ROLE OF MANJISTHADI KSHARA BASTI IN MANAGEMENT OF AVASCULAR NECROSIS OF FEMORAL HEAD – CASE REPORT

Avascular necrosis (AVN) of femoral head is the most common type of necrosis affecting the bones. Avascular necrosis of the bone is the death of osteocytes due to impaired blood supply. It usually affects people between 30-50 years of age. It is associated with long term use of steroids, medications and exces-sive use of alcohol. It will be asymptomatic in early stages, as the condition progresses there will be gradual increase in pain and restricted range of movement of hip joint in end stage total joint destruction resulting in only surgical treatment. AVN treatment management aims at preserving the structural-functional integrity of bone and relief from the pain. Treatment modalities include administration of pain killers, anti-inflammatory medications (NSAIDS), core decompression (bone graft), modified Whitman or Colonna re-construction, insertion of prosthesis and total joint replacement surgery are carried out as a treatment but causes financial burden and poor prognosis. Here we present a case of 19 years old male diagnosed with AVN of left hip joint. Clinical features in this case of AVN was merely correlated with Ashtivahasroto-dushti (Bone channel-musculoskeletal system) and Majjagatavata and treated with different treatment mo-dalities explained in the context of Majjagatavata and Gambeeravatarakta such as Virechana and Bas-tiChikitsa and treatment outcome was found to be encouraging in the terms of pain relief, relief from ten-derness stiffness, flexible hip movement (improved gait) and no reoccurrence after 2 years in MRI.