AYURVEDIC MANAGEMENT OF FEMORAL HEAD OF AVASCULAR NECROSIS WITH PANCHTIKTAKSHEER MAJJA BASTI AND MAHAMANJISHTHADI GHAN VATI: A CASE STUDY

Abstract

Avascular necrosis (AVN) is a condition where there is interruption of the blood supply which proceeds to necrosis of bone components and causes collapse of bones. In Ayurveda it can be compared with a disease Asthimajjjagata Vata due to close resemblance in symptomatology and pathogenesis of both disease entities. The aim of this study is to find out an effective treatment protocol for it. The present case study is upon a 36-year-old male patient that diagnosed with avascular necrosis of femoral head having complaints of pain in left hip region for 6 months which was associated with difficulty in walking, sitting, squatting and climbing stairs which results to change in the gait. This patient was treated with Panchtikta Ksheer Majja Basti and Mahamanjishthadi Ghan Vati. Assessment was done after treatment and follow up of 15 days. The therapies yielded complete symptomatic relief from pain, tenderness, general debility and improvement in the gait. After the treatment pain was reduced significantly with improvement in range of movements. Even the patient was able to walk and climb stairs without pain and stiffness. There was a reduction in VAS pain scale and marked improvement was noticed.