Abstract

AYURVEDIC MANAGEMENT OF AVASCULAR NECROSIS OF FEMORAL HEAD – A CASE STUDY

Dr. Sachin Govindrao Tike* and Dr. Ruksana Irshad Pathan and Dr. Meghla Chandrashekhar Kamble

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Abstract

Avascular necrosis is the death of bone tissue i.e, osteocytes with subsequent structural changes due to loss of blood supply, therefore also called as osteonecrosis, ischemic bone necrosis. It is associated with excessive alcohol intake and long-term use of high dose steroid medication. In the initial stages, this disease generally asymptomatic but as the disease progress, there is constantly increase in pain which affects the patients day to day routine life. There is no permanent treatment other than hip replacement Surgery. Other treatments include physiotherapy and NSAIDs. And all the treatments are costly and having poor prognosis. The present case was aimed to evaluate the efficacy of Ayurveda system in the conservative management of AVN. In this present case was a 40 years old male was diagnosed with AVN of bilateral hip joint, was managed with Shaman Aushadhi followed by Erandamuladi yoga basti, panchatitkta ghrita basti, manjishthadi kshara basti, repeated jalaukavacharan and gutta mutta pottali sweda. Patient was observed for symptomatic improvement based on signs and symptoms before and after treatment. The therapy provided marked improvement in the gait, pain, tenderness and range of movements. Conservative management of AVN through Ayurvedic principles provided significant relief in signs and symptoms and improved quality of life.

Keywords: Avascular necrosis, Shamana Aushadhi, Shodhana, Bruhana Basti, jalaukavacharan.