Abstract
Avascular Necrosis (AVN), or Osteonecrosis, is characterized by bone tissue death due to insufficient blood supply, prevalent in India with a common occurrence in the femoral head. Ayurveda associates AVN with an imbalance in Vata dosha, presenting symptoms aligning with both traditional and modern medical perspectives. Conventional treatments involve anti-inflammatory drugs and hip replacement, though the latter has limitations. Ayurveda approaches include holistic treatments like herbal medicines and Panchakarma, showcasing potential benefits in symptomatic relief. Modern treatment involves anti-inflammatory drugs and, in severe cases, hip re-placement. The presented case is of a 24-year-old, diagnosed case of grade 4 bilateral AVN of the femoral head who was treated with Panchakarma including Manjisthadi Kshara Basti, Patra pind sweda,pizhichil along with a few Oral Ayurvedic preparations, for 30 days, which provided significant symptomatic relief in pain, improved range of motion and gait. Based on the results, it can be said that panchakarma can provide significant relief in signs and symptoms of Asthimajjagat vat (AVN)
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