 

Although it is not always possible to predict a flare-up, it is possible to minimise its frequency and severity:

1. Track your triggers: Maintain a simple flare-up food, weather, and stress diary—patterns often emerge in just a few weeks.
2. Solve and treat your digestion first: People often think that lighter, easily digestible food will do more harm than good because of hyperacidity, but this is not the case as regular meal timings will help more.
3. Stay away from irritants such as tight synthetic clothes, harsh soap, and strong detergents.
4. Take charge of stress, as stress has been known to trigger chronic hives.
5. Take new food or medicines with caution if you've had an allergic reaction to it before.
6. Avoid using antihistamines as long-term treatment, as they treat symptoms but do not cure the problem.
    

About Dr. Rajeev Keloth Nambiar

When you visit a clinic for urticaria treatment in Pune, most of the patients will have tried different antihistamines for months if not years and hives will reappear as soon as they are no longer taking the medication. Dr. Rajeev Keloth Nambiar (BAMS, MD), from Dr. Nambiar's Advanced Ayurveda, considers urticaria as a condition to be treated from the skin to the gut, as a very large number of urticaria cases can be traced back to the dietary imbalance and aggravated Pitta-Vata in the Rakta Dhatu (blood tissue).

Usually the first step in treatment is to rectify digestion and hyperacidity, as when digestion is calm, so is skin. This is combined with Ayurvedic blood purifiers and where suitable, Panchakarma treatments such as Virechana to remove the underlying imbalance, not just suppress the outbreak. In this instance, diet correction is more important than patients realize; there are a number of everyday food combinations that are common triggers.

Dr. Nambiar has extensive experience treating chronic urticaria patients who have been suffering from the disease for years and many of whom had not found a lasting relief from existing treatment; these patients gradually improved in both the number and severity of urticaria over years.
 

Symptoms of Back Pain

Back pain manifests according to the cause, and typical signs are:

• An ache or a sharp pain with specific movements
• Rigidity, particularly in the morning or when seated for prolonged periods of time
• Increased pain when bending, lifting or twisting.
• Lower and/or upper back muscle spasms.
• If a nerve is involved, a "radiating pain" may occur into the buttock or leg.
• Some flexibility is lost, standing upright is difficult after sitting

If the pain has been present for a couple weeks, or it's spreading down your leg, then it's important to get evaluated properly and not rest and hope that it goes away.

Most common causes and risk factors

There are many possible causes of back pain and in Ayurveda, the majority of back pain is associated with the aggravation of Vata dosha in the supporting tissues of the spine. Common causes and risk factors are:

• Time spent sitting at a desk or glued to a cell phone, poor sitting posture, etc.
• Lifting wrong or sudden movement, causing muscle strain,
• Wear and tear of the cushioning discs (disc degeneration) in the spine as a result of ageing.
• Sedentary lifestyle, poor strength of core and back muscles provides less support to the spine.
• Excess weight puts a constant strain on the lower back, causing obesity.
• A strain or accident that never healed, which happened previously
• Strenuous jobs, jobs with heavy lifting or extended sitting,

Prevention of Back Pain

There are consistent habits that most of the time prevent or at least control back pain:

• Sit and stand up straight
• Improve core strength, stronger abdominal and back muscles will take the strain off spine.
• Lift properly – bend the knees, not the back!
• Get moving, don't sit for long periods of time.
• Keep a stable weight, to lessen constant loading in the lower back area.
• If you notice stiffness from the beginning, treat it at the beginning, it won't be a chronic condition.

About Dr. Rajeev Keloth Nambiar

When patients visit the doctor for back pain treatment in Pune, they have tried pain killers, heat pads, or a few exercises with a physiotherapist but the pain has come back within weeks. Dr. Rajeev Keloth Nambiar MD, BAMS (Dr. Nambiar's Advanced Ayurveda) begins by determining the root cause of the pain, which could be muscular strain, disc-related or nerve compression, as treating all back pain in a similar way is seldom effective.

Treatment involves therapies that nourish spinal tissue, help decrease inflammation and relieve tension in the muscles, as well as posture and lifestyle correction to prevent recurrence. Dr. Nambiar has been working for 26 years treating spine-related issues, and has assisted numerous individuals in transitioning from chronic and recurring back pain to a life that is truly pain free.

Symptoms of Trigeminal Neuralgia 

Trigeminal neuralgia can be fairly specific in its symptoms if you know what to look for:

• Sharp, stabbing pain that occurs suddenly in the face (like an electric shock).
• Short attacks (several seconds to a couple of minutes but several times during the day).
• Pain that occurs with routine activities such as: brushing teeth, chewing, talking, or even a gentle breeze on the face.
• Unilateral pain, usually around the cheek, jaw or forehead area.
• Remissions, when it goes away for weeks or months, followed by periods of exacerbation (flares).
• If not corrected, will increase in frequency and intensity with time.

The pain lasts for a short time and is localized, which can lead to misdiagnosis as the initial stage of a dental issue. If the facial pain is recurrent and is short, sharp and associated with touch or movement it might be worthwhile to examine the nerve itself.

Common Causes & Risk Factors

Trigeminal neuralgia typically occurs when there is irritation, pressure or compression on the trigeminal nerve. In Ayurveda, it is similar to Ananthavata, which is caused by aggravated Vata dosha disturbing the nervous system and disrupting the subtle energy called Prana Vayu which is related to sensory and neural functioning. The most common causes and risk factors are:

• Compression of the nerve(s) such as by an adjacent blood vessel that is compressing the trigeminal nerve.
• More common in those over 50, but can be seen earlier, age.
• Diseases that affect the nerve such as multiple sclerosis that can destroy the protective coating of the nerve
• Vata aggravating life style factors: Irregular sleep, excess cold exposure, high stress and poor diet which affects the nervous system as per ayurvedic principles
• The blocked or obstructed sensory transmission through the srotas (channels) is believed to be the main cause of disturbance in the face according to Ayurveda.
• Injury to the face or dental work, in some instances, can cause nerve irritation.

Prevention of Trigeminal Neuralgia

While it's not always possible to avoid getting trigeminal neuralgia, it's possible to better manage your risk of experiencing a trig trig flare-up and to slow the progression of trig:

1. Avoid cold wind and temperature changes, which are known triggers for flares.
2. Be consistent in stress management as it is a great aggravator for Vata dosha and nerve pain.
3. Maintain regular sleep and food habits as they upset Vata in time.
4. Once you have identified which areas to avoid contact with, try to avoid known personal triggers such as specific chewing patterns or touch to the trigger areas.
5. If a facial pain is present and these are short, early onset ones, do not ignore them or they will be more difficult to treat.
6. Have pain from nerves diagnosed – don't assume it is dental or sinus pain.

About Dr. Rajeev Keloth Nambiar

One of the more distressing conditions that Dr. Rajeev Keloth Nambiar, a BAMS doctor and MD, treats at Dr. Nambiar's Advanced Ayurveda is the trigeminal neuralgia, which is a condition that is very painful to patients despite the fact that the duration of the pain is very short. Treatment of trigeminal neuralgia in Pune is based on his principle of reducing the aggravated Vata dosha and release the blocked srotas that cause disturbance of nerve signalling in the face.

People are usually treated with specific Ayurvedic medicines and nerve-soothing and circulation-enhancing therapies. Diet and lifestyle correction is a real factor as well because the tendency to aggravate the condition through diet and lifestyle often persists whether or not medication is effective.

A significant change is typically apparent early on. Most people have 30-40% relief of hypersensitivity and pain within the first month, and 50-80% within the second month; for those who are treated longer, improvements can lead to normal functioning of the nerve. Dr. Nambiar has practiced for more than 26 years, working with patients who found that traditional treatments were not providing them with lasting relief from their nerve and spine conditions, particularly trigeminal neuralgia, and they experienced recurrence of symptoms every few months.