Abstract

MANAGEMENT OF AVASCULAR NECROSIS BY AYURVEDA- A CASE STUDY.

Dr. Kayomaz Mahervan Mogal*, Dr. Mohit Paghdar and Dr. Harshit Sharadkumar Shah

Abstract

Background: Avascular necrosis is the death of osseous cells due to stopped vascular nourishment which is commonly seen at femoral head. Avascular necrosis of bone is caused mainly by trauma, excessive use of corticosteroids, SLE, alcoholism, sickle cell disease and infiltrative disease (e.g. Gaucher’s disease).[1] Case history and Clinical concerns: Known case of avascular necrosis (AVN) of both femoral heads confirmed by MRI in 31 years old male patient was hospitalized for 4 weeks. He has pain in both hip joints (left side more) and difficult to walk since 2 years. He was advised for hip replacement therapy which he doesn’t want. Treatment: he was treated with Snehapana followed by Virechanakarma and oral medicaments i.e. Kaishora guggulu and Manjisthadi kvatha. Other treatment like Agnikarma and Cupping therapy was also performed daily at the site of pain. Result: He got satisfactory result in pain and walking without consuming any pain killers. Internal and external rotation of both hip joints is now improved up to 200 and 300 which was not possible earlier. Abduction of right hip joint is improved up to 200 and adduction of right and left hip joints is improved respectively up to 400 and 250. Flexion of right and left hip joints is possible respectively up to 400 and 600.

Keywords: Avascular necrosis, Panchkarma, Cupping, Agnikarma.