Ayurvedic Therapeutic intervention in the Management of Avascular Necrosis (Asthimajjagata Vata) of femur head: A case study

Abstract

Introduction: Avascular necrosis (AVN) of the femoral head is a progressive disorder caused by interruption of blood supply, resulting in bone ischemia, pain, restricted joint movement and disability. Early conservative management is important to delay disease progression and the need for surgery. In Ayurveda, AVN is correlated with Asthimajjagata Vata, characterized by aggravated Vata Dosha affecting bone and marrow tissues. Case Presentation: A 45-year-old male presented with bilateral hip pain, limping gait, stiffness, and restricted hip movement for 2 years. It started after for six months corticosteroid therapy during COVID-19 treatment. MRI confirmed bilateral AVN of the femoral head (FICAT and ARLET Stage III on the left and Stage II on the right). He was under allopathic treatment. He approached Ayurvedic OPD(24/18940) after not feeling better. The patient received an Ayurvedic regimen comprising Mustadi Marma Kashaya, Gandha Taila Capsules, Shallaki Tablets, Zeotone Tablets, Cardorium Plus Syrup, Yoga Basti, Dashamoola Ksheera Dhara, and Nagradi Churna Lepa for one month. Outcomes were assessed using pain severity, gait, tenderness, and hip range of motion. Results: After one month, the patient showed marked reduction in pain and tenderness, improved gait, and increased hip mobility. Walking, weight-bearing, and daily activities were performed with greater ease. No adverse events were reported. Discussion: The observed improvement may be attributed to the combined effects of Yoga Basti, external therapies, and internal Ayurvedic medications in pacifying Vata Dosha, improving local circulation, reducing inflammation, and promoting bone tissue nourishment. Although the findings are promising, this single case report has limited generalizability. Larger, well-designed clinical studies are needed to confirm the efficacy and safety of this integrative Ayurvedic approach in AVN management.