1Post Graduate Scholar, Dept. of Kayachikitsa, Shri NPA Govt. Ayurveda College, Raipur, Chhattisgarh, India. Email: mohantysubhendu230@gmail.com
2Reader, Dept. of Kayachikitsa, Shri NPA Govt. Ayurveda College, Raipur, Chhattisgarh, India. Email: drkhichariya@gmail.com
3Professor & H.O.D, Dept. of Kayachikitsa, Shri NPA Govt. Ayurveda College, Raipur, Chhattisgarh, India. Email: arunaojha90@gmail.com
4Lecturer, Dept. of Panchakarma, Shri NPA Govt. Ayurveda College, Raipur, Chhattisgarh, India. Email: dr.tribhu1singh@gmail.com
5Post Graduate Scholar, Dept. of Kayachikitsa, Shri NPA Govt. Ayurveda College, Raipur, Chhattisgarh, India. Email: sushmarajwade45@gmail.com
6Post Graduate Scholar, Dept. of Kayachikitsa, Shri NPA Govt. Ayurveda College, Raipur, Chhattisgarh, India. Email: paikravarsha69@gmail.com
7Post Graduate Scholar, Dept. of Kayachikitsa, Shri NPA Govt. Ayurveda College, Raipur, Chhattisgarh, India. Email: shilpigangwani07@gmail.com
Avascular necrosis (AVN) of the head of the femur. reduced blood supply to the subchondral bone, resulting in ischemia, necrosis of osteocytes, structural collapse, and secondary osteoarthritis. Clinically, it presents as hip pain, groin discomfort, restricted movement, and limp gait. In Ayurveda, AVN can be correlated with Asthi-Majja Gata Vata. It is considered a Vata vyadhi and a long-lasting, deeply rooted condition. As a result, when Vata is disturbed, it typically concentrates in the Asthi (Bone) and Majja (Marrow), resulting in symptoms like Majja shosha (marrow wasting), Asthi bheda (bone-breaking pain), Sandhi Shoola (joint pain), Stambha (Stiffness), Gurugatratva (Heaviness of the body). This case report presents a 34-year-old male patient diagnosed bilateral hip joint pain (right >left) and difficulty in walking for 1 yr. MRI findings revealed grade 1 avascular necrosis of right femoral heads, managed through comprehensive Ayurvedic approach. In this case study, treatment for Asthi-majja gata Vata follows Samprapti Vighatana chikitsa, for that Pancha Tikta ksheer Basti was planned along with saravang abhyanga swedana, Matra basti, Patra pinda sweda and Shalishastika pinda sweda. The patient received Panchatikta Ksheer Basti, Matra basti Shali shasthik pinda Sweda and PPS along with oral medication as part of their treatment regimen. Better relief was found in symptoms of avascular necrosis and significant betterment in value of hip range of motion. It was found that Panchatikta ksheer basti and Shalishastika pinda along with shaman Aushada is effective.
Keywords: Avascular necrosis, Asthi majja gata vata, Vata vyadhi, Panchatikta ksheer basti, Shali shasthik pinda sweda, Patra pinda sweda, ayurvedic management
How to cite this article: Mohanty S, Khichariya S D, Ojha A, Pawle T S, Rajwade S, Paikra V, Gangwani S. Comprehensive Ayurvedic Approach in Early-Stage Avascular Necrosis of Femoral Head: A Clinical Case Report. Int J Drug Deliv Technol. 2026;16(10s): 920-926. DOI: 10.25258/ijddt.16.10s.107.
Source of support: Nil
Conflict of interest: None