“MANAGEMENT OF AVASCULAR NECROSIS (AVN) WITH AYURVEDIC APPROACH: A SINGLE CASE STUDY”

About Author

Correspondence Address

Kaychikitsa department,Pakwasa Samanvaya Rugnalaya,Shri Ayurved Mahavidyalaya Hanuman Nagar Nagpur
Contact No. : 8600242556, Email : narmada.meshram1997@gmail.com

Date of Acceptance : 27 Mar 2025

Date of Publication : 31 Mar 2025

Article ID : SD-IJAY_124

How to cite this article : http://doi.org/10.55552/SDNJAY.2025.3103

Abstract

Introduction

Vascular necrosis is the death of bone tissue due to a lack of blood supply. Osteonecrosis has also been mentioned, leading to small bone breaks and potentially bone collapse. This process usually takes months to years. Fractured or distributed joints can stop blood flow in the bone section. Vascular necrosis is also associated with high-dose steroid drugs and long-term use of too much alcohol. Although everyone can be affected, this disease is most common among people aged 30 to 50. Some people are symptomatically free from the early stages of vascular necrosis. If the condition worsens, the affected people can only injure the joints if they place weight on them. After all, they could feel the pain even if they lay down. The pain can be mild or severe. It usually develops gradually. Pain associated with vascular necrosis in the hip joint can be concentrated in the bar, thighs, or butt area. It can be affected in addition to the waist, shoulders, knees, hands, and feet. Some people develop vascular necrosis on both sides, like both hips or both knees. Vascular necrosis occurs when blood flow is interrupted or reduced. A decrease in blood supply can be caused by trauma to the joint or bone. Damage like contaminated joints can be damaged near blood vessels⁽²⁾. Cancer treatment with radiation can damage bones and blood vessels. Fat deposits within blood vessels. Fats (lipids) can block small blood vessels. This can reduce blood flow⁽³⁾.
Certain diseases, such as sickle cell anemia and Gershwin disease, can also reduce blood flow to the bone. The causes of vascular necrosis that are not applicable due to trauma may not be fully understood. Genetics combined with overuse of alcohol, certain drug therapies, and other diseases are likely to play a role. Untreated vascular necrosis worsens. After all, bones can collapse. Avascular necrosis can also cause the bone to lose its smooth shape, possibly leading to severe arthritis⁽⁴⁾.

Discussion

The main intentions of treatment were conservative management and improved patient quality of life. The patient's main complaint was bilateral hip pain. This indicates that Vata Dosha is involved in Asthivaha Strotas. AVN is caused by a lack of blood supply to certain parts of the bone. Vayu's Marga Avarodha reduces the blood supply to the thigh head. The increase in Vata Dosha has finally led to Asthi Dhatu Kshaya. Therefore, the concept of VAT calculations and Rakta Prasadaka and Astiposhaka Jalaukavacharana is displayed for vascular disease. Vata.acharya Charaka mentioned Athhi Kshya Panchakarma Chikitsa, particularly Basi, for treatment of Ksheera, Gritha, and Tikta Dvyas⁽⁵⁾. It's Jevaniya and Brimhaniya. Therefore, Vayu's Marga Avarodha, which leads to vascular deflection, can be overcome by managing Basti⁽⁶⁾. Along with Snehahana, Kati Basti, Shashtishali Pinda Sweda, Jaloukavacharan, and internal medicine were planned for this patient.

Conclusion

This case study demonstrates how well Ayurvedic therapy methods work for managing avascular necrosis. In which symptoms like pain and trouble walking are effectively relieved by Tiktakshir Basti, Jaloukavacharan, Shastishali pind Sweda, and Shaman therapy. One case served as the basis for this investigation. Therefore, more research with a larger sample size is needed to determine the better outcomes. If these drugs are used consistently, MRI results may show reversible alterations.

References