Abstract
MULTI-MODAL AYURVEDIC MANAGEMENT OF AVASCULAR NECROSIS OF HEAD OF FEMUR: A CASE REPORT

Dr. Krunal Patel*, Dr. Manish Patel and Dr. Dhaval Dholakiya

ABSTRACT

Avascular necrosis (AVN) of the bone is due to loss of vascularity in a part of the bone and occurs commonly after
trauma and head of femur is the most affected site. Main symptom is constantly increasing pain which affects the
patient’s quality of life. It can be correlated with Asthikshaya (~bone depletion) in Ayurveda. Analgesics, core
decompression, bone grafting and total joint arthroplasty are the treatment currently available which have limited
effect with costly affair and addition of adverse effects. A 24-year-old patient came to the hospital with stage 3
AVN in both head of femurs (right side more than left) with constant pain and difficulty in walking. Various
panchakarma procedures i.e., Virechana (~purgation therapy), Basti (~therapeutic enema), Jalaukavcharana
(~bloodletting using leech) and Agnikarma (~thermal cauterization) were performed along with oral treatments.
VAS for pain was found 3 after the one month of treatment which was 7 on baseline. Positive result in present
case highlights the potential of multi-modal Ayurveda treatment in managing the AVN of head of femur and will
helpful to generate the hypothesis for further research.

Keywords: Avascular Necrosis, AVN, Asthikshaya, Panchakarma (~five internal bio-cleansing therapies).


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