International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Call for Papers | Fully Refereed | Open Access | Double Blind Peer Reviewed

ISSN: 2319-7064


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Case Studies | Health and Medical Sciences | India | Volume 12 Issue 10, October 2023 | Rating: 5.1 / 10


Conservative Management of Avascular Necrosis by Siddha Therapy without Medicines and Surgical Intervention - A Case Study

Dr Bhuvanagiri Sathya Sindhuja | Injarapu Sankar [3] | Dr Ram Mohan Reddy | Dr Shweta Tiwari


Abstract: Avascular Necrosis also called Osteonecrosis, is a disease that occurs from poor blood supply to the bones, leading to deadbony tissues. This process can cause breaks in the affected bone that eventually causes collapse of bone. Management of AVN aims at the preservation of structure, function and relief from pain and gain flexibility in the affected joint area. Modern medicine suggests for expensive surgical procedures with poor prognosis. Long medicine dependency with less effect has made many people to take up various alternative methods which help in managing these diseases. In this present case, a 43-years old female was diagnosed with non-traumatic Stage-3 AVN of left hip joint, with complaints of severe pain in Left hip joint and lower back from last 10 years was managed with Varmam therapy of Siddha Medicine. Alternative therapies like Siddha vaidyam; which is an ancient and old therapy has proved to be beneficial in managing the symptoms of such chronic disease like AVN. Signs and symptoms of Avascular necrosis are nearer to Thasai Kootu Noigal (disorders of musculoskeletal origin) in Siddha medicine and can be seen in chronic condition. It may be explained by increase of Vatham and Pitham in body. An effort has been made in the present study to evaluate the efficacy of Siddha therapy on curing the AVN condition by reducing pain and providing better flexibility in hip joints without use of medications. A treatment plan for 35-days in 2-phases with follow-up after 6 months was planned along with support of physiotherapy and some diet modifications. An assessment was done by the questionnaire through grading system of signs and symptoms before and after treatment and patient was observed for symptomatic improvements. MRI scans of bilateral hip joints after 7 months of this treatment revealed changes in AVN grade, with the left hip joint transitioning from grade III to grade II, and the limb length measurement changing from 2cms to 1 cm post treatment. The range of motion at these joints was also improved significantly. The results were positive and indicated good recovery. There was marked relief from pain on VAS scale, tenderness, stiffness and improvement in the gait. Conservative management of AVN through Siddha practices provides significant relief and improves quality of life without the intervention of any use of medicines.


Keywords: Avascular necrosis, Osteonecrosis, Musculo-skeletal disorders, Siddha therapy, Thasai Kootu Noigal, Varmam therapy


Edition: Volume 12 Issue 10, October 2023,


Pages: 1507 - 1510


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