Panchakarma Therapy in the Management of Avascular Necrosis of Bilateral Femur Head: A Case Study

Abstract

Avascular necrosis is the destruction of bone tissue brought on by a temporary or permanent absence of blood supply to the bone. Avascular necrosis most frequently affects the femoral head. According to Ayurveda, AVN is associated with Astimajjagata Vata (musculoskeletal diseases) under Vatavyadhi. Avascular necrosis is linked to chronic steroid usage, excessive alcohol consumption, and related injuries. Early stages might not have any symptoms. Eventually, lying down or putting weight on the injured joint may cause pain. The goals of AVN treatment are to preserve structure, function, relieve pain, and enhance quality of life. There are numerous surgical procedures used in allopathy to treat AVN, including drilling and inserting bone grafts, To treat the issue, modified Whitman or Colonna reconstructions and prosthesis insertion are performed, however all of these surgeries are expensive and have a bad prognosis. Our facility used Ekang Abhyanga (Local Oleation), Nadi Swedana (Local Fomentation), Nitamba Basti, and Patra Pinda Sweda to treat an AVN case with bilateral femoral heads. The patient was given a diagnosis based on evaluation criteria i.e VAS score, Range of movement and was then monitored for symptomatic improvements both before and after therapy. The patient's restored health was miraculous. The treatment significantly reduced discomfort, soreness, stiffness, and gait issues. In the treatment of AstimajjagataVata Ekang Abhyanga (Local Oleation), Nadi Swedana (Local Fomentation), Nitamba Basti and Patra Pinda Sweda have high beneficial and cost-effective validity. Numerous Special Panchakarma treatments, in addition to palliative drugs, have miraculous effects and can enhance quality of life in patients with avascular necrosis.