Abstract: Avascular necrosis of the femoral head is a type of osteonecrosis due to disruption of blood supply to the proximal femur. Due to similarity in its signs and symptoms, it can be correlated with Asthimajjagata Vata. According to Ayurveda, Vata, Pitta and Rakta dosha play an important role in etiopathogenesis of AVN along with Asthi and Majja Kshaya. Aim: To assess the effectiveness icacy of a customized Ayurveda treatment protocol for the management of Asthimajjagata Vata. Material and Method: We present a case series of 3 patients diagnosed with avascular necrosis of femoral head, underwent Panchakarma procedures including Rukshana (dehydrating therapy) Snehana (oleation) Virechana (therapeutic purgation) Patra Pinda Sweda (fomentation with bolus) and Basti Karma (therapeutic enema) were along with Shamana Aushadha (internal medication)). Observation And Result: As a result of the treatment protocol, there was a significant improvement in the Harris Hip Score, Oxford Hip Score, and the range of motion of the hip. The changes observed in these assessment criteria, along with reduced pain (VAS score), indicate that the patient's quality of life has improved. This is further evidenced by the patient's ability to perform daily routines, as assessed by the Short Form Health Survey-12. Given these encouraging results, it can be inferred that a customized Ayurveda treatment protocol for managing Avascular Necrosis (AVN) shows promise.
Key words: Avascular Necrosis, Asthimajjagata Vata, Ayurveda, Panchakarma, Case series
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