Traditional Therapies for Modern Ailments: Ayurveda in Avascular Necrosis Management

Avascular necrosis (AVN), also known as osteonecrosis or ischemic bone necrosis, refers to the necrosis of bone tissue resulting from a compromised blood supply. The management of AVN is aimed at preserving structural integrity and functional capacity and alleviating pain. Various surgical interventions, including drilling, bone graft insertion, modified Whitman or Colonna reconstruction, and prosthetic insertion, are commonly employed to address the condition. However, these procedures are associated with high costs and a poor prognosis. The present patient exhibits a constellation of symptoms, including joint pain (sandhishoola), muscle wasting (mansbalkshaya), insomnia (aswapna), and persistent discomfort (santata ruk), which are consistent with the diagnosis of asthimajjagata vata according to Ayurveda. In the present study, a 45-year-old patient was managed with Tiktaksheera basti (medicated enema) and other internal medications. Throughout the treatment course, the patient was monitored for complications, with no adverse events observed. Symptomatic improvements were assessed using a questionnaire that graded signs and symptoms before and after treatment. Conservative management of AVN utilising Ayurvedic principles significantly relieves symptoms, improves the necrotic condition of the femoral head, and enhances quality of life. This case presents a unique opportunity to explore the efficacy and safety of Ayurvedic interventions in the management of bilateral femur AVN, offering valuable insights for future research and clinical practice.