A Critical Analysis on Action of Various Basti on Avascular Necrosis of Femoral Head-Case Series

Abstract

One of the disorders that has been on the rise in recent years is AVN (Avascular necrosis) of the femoral head.  The patients diagnosed with avascular necrosis of the femoral head have a variety of etiologies such as trauma/ joint injury, high dose of corticosteroid, high alcohol intake, increased pressure inside the bone, radiation, etc. In this case series, three male patients aged between 20-40 years were diagnosed with avascular necrosis of the femoral head with X-ray, MRI findings and clinical correlations- examinations as positive Thomas test, faber test, antalgic gait and restricted range of movement of the hip joint. In this case series, despite corelating and treating all the cases of AVN as Asthimajjagata vata, three distinct Basti i.e., Vaitarana Basti, Panchatikta Ksheera Basti, and Yastyadi Basti were given for 16 days to treat the three cases of AVN patients' diverse symptoms. Patients with AVN are given Basti Chikitsa (Therapeutic enema) since these disorders are linked to Asthimajjagata Vata, Amavata and Vatarakta amid others. Above all diseases has symptoms of AVN and Basti is the first line of treatment for Asthimajjagata Vata, Amavata and Vatarakta. Basti Chikitsa has several modalities since it performs not only Shodhana (cleansing measures) but also Brumhana (Nourishing therapy), Lekhana (Therapeutic scraping), Shamana (Palliative procedure) etc. There is marked improvement in all the symptoms of AVN and an increased range of movement after Basti, thus the study concluded that Basti Karma is one of the potential treatment options in AVN management.