Ayurvedic approach to avascular necrosis: A case study
Dr. Parvathy Ravindran, Dr. MV Acharya, Dr. VC Deep
Avascular necrosis (AVN) is a progressive disorder as a result of the death of cellular elements of bone due to the impairment or loss of blood supply to the bone. The condition also can be resulted due to the long term use of the high dose steroid medications, connective tissue disease, trauma, sickle cell disease etc. Commonly affecting sites includes the head of femur, humerus, proximal tibia and femoral condyles. Asthi-majjakshaya, usually presents with symptoms asthitoda (bone pain) asthishathana (splitting of bone) and asthisoushiryam (osteoporosis) correlates with the symptoms of AVN. Administration of snehana (oleation therapy) both external and internal form is the best treatment modality in such case, especially vasthi with tiktarasa dravya processed in kshira is indicated. A 32 yr old lady patient presented with pain in her bilateral hip region since 2 years and also with difficulty in walking and doing any activities was advised for surgery, approached our institution and the case was well managed and relieved markedly by pancharma procedures like Churna pinda sweda, Pathrapindasweda and by administering Panchatikta kṣīrabasti also by internal medicines.