Avascular Necrosis Through Ayurveda Perspective - A Case Report

Avascular necrosis is a pathological condition caused by a limitation in the microcirculation of the bone, causing its necrosis. Avascular necrosis (AVN)of the hip is a common condition that creates complex symptoms characterized by pain, impaired function, and structural breakdown. According to Ayurveda, it can be correlated with AsthimajjagatVata, which occurs due to the Akshaya(destruction)of Asthi and Majjadhatus. The present case report is of a 32-years old male patient diagnosed with Avascular necrosis of StageIII of the right hip and Stage II of the left hip as per Ficat and Arlet's classification of Avascular necrosis. He complained of pain in both hips, associated with the inability to walk a short distance and difficulty sitting without back support. The patient was treated considering the involvement of Vata dosha, Asthi-majjadhatu, and raktavahastrotodushti. The treatment protocol adopted in modern medicine for the management of Avascular necrosis is corticosteroids and hip replacement surgery. Hence, there is a need to encourage classical Ayurveda modalities like Shodhan and Shaman to manage Avascular necrosis. The main aim of this study is to assess the effectiveness of classical Ayurveda remedies in managing Asthimajjagat Vata in a patient with Avascular necrosis. In this case, the treatment was planned considering the predominant involvement of Vata dosha, Asthi & Majjadhatu, and Strotorodha. He was treated by applying the treatment principles of Asthi-majjagatkshaya caused due to Margavrodhjanya Vataprakopa. This case is being reported because it shows how combining the Ayurveda principles of Shodhan and Shaman was used. As a result, it significantly improved hip joints' walking, sitting, and movement. This case may motivate Ayurveda researchers to work on AVN.