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RESEARCH ARTICLE
Year : 2008  |  Volume : 29  |  Issue : 3  |  Page : 154-160

Ayurvedic Management of Avascular Necrosis of the Femoral Head - A Preliminary Study


1 Ph.D. Scholar, Department of Kayachikitsa, I.P.G.T & R.A, Jamnagar, India
2 Professor & Head , Department of Postgraduate Studies in Kayachikitsa, Ayurveda Mahavidyalaya, Heggeri Extn., Hubli - 24 (Karnataka), India
3 Professor & Head, Department of Panchakarma, Ayurveda Mahavidyalaya, Heggeri Extn., Hubli - 24 (Karnataka), India
4 Orthopedic surgeon, Vivekananda General Hospital, Hubli, India

Correspondence Address:
Sanjay M Kadlimatti
Ph.D. Scholar, Department of Kayachikitsa, I.P.G.T & R.A, Jamnagar
India
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Source of Support: None, Conflict of Interest: None


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Among the many conditions that affect bones, Avascular Necrosis (AVN) is one in which bone tissue is necrosed (dead) due to the injury or any occlusion in the blood vessels nourishing the bone tissue. Avascular necrosis of the femoral head is the most common type of necrosis affecting the bones. AVN of the femoral head may be classified mainly into 2 types, 1. Post traumatic and 2. Idiopathic. The arteries supplying the femoral head are very narrow and hence are easily liable to injury followed by mere dislocation or a sub capital fracture (near the head) of the femoral neck. This leads to the lack of nourishment to femoral head resulting in necrosis. In the other type, the arteries become occluded for which the reason is not known. It may be asymptomatic in the beginning but, later mild to severe degree of pain is seen along with change in the gait. Management is not an easy task. The objectives of the treatment include the preservation of structure & function and relief of pain. Many surgical procedures like Drilling and Insertion of Bone Grafts, Modified Whitman or Colonna reconstruction and insertion of prosthesis is carried out. All these procedures are cost worthy and prognosis is very poor. An effort was made to evaluate the efficiency of Ayurvedic formulations in the conservative management of AVN of the femoral head. Four patients of Idiopathic AVN of the femoral head were treated with Tikta Dravya Siddha Ksheera Basti, Abha Guggulu and Ajasthi Bhasma. The results were encouraging. The therapy provided marked relief from pain, tenderness, general debility and improvement in the gait. The grade of AVN did not worsen and was maintained. The therapy is cost effective.


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