Abstract

CLINICAL APPROACH TO GAMBHIRA VATARAKTA (AVASCULAR NECROSIS OF FEMORAL HEAD) THROUGH AYURVEDA: A CASE STUDY

Dr. C. Lahari* and Dr. V. Lakshmana Prasad

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Abstract

Avascular Necrosis /Osteonecrosis/Ischemic necrosis in which there is loss of function of bone tissue. It occurs because as an interruption in the blood supply to the bone. Management includes surgical procedures, such as core decompression, grafting, and osteotomies which are costly and prognosis is being poor. In Ayurveda, symptoms of AVN can be correlated with Gambhira Vata rakta. An effort has been made in the present study to evaluate the efficacy of Karma vasti in the conservative management of AVN of the femoral head. A case of AVN with bilateral femoral head (L>R) was treated with Bala guduchyadi Taila, Guggulu Tiktaka ghrita, Balaguduchyadi kasayam in Karma vasti format. Patient was observed for symptomatic improvements based on assessment of HARRIS HIP SCORE, walking time, symptoms before and after treatment. Patient was observed for complications during whole course of treatment, no complications were seen. The therapy provided marked relief from above parameters and improves quality of life.

Keywords: Avascular necrosis, Gambhira Vata rakta, Karma vasti.