Ayurvedic Management of Avascular Necrosis of Neck of Femur w.s.r. to Asthi Majja Gata Vata

Abstract

Avascular necrosis (AVN) is a condition that occurs due to loss of blood supply to the bone which leads to cellular death of bone tissue. A 59 years old female patient, who was suffering from AVN for last 1 year, was admitted in NIA Panchakarma ward. She was diagnosed as a case of avascular necrosis of neck of femur based on MRI reports. As per Ayurveda, the patient was diagnosed as a case of Asthi Majja Gata Vata (∼Vata disorder involving bone and bone marrow). The patient was treated with Panchakarma procedure such as local massage and fomentation, Panchatikta Ksheera Basti (enema with medicated milk) with Yashtimadhu Taila Anuvasana (enema with oil) as per Karma Basti schedule (30 days regime of purification and oleation enema) and oral medication as Kaishore Guggulu 3 tab twice a day, Dashmool Kwath 40 ml twice a day, Ashwagandha Churna (Powder of Withania somnifera DUNAL) 3 gm, Chopchini Churna (Powder of Smilax glabra) 500 mg, Madhuyasthi churna (Powder of Glycyrrhiza glabra) 2 gm three times a day, Triphala churna 5 gm at bed time for 1 month. Before treatment, the patient was complaining of severe pain in both hip joints and thigh regions and difficulty in walking. After completion of treatment, the pain in both hip joints and thigh regions decreased, range of movement of both hip joints improved, difficulty in walking was much reduced and walking distance also improved. This case shows that Ayurved treatment may be helpful in the management of avascular necrosis of neck of femur.

Keywords: Avascular necrosis, Ashthi Majja Gata Vata, Panchatikta Kshira Basti