Panchakarma Therapy in the Management of Bilateral Avascular Necrosis of the Femoral Head: A Case Report

Background: Avascular necrosis (AVN) of the femoral head is a progressive condition caused by compromised blood supply leading to bone collapse. Management remains challenging, particularly in advanced stages where surgical intervention is often advised. Case Presentation: A 38-year-old male presented with bilateral hip pain, restricted movements, stiffness, and difficulty in walking for one year. MRI revealed Stage IV AVN in right side while stage III in left side. (Ficat-Arlet classification). Intervention: The patient was treated with Panchakarma procedures including Abhyanga, Nadi Swedana, Patra Pinda Sweda, Mustadi Yapana Basti, Jalaukavacharana, and internal Ayurvedic medications for 17 days followed by outpatient management. Outcome: Harris Hip Score improved from 20.35% at baseline to 90.85% after completion of treatment and follow-up and reduction in right hip was noted from stage Conclusion: Panchakarma therapy demonstrated significant symptomatic improvement in this case of bilateral AVN. Further controlled studies are required to validate findings.