Abstract

MANAGEMENT OF AVASCULAR NECROSIS THROUGH PANCHAKARMA -A CASE STUDY

Dr. Prashanth J.*, Dr. Ananta S. Desai and Dr. Smita S.

ABSTRACT

Avascular necrosis of the femoral head (AVNF) is an increasingly common cause of musculoskeletal disability. It is a progressive pathological process, resulting in the death of bone cell of femur head due to disruption of blood supply to the proximal femur. In the course of AVN, however the healing process is usually in effective and the bone tissue breakdown faster than the body can repair. All the treatment procedures are cost worthy and prognosis is poor. Management of AVNF aims at prevention from structural deformity, regulating functional activity and relief from pain. There is no direct diagnostic correlation to AVNF in Ayurvedic classics, however sign and symptoms of AVNF are nearer to Gambhiravatarakta(disorders of musculoskeletal origin). Objectives: By considering AVNF as an Gambhiravataraktaan attempt has been made in the present study to evaluate the efficiency of Ayurvedic formulation in the conservative management of AVNF. Method: A case of AVN with bilateral femoral head presented with complaints of pain in bilateral hip region with difficulty in routine work i.e. walking, sitting, squatting along with change in gait. Initially patient was treated with ManjishtadiKshara Basti followed by Manjishtadi ksheera basti and Anuvasana Basti with Panchatiktakagrithaas per Karma Basti schedule (modified), followed by Shaman aushadhi. Result: Patient was observed for symptomatic improvement based on questionnaire over graded sign & symptoms,also observed for clinical examination before & after treatment and the therapy provided marked relief frompain, tenderness, stiffness and improvement in the gait & hip joint movements. Conclusion: Thus the studyhas shown conservative management of AVNF can be managed effectively through Ayurvedic principle andimprove quality of life.

Keywords: Avascular Necrosis, Ayurveda, Panchakarma, Gambhiravataraktai, Basti karma.