• Dr. DEVIKA BHUVA
• Prof. Dr. ANUP B. THAKAR

Avascular necrosis is a disease in which there is necrosis of bone due to lack of blood supply. Due to decreased blood supply, osteonecrosis occurs and it leads to the collapse of bone. AVN mainly affects the epiphysial part of long bones like femoral and humeral head, but sometime small bones may also get involves. The hip joint is the most common joint affected by avascular necrosis. AVN is also known as osteonecrosis, aseptic necrosis, and ischemic bone necrosis. AVN can be primary or secondary on the basis of probable risk factors i.e. Corticosteroids use, sickle cell disease, gout, alcoholism, Gaucher’s diseases, pancreatitis. It usually affects people between 30 to 50 years of age. A surge in the incidence of AVN is more common after covid. According to Ayurveda AVN can be compared with Asthimajjagata Vata. Aim: To assess the efficacy of Manjisthadi Kshira Basti (enema prepared out from the Kwatha of Manjistha, Triphala, Vacha, Daruharidra, Guduchi, Nimba and Kalka prepared from the Jivaniyagana Dravya) in the management of Post COVID avascular necrosis. The objective of the treatment includes the preservation of structure and function with relief in symptoms.Material and Methods: Ayurveda disease review is done from Brihatrayi, Yogaratnakar, Bhavprakash Samhita. Modern disease review is done from various books of Orthopaedics as well as the search engines like J-Gate, Google Scholar, Ayush Portal, DHARA, ARD are reviewed for obtaining the information related to Avascular Necrosis of Femoral Head and Asthimajjagat Vata and to evaluate the effectiveness of ayurvedic management for Avascular Necrosis of Femoral Head. In this case study A male patient age 30 yrs., diagnosed and non-operated case of Avascular Necrosis of head of femur after covid positive (31/05/2022 OPD NO. 32175) came to Panchakarma OPD of ITRA, Jamnagar with chief complaints of pain in bilateral hip region in the last 2 month with difficulty in doing normal activities such as walking, sitting, squatting etc. The pain aggravated on prolonged walking and prolonged sitting position. AVN of femoral head was treated with Manjisthadi Kshira Basti was done for 16 days. Assessment was done after Basti and Shaman Ausadhi. Observation: After treatment complete relief in pain, improvement in gait and also changes in x-ray findings. Conclusion: The present paper intends to highlight the Ayurvrdic management in post covid AVN. After the treatment it can be concluded the Manjisthadi Kshira Basti can be used as effective treatment in the management of AVN.

Asthimajjagata Vata, Manjisthadi Kshira Basti, Jeevaniyagana

"EFFECT OF MANIJSTHADI KSHIRA BASTI IN THE MANAGEMENT OF POST COVID AVASCULAR NECROSIS OF HEAD OF FEMUR W.S.R. TO ASTHIMAJJAGATA VATA: A CASE STUDY", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.9, Issue 11, page no.e226-e231, November-2022, Available :http://www.jetir.org/papers/JETIR2211441.pdf

"EFFECT OF MANIJSTHADI KSHIRA BASTI IN THE MANAGEMENT OF POST COVID AVASCULAR NECROSIS OF HEAD OF FEMUR W.S.R. TO ASTHIMAJJAGATA VATA: A CASE STUDY", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.9, Issue 11, page no. ppe226-e231, November-2022, Available at : http://www.jetir.org/papers/JETIR2211441.pdf