About Author
Bhagat D1,Dachewar-Singam D2,
1 PG Scholar of Kayachikitsa department , Shri Ayurved Mahavidyalaya, Nagpur
2 Professor & HOD of Kayachiktsa, , Shri Ayurved Mahavidyalaya, Nagpur
Correspondence Address
Dr. Kavita Bhagat
Department of Kayachiktsa,
Shri Ayurved Mahavidyala, Nagpur
Contact No. : 9423018358, Email : bhagatkavitar@gmail.com
Date of Acceptance : 30 Sep 2026
Date of Publication : 30 Sep 2026
Article ID : SD-IJAY_199
How to cite this article : http://doi.org/10.55552/SDNJAY.2026.4305
Abstract
ABSTRACT
Introduction:
Avascular necrosis (AVN), also known as osteonecrosis, is a condition characterized by the death of bone tissue due to inadequate blood supply. It may lead to microfractures, structural collapse, and progressive destruction of the affected bone. Trauma, including fracture or dislocation, prolonged use of high-dose corticosteroids, and excessive alcohol consumption are recognized risk factors. In Ayurveda, the clinical presentation of AVN may be correlated with Asthimajjagata Vata due to the involvement of Asthi and Majja Dhatu with predominance of Vata Dosha. This case report presents the Ayurvedic management of bilateral AVN of the femoral heads.
Methods:
A 42-year-old male diagnosed with bilateral AVN of the femoral heads was evaluated clinically and radiologically. The left femoral head was classified as FICAT stage III and the right femoral head as FICAT stage I. The patient was assessed from both Ayurvedic and contemporary clinical perspectives. Ayurvedic management consisted of Shamana Chikitsa and Shodhana Chikitsa, along with appropriate supportive care. The patient was monitored clinically for changes in pain, walking ability, and functional status during the course of treatment.
Results:
The patient showed gradual clinical improvement following Ayurvedic management, particularly in terms of pain and difficulty in walking. Functional status improved during the treatment period, and the patient was monitored regularly for disease progression and clinical response. The findings suggest a possible role of an individualized Ayurvedic therapeutic approach in the symptomatic and functional management of bilateral AVN.
Discussion:
The present case demonstrates the clinical complexity of bilateral AVN of the femoral heads, particularly when the two hips are at different stages of disease progression. Correlation with Asthimajjagata Vata provides an Ayurvedic framework for understanding the involvement of Asthi and Majja Dhatu and the role of Vata Dosha. The case emphasizes the importance of early diagnosis, timely intervention, regular monitoring, and multidisciplinary care in managing AVN. However, as this is a single case report, larger clinical studies with objective radiological and functional outcomes are required to establish the efficacy and safety of Ayurvedic interventions in AVN.