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Abstract

“AYURVEDIC MANAGEMENT OF AVASCULAR NECROSIS OF HEAD OF FEMUR BY PANCHATIKTA KSHIRA BASTI- KARMA” - A CASE STUDY

*Dr. Umesh Kumar Nagar, *Dr. Vipin Kumar and **Dr. Santoshkumar Bhatted

ABSTRACT

Avascular necrosis of the femoral head is an increasingly common cause of musculoskeletal disability and it poses a major diagnostic and therapeutic challenge. The disease affects mostly young adults within their 3rd and 5th decade, although patients are initially asymptomatic, avascular necrosis (AVN) of the femoral head usually progresses to joint destruction, requiring total hip replacement (THR), usually before the fifth decade.[1] A male patient aged 32 years (IPD registration No. 2686 national institute of Ayurveda and Hospital, Jaipur) presented with the complaints of pain in both hip joints and thigh region with difficulty in walking. It was diagnosed as a case of avascular necrosis of femoral head bilaterally based on MRI- reports. As per Ayurveda the patient is diagnosed as a case of Asthipradoshaja Vikara in general and Asthi-Vidradhi in particular. Patient was treated with classical Panchakarma treatment particularly with Basti Karma by using drugs like Panchatiktaka Kvatha and Guggulu Tiktaka Ghritam along with conventional drugs of Basti as Kala Basti schedule. Certain oral medication like Kaishora Guggulu, Lakshadi Guggulu, Dashamula Kvatha and Triphala Churna etc were given. After completion of treatment the pain in hip joints and thigh region was reduced, range of movement of hip joint was improved and difficulty in walking was much reduced and walking distance was also improved.

Keywords: Avascular necrosis of head of femur, Asthipradoshaja Vikara, Asthi- Vidradhi.


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