Role of Dashmool Siddha Majjabasti in the Management of Avascular Necrosis of the Femoral Head: A successful case study

Abstract

Avascular necrosis is a condition brought on by a temporary or irreversible reduction in the bone's blood supply. Bone tissue dies and crumbles when blood supply is interrupted. The joint surface may collapse if there is avascular necrosis close to joint. Young individuals with a 60% bilateral incidence rate have a condition known as avascular necrosis (AVN), which is also known as osteochondritis dissecans or Chandler's disease and is characterized by dead bone. Complete hip replacement surgery is the only option for treating AVN, but it has disadvantages of a lengthy recovery period and a short lifespan for the hip. Contrary to popular belief, ayurvedic medicine offers long-term cure and halts the course of disease without any negative effects. Avascular necrosis and Asthi-Majja GataVata are not directly related, but their clinical manifestations point to Vata Pradhana Tridoshaja. Vyadhi and Asthi-Majja Dhatu's primary Vikruti. The first portion of the Acharayas' Vata-dominant illness therapy is called Basti Chikitsa. It is regarded as Param Aushadh for illnesses of Vata. To evaluate Dashmool Siddha Majjabasti's effectiveness in the treatment of AVN. The goal was to prevent future hip joint degeneration and lessen the likelihood that surgical intervention would be necessary to treat avascular necrosis. A patient with stage 4 AVN in the right hip joint and stage 2 AVN in left hip joint who had not undergone surgery and who presented to the hospital's outpatient department with limited mobility and a limping gait was treated using panchakarma treatment and shaman yoga. Significant improvement was seen following the therapy. Range of motion was improved while pain levels were significantly lowered. Following the procedure, patient was pain- and stiffness-free when walking and climbing stairs. Ayurvedic principles are used in the conservative therapy of AVN, which significantly reduces signs and symptoms and enhances quality of life.