DOI: 10.36347/sjmcr.2023.v11i04.077

Pages: 729-732

Avascular Necrosis (AVN) is a disorder characterized by necrotic changes in the bone tissue due to interruption of blood supply. AVN is classified into 4 stages. AVN I and II stages may benefit from conservative treatments while patients with Stage III or IV may require surgery such as joint replacement or bone grafting. This case report gives an insight into Ayurveda management of AVN stage IV in improving the quality of life (QOL) of the patient. A 34 years aged male patient came with presenting complaints of being unable to walk due to the pain at the bilateral hip joints for 4 years. The pain restricts him to initiate walking. The MRI finding was AVN of the bilateral heads of the femurs in ARCO Stage IV A. The condition is diagnosed as Asthi-majjagata-vata. It is managed with oral medicines, abhyanga, svedana, and basti. After the treatment, the patient can walk for 30 minutes and can sit for more than 1 hour without pain. The QOL of the patient is considerably increased on Harris hip score. This case report shows the importance of Ayurveda management even in the AVN stage IV to improve the QOL. More research in AVN stage IV management with Ayurveda is needed to arrive at a specific conclusion.