Ayurvedic Management of Avascular Necrosis of the Femoral Head: A Case Report

Avascular necrosis (AVN) of bone is a disorder in which bone tissue dies due to lack of blood supply, leading to structural damage of the bone. It is also known as osteonecrosis or ischemic necrosis. This condition is commonly observed in patients with a history of excessive alcohol consumption and prolonged use of high-dose steroid medications. In the early stage the disease may remain painless, but as it progresses the pain gradually increases and interferes with the patient's daily activities and overall quality of life. AVN is considered one of the most difficult conditions to manage in orthopaedics. The currently available treatment options in modern medicine are often not completely satisfactory. The patient was treated comprehensively with Ayurvedic oral medications and Panchakarma procedures including Panchatikta Ksheer Basti, Jalaukavacharana (leech therapy). In Ayurveda, AVN of the femoral head can be correlated with Asthi-Majjagata Vata due to the similarity in clinical features. Significant improvement was observed in pain relief, joint mobility, and overall quality of life. The findings suggest that AVN of the femoral head can be effectively managed with Panchakarma therapy, Shamana Chikitsa and exercises.