Ayurvedic management of Asthimajja gata vata w.s.r to AVN of head of femur – A case study

Avascular necrosis (AVN) of the bone is a condition characterized by the death or necrosis of bone tissue, accompanied by structural changes. It is also referred to as osteonecrosis or ischemic necrosis of the bone. It is mostly seen in patients having a history of excessive alcohol and high-dose steroid medications. In the initial stage, it is painless but as the disease progresses there is a gradual increase in pain which affects the patient’s daily routine as well as his lifestyle. It is the most challenging condition in orthopedics. The available treatments in modern medicine for this condition are not considered satisfactory in the current era. Here we present a case of Avascular Necrosis (AVN) of the Femoral Head that was treated with Panchakarma procedures, including Udvartana, Abhyanga, Swedana, Basti karma, Raktamokshana, and Physiotherapy exercise. In Ayurveda, AVN Head of Femur can be co-related to Asthi Majjagata Vata, based on similar signs and symptoms. Marked improvements were observed in terms of pain reduction, range of motion, and overall quality of life. The study shows that Avascular Necrosis of the Femoral head may be successfully managed with Panchakarma treatment, Shaman chikitsa, and Physiotherapy Exercises.