Ayurveda Management of Avascular Necrosis of Femoral Head - A Case Study

Abstract

Introduction: Avascular necrosis (AVN) of femoral head is the collapse of femoral head subsequent top transient or permanent loss of blood supply to femoral head. It can be correlated with Asthi-Majjagata Vata. A 24 yrs old male, with complaints of severe pain in the left side hip joint along with right hip joint associated with restricted movements of bilateral hip joints aggravated since 7 months was treated with Krimighna Vasti followed by Manjisthadi Ksheera Vasti. Aim and Objective: To evaluate the efficacy of Krimighna Vasti and Manjisthadi Ksheera Vasti in the management of avascular necrosis of femoral head. Methodology: Krimighna Vasti for a period of 3 days followed by Manjisthadi Ksheera Vasti was given as Niruha Vasti and a combination of Gugulu Tiktaka Ghrita (60ml) and Pinda Taila (60ml) was given as Anuvasan Vasti in Yoga Vasti pattern for a period of 8 days. Results and Discussion: Patient was not able to walk without support with restricted movement and limping was able to walk with mild pain. And the patient also had acute bronchitis feature having symptoms of recurrent non productive cough, mild fever, headache on auscultation there was crepitation in bilateral lungs field and x-ray finding suggestive of prominent broncho vascular margin that is also diminished. Ksheera Vasti possibly aided in strengthening of subchondral bone of the femoral head. As it is a Brimhana Vasti the patient also get relieve in symptoms of bronchitis.