• Neha Keshari
• Pratik Mungra
• Amit Awadhiya
• Prof. Anup Thakar
• Dr. R.S.Gandhi

ABSTRACT- Avascular necrosis (AVN), also called osteonecrosis, is cellular death of bone components due to interruption of the blood supply. Clinically AVN most commonly affects the ends (epiphysis) of long bones such as the femur. Major Symptoms include pain and restricted movements. In early stages there are no symptoms but in advance stage patient suffer from severe pain and dysfunction of affected joint. Aim and Objective:-To evaluate the efficacy of Panchatikta Ksheer Basti in the management of Avascular Necrosis. Material and Method:- A male patient aged 31 years, consulted at the OPD of department of Panchakarma, IPGT &RA, Jamnagar with chief complaints pain at bilateral hip joint since 1.5year, difficulty in walking and standing from sitting position, difficulty in forward bending since same duration, restricted movements at bilateral hip joint, history of jerk at hip joint one year back while lifting heavy weight. As per Ayurveda the patient is diagnosed as a case of Asthimajjagata Vikara in which there is dominance of Vata Dosha. Patients having a higher level of damage of bone tissue or presenting in higher grades of AVN have a poor prognosis. Result:- Patient was treated with Panchakarma treatment particularly with Panchtikt Ksheer Basti for a duration of 16 days and at the end of treatment there was much relief in the symptoms of the patient. Coclusion:- So Panchtikt Ksheer Basti was found to be very effective for the treatment of degenerative disease like Avascular necrosis.

Avascular Necrosis, Asthimajja gata vata, Panchatikt Ksheer basti.

"Management Of Avascular Necrosis Through Panchtikt Ksheer Basti: A Case Study ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.6, Issue 4, page no.308-314, April-2019, Available :http://www.jetir.org/papers/JETIR1904546.pdf

"Management Of Avascular Necrosis Through Panchtikt Ksheer Basti: A Case Study ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.6, Issue 4, page no. pp308-314, April-2019, Available at : http://www.jetir.org/papers/JETIR1904546.pdf