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Case Series 


A Customized Ayurveda Treatment Protocol in the Management of Asthimajjagata Vata (Avascular necrosis of femoral head)- A case series

Sagar Vijay Therokar, Aswathy Y S, Prasanth Dharmarajan.


Abstract
Abstract: Avascular necrosis of the femoral head is a type of osteonecrosis due to disruption of blood supply to the proximal femur. Due to similarity in its signs and symptoms, it can be correlated with Asthimajjagata Vata. According to Ayurveda, Vata, Pitta and Rakta dosha play an important role in etiopathogenesis of AVN along with Asthi and Majja Kshaya. Aim: To assess the effectiveness icacy of a customized Ayurveda treatment protocol for the management of Asthimajjagata Vata. Material and Method: We present a case series of 3 patients diagnosed with avascular necrosis of femoral head, underwent Panchakarma procedures including Rukshana (dehydrating therapy) Snehana (oleation) Virechana (therapeutic purgation) Patra Pinda Sweda (fomentation with bolus) and Basti Karma (therapeutic enema) were along with Shamana Aushadha (internal medication)). Observation And Result: As a result of the treatment protocol, there was a significant improvement in the Harris Hip Score, Oxford Hip Score, and the range of motion of the hip. The changes observed in these assessment criteria, along with reduced pain (VAS score), indicate that the patient's quality of life has improved. This is further evidenced by the patient's ability to perform daily routines, as assessed by the Short Form Health Survey-12. Given these encouraging results, it can be inferred that a customized Ayurveda treatment protocol for managing Avascular Necrosis (AVN) shows promise.

Key words: Avascular Necrosis, Asthimajjagata Vata, Ayurveda, Panchakarma, Case series


 
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How to Cite this Article
Pubmed Style

Therokar SV, S AY, Dharmarajan P. A Customized Ayurveda Treatment Protocol in the Management of Asthimajjagata Vata (Avascular necrosis of femoral head)- A case series. AAM. 2025; 14(1): 79-88. doi:10.5455/AAM.188677

Web Style

Therokar SV, S AY, Dharmarajan P. A Customized Ayurveda Treatment Protocol in the Management of Asthimajjagata Vata (Avascular necrosis of femoral head)- A case series. https://www.aamjournal.in/?mno=188677 [Access: February 13, 2025]. doi:10.5455/AAM.188677

AMA (American Medical Association) Style

Therokar SV, S AY, Dharmarajan P. A Customized Ayurveda Treatment Protocol in the Management of Asthimajjagata Vata (Avascular necrosis of femoral head)- A case series. AAM. 2025; 14(1): 79-88. doi:10.5455/AAM.188677


Vancouver/ICMJE Style

Therokar SV, S AY, Dharmarajan P. A Customized Ayurveda Treatment Protocol in the Management of Asthimajjagata Vata (Avascular necrosis of femoral head)- A case series. AAM. (2025), [cited February 13, 2025]; 14(1): 79-88. doi:10.5455/AAM.188677


Harvard Style

Therokar, S. V., S, . A. Y. & Dharmarajan, . P. (2025) A Customized Ayurveda Treatment Protocol in the Management of Asthimajjagata Vata (Avascular necrosis of femoral head)- A case series. AAM, 14 (1), 79-88. doi:10.5455/AAM.188677


Turabian Style

Therokar, Sagar Vijay, Aswathy Y S, and Prasanth Dharmarajan. 2025. A Customized Ayurveda Treatment Protocol in the Management of Asthimajjagata Vata (Avascular necrosis of femoral head)- A case series. Annals of Ayurvedic Medicine, 14 (1), 79-88. doi:10.5455/AAM.188677


Chicago Style

Therokar, Sagar Vijay, Aswathy Y S, and Prasanth Dharmarajan. "A Customized Ayurveda Treatment Protocol in the Management of Asthimajjagata Vata (Avascular necrosis of femoral head)- A case series." Annals of Ayurvedic Medicine 14 (2025), 79-88. doi:10.5455/AAM.188677


MLA (The Modern Language Association) Style

Therokar, Sagar Vijay, Aswathy Y S, and Prasanth Dharmarajan. "A Customized Ayurveda Treatment Protocol in the Management of Asthimajjagata Vata (Avascular necrosis of femoral head)- A case series." Annals of Ayurvedic Medicine 14.1 (2025), 79-88. Print. doi:10.5455/AAM.188677


APA (American Psychological Association) Style

Therokar, S. V., S, . A. Y. & Dharmarajan, . P. (2025) A Customized Ayurveda Treatment Protocol in the Management of Asthimajjagata Vata (Avascular necrosis of femoral head)- A case series. Annals of Ayurvedic Medicine, 14 (1), 79-88. doi:10.5455/AAM.188677


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Annals of Ayurvedic Medicine (AAM) is the organ of ‘Association of Ayurvedic Physicians of India'(AAPI), which is a national representative body of Ayur ... Read more.



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