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Ayurveda's role in conservatively managing femoral head avascular necrosis.

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Journal name: Ancient Science of Life
Original article title: Role of Ayurveda in the conservative management of avascular necrosis of the femoral head: A case study
The ANSCI is a peer-reviewed, open-access journal focused on Ayurveda and traditional medicines. It publishes original research, reviews, and literary studies linking traditional knowledge with modern science, covering disciplines like botany, ethnomedicine, pharmacology, and clinical research.
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Original source:

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Author:

Ashutosh Chaturvedi, M. Ashvini Kumar, B. A. Lohith, B. S. Praveen, C. Swathi


Ancient Science of Life:

(A quarterly multi-disciplinary scientific research journal in Ayurveda)

Full text available for: Role of Ayurveda in the conservative management of avascular necrosis of the femoral head: A case study

Year: 2016

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

Avascular necrosis (AVN) of the femoral head is a significant orthopedic concern characterized by the death of bone tissue due to a lack of blood supply. This condition predominantly affects young adults and is often bilateral, posing challenges in treatment. Traditional surgical interventions, such as drilling and prosthetic insertion, aim to alleviate symptoms but can be costly, with variable success rates. This case study investigates the efficacy of Ayurvedic treatments, specifically Panchakarma methodologies, in the conservative management of AVN, reflecting on their potential to improve quality of life and alleviate symptoms.

The Role of Ayurvedic Principles in AVN Management

The management of AVN through Ayurvedic approaches emphasizes the significance of balancing bodily doshas and employing treatments aligned with the principles of Panchakarma. In the described case, a 37-year-old male patient with bilateral AVN underwent a structured treatment regimen that included ūṣaṇa (drying therapy), followed by śǻ󲹲Բ (bio-purification), and bṛhmaṇa (rejuvenation). The therapy combined multiple Ayurvedic formulations, including medicated enemas and sudation therapies. Throughout the treatment, the patient experienced symptomatic relief, marked improvements in pain, tenderness, and stiffness, demonstrating the potential benefits of conservative Ayurvedic treatment over traditional surgical interventions.

Conclusion

The encouraging results from the Ayurvedic treatment for AVN as presented in this case study suggest a promising alternative strategy for managing this challenging condition. By integrating Ayurvedic principles with a focus on holistic treatment, significant improvement in patient symptoms was achieved without the need for further invasive procedures. The findings highlight the cost-effectiveness and beneficial outcomes of using Ayurveda in the conservative management of AVN, offering a viable option for patients seeking relief and improved functionality in their daily lives. Further studies are recommended to validate these results and broaden the understanding of Ayurveda's applicability in modern orthopedic practices.

FAQ section (important questions/answers):

What is avascular necrosis of the femoral head?

Avascular necrosis (AVN) is a condition where bone tissue dies due to insufficient blood supply, commonly affecting the femoral head. Symptoms include pain, stiffness, and disability in performing daily activities.

How is avascular necrosis typically managed in Ayurveda?

Ayurvedic management of AVN focuses on conservative therapies like ūṣaṇa (drying therapy), śǻ󲹲Բ (bio-purification), and bṛhmaṇa (rejuvenation) to relieve pain, improve mobility, and enhance the quality of life.

What treatments were given in the case study?

The patient received treatments including therapeutic enemas, sudation therapies, and herbal decoctions. Gradual improvements were noted in pain, stiffness, and mobility throughout the treatment course.

What were the outcomes of the Ayurvedic treatment for AVN?

The therapy resulted in significant relief from pain, tenderness, and stiffness, improving the patient’s gait. Overall, the quality of life improved without severe complications during treatment.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurveda's role in conservatively managing femoral head avascular necrosis.�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Basti:
Basti, a key Ayurvedic procedure, involves the administration of medicated oils or decoctions through the rectum. This therapy is particularly effective for chronic conditions, especially those related to vitiated doshas in the body. It acts as a rejuvenative measure, helping to restore balance and promote healing, particularly in musculoskeletal disorders.

2) Ayurveda (Ayus-veda):
Ayurveda, an ancient system of medicine from India, emphasizes holistic healing and balance within the body. It incorporates natural remedies, diet, and lifestyle changes to treat ailments. Its principles are rooted in maintaining the harmony of body, mind, and spirit, making it a respected approach to preventive care and health management.

3) Stiffness:
Stiffness refers to the rigidity or tightness in muscles, joints, or tissues that restricts movement. In the context of avascular necrosis and other musculoskeletal disorders, stiffness often leads to pain and limits daily activities. Effective treatments aim to reduce stiffness and improve range of motion, enhancing the overall quality of life.

4) Rukshana (Ruksana):
ūṣaṇa is an Ayurvedic therapeutic principle involving 'drying' techniques used to balance excess moisture or humidity in the body. It is employed to treat conditions like swelling and is aligned with strengthening and rejuvenating therapies. This approach helps facilitate better digestion and removal of excess water from the tissues.

5) Manjishthadi (Manjisthadi):
Ѳñᾱṣṭ徱 refers to a specific Ayurvedic formulation comprising several herbs, primarily including Mañjiṣṭhā (Rubia cordifolia). This formulation is known for its anti-inflammatory and cleansing properties, making it useful in treating blood disorders and skin conditions. It contributes to overall detoxification and can aid in rejuvenating therapies.

6) Shodhana (Sodhana):
Śǻ󲹲Բ denotes a purification process in Ayurveda designed to detoxify the body by removing accumulated waste and metabolic toxins. It includes procedures such as Panchakarma. Śǻ󲹲Բ therapy is crucial for restoring balance and ensuring the body’s optimal functioning, particularly before commencing rejuvenative treatments.

7) Kashaya (Kasaya):
ṣҲ refers to an Ayurvedic decoction often made using specific medicinal herbs. This formulation is typically used for its therapeutic effects, such as balancing doshas and promoting health. ṣҲ is significant in treatment protocols for various ailments due to its restorative properties and effectiveness in detoxifying the body.

8) Dhatu:
ٳٳ translates to 'tissue' in Ayurvedic terminology and encompasses the seven fundamental bodily tissues: rasa (plasma), rakta (blood), māṃsa (muscle), meda (fat), asthi (bone), majjā (bone marrow), and śukra (reproductive tissue). Maintaining the health and balance of dhātus is essential for overall well-being and vitality.

9) Pancakarma (Pancakarman, Pancan-karman, Pamcakarma):
ʲñ첹 is a comprehensive Ayurvedic detoxification therapy consisting of five key procedures. It includes Vamana (emesis), Virechana (purging), Basti (enema), Nasya (nasal therapy), and Raktamokshana (bloodletting). This therapy aims to eliminate toxins and restore balance, preparing the body for rejuvenation treatments and improving health.

10) Dhanyamla (Dhanya-amla):
ٳԲ峾 is an Ayurvedic preparation made from fermented grains. It is known for its digestive properties, enhancing Agni (digestive fire) and promoting overall gastrointestinal health. In therapies, it is often used to balance doshas, particularly useful for conditions related to digestion and absorption of nutrients.

11) Ashvini (Asvini):
Ashvini, or M. Ashvini Kumar, refers to one of the authors of the study on the Ayurvedic management of avascular necrosis. The work contributes to understanding the integration of traditional medicine in treating modern health issues through case studies and clinical observations.

12) Kshira (Ksira):
ṣīr means 'milk' in Ayurveda and is considered a nourishing substance. It is frequently used in various therapeutic preparations, valued for its strength-enhancing and rejuvenative properties. ṣīr helps in balancing doshas and is incorporated in many treatments for its nutritional benefits.

13) Tikta:
Tikta refers to a bitter taste in Ayurveda recognized for its detoxifying properties. Bitter herbs and formulations are known to stimulate digestion, improve metabolism, and support liver function by purging excess kapha and pitta doshas, making them essential in treating various conditions.

14) Purification:
Purification denotes the process of cleansing both body and mind. In Ayurveda, this is achieved through detoxification methods like ʲñ첹, aiming to eliminate toxins (ama) and restore balance to the doshas. Purification is fundamental for enhancing health and preparing the body for rejuvenation.

15) Gambhira:
Ҳī translates to 'deep' or 'serious' in Ayurvedic contexts. It typically describes chronic or profound health conditions requiring rigorous treatment approaches. Understanding gambhīra conditions helps practitioners apply appropriate therapies, particularly in cases like avascular necrosis, which significantly impact the quality of life.

16) Dashamula (Dasha-mula, Dasamula, Dashan-mula):
ٲśū refers to a group of ten medicinal roots widely used in Ayurveda. This herbal formulation possesses powerful properties beneficial for enhancing strength, alleviating pain, and treating vata imbalances. It is utilized in various therapies to promote overall health and well-being.

17) Parisheka (Pariseka):
ʲṣe첹 is a therapeutic technique involving the pouring of medicated liquids over the body, often used in Ayurvedic treatments. This method is aimed at soothing the muscles and joints, promoting relaxation, and enhancing the effectiveness of the herbs used, thereby facilitating recovery from various health conditions.

18) Medicine:
Medicine, in a broad sense, encompasses the science and practice of diagnosing, treating, and preventing diseases. In Ayurveda, it integrates holistic approaches focusing on the body, mind, and spirit and emphasizes natural remedies, dietary management, and lifestyle adjustments for optimal health.

19) Svedana:
Svedana refers to the process of inducing sweat as part of Ayurvedic treatment protocols. This therapy aims to promote detoxification, enhance circulation, and ease muscle stiffness. Svedana often precedes other treatments to prepare the body, ensuring that subsequent therapies are more effective and beneficial.

20) Prasuti:
Prasuti translates to 'obstetrics' in Ayurveda, focusing on the care of women during pregnancy, childbirth, and postpartum recovery. It emphasizes holistic practices that support maternal and infant health, employing natural methodologies to enhance the birthing process and address women's unique health needs.

21) Cikitsa:
侱쾱ٲ means 'treatment' or 'therapy' in Ayurveda. This term encompasses a wide range of approaches aimed at alleviating suffering and restoring health, including herbal remedies, dietary adjustments, and detoxification methods. 侱쾱ٲ is tailored to the individual's constitution and health condition for effective healing.

22) Quality:
Quality refers to the standard of health and well-being. In Ayurvedic practices, the focus is on enhancing the quality of life by balancing the doshas, refining health practices, and employing therapeutic interventions. Quality is crucial in establishing health outcomes and overall satisfaction from treatments.

23) Tantra (Tamtra, Tantrism):
Tantra refers to a system of methodology in Ayurveda that deals with the principles and practices involved in treatment. It includes various techniques, routines, and the philosophical basis guiding Ayurvedic medicine, ensuring that practitioners can effectively promote health and wellness among their patients.

24) Pacana:
峦Բ refers to the process of digestion and assimilation of nutrients in Ayurveda. This concept underscores the importance of strong Agni (digestive fire) for overall health. Proper pācana is essential for preventing accumulation of toxins and supports optimal functioning of the body’s systems.

25) Rohini:
Rohini refers to a location associated with one of the authors of the Ayurvedic case study. It signals the integration of traditional practices and health sciences, emphasizing the importance of collaboration among practitioners in addressing contemporary health issues within traditional frameworks.

26) Karma (Karman):
Karma in Ayurveda pertains to actions and their consequences related to health and lifestyle. It emphasizes the impact of ones' daily habits, dietary choices, and mental well-being on health outcomes. Understanding karma is vital for practitioners aiming to enhance patient care and healing.

27) Ghrita (Ghrta):
ҳṛt translates to 'ghee' in Ayurveda and is revered for its numerous health benefits. It is often used in therapeutic preparations, known for its nourishing properties, enhancing Agni and aiding in the absorption of fat-soluble vitamins. ҳṛt plays an essential role in rejuvenative and detoxifying therapies.

28) Kshara (Ksara):
ṣār refers to an alkaline or basic substance used in Ayurvedic therapies. It is significant for its therapeutic properties and is often utilized in detoxification processes and to facilitate balance within the body’s systems. ṣār helps improve digestion and support overall health.

29) Curna:
ūṇa refers to powdered herbal formulations used in Ayurveda. These powders are typically made from various herbs and are employed in treatments for their therapeutic properties, enhancing digestion, detoxification, and overall health. ūṇa plays a vital role in Ayurvedic prescriptions for numerous conditions.

30) Pinda (Pimda):
ʾṇḍ denotes a round mass or ball, often referring to preparations made for therapeutic herbal applications in Ayurveda. ʾṇḍ is used in preparations for massages or heat treatments, aiming to provide concentrated therapeutic benefits through topical applications for pain relief and rejuvenation.

31) Bashpa (Baspa):
ṣp translates to 'steam' in Ayurveda and is often used in treatments. Steam therapy assists in opening the pores, promoting detoxification, enhancing circulation, and preparing the body for further rejuvenative treatments. ṣp is critical for improving overall health and facilitating transition in therapies.

32) Agni:
Agni refers to 'digestive fire' in Ayurveda, indicative of metabolic processes vital for health and vitality. It is crucial for the digestion of food, assimilation of nutrients, and elimination of toxins. Maintaining a balanced Agni is central to Ayurvedic philosophy for achieving good health.

33) Rasa (Rasha):
Rasa signifies 'essence' or 'flavor,' correlating with the taste of food and its impact on health in Ayurveda. Each rasa plays a unique role in balancing doshas and ensuring optimal digestion. Understanding rasa is vital to creating balanced diets that contribute to overall wellness.

34) Dosha (Dosa):
ٴṣa represents the three fundamental energies in Ayurveda: Vata, Pitta, and Kapha. These elements govern physiological processes, and an imbalance among them leads to health issues. Management of doṣas through lifestyle choices and treatments is fundamental to restoring health and achieving balance.

35) Kala:
translates to 'time' and is an essential factor in Ayurveda regarding dietary recommendations, treatment timings, and seasonal changes. Understanding kāla aids practitioners in adjusting therapies and diets to align with natural rhythms, thus ensuring optimal health outcomes and therapeutic effectiveness.

36) Rasaushadhi (Rasa-aushadhi, Rasausadhi):
鲹-ṣa refers to 'medicinal essences' in Ayurveda—essential compounds extracted from herbs. These substances are pivotal in various treatments, and their refined application is crucial for restoring health, managing disorders, and enhancing the overall efficacy of Ayurvedic therapies through balanced formulations.

37) Madanaphala:
Madanaphala is a medicinal plant known for its therapeutic benefits in Ayurveda. It is often used to treat vata-related conditions and enhance overall vitality. This herb is significant in specific formulations, particularly those focusing on rejuvenation and vitality, making it critical in various treatment protocols.

38) Pindasveda (Pinda-sveda):
ʾṇḍ-sveda refers to a heat therapy involving medicated rice balls used for rejuvenation. This treatment aims to relieve muscle tension and promote circulation. ʾṇḍ-sveda is considered effective in reducing stiffness and pain, emphasizing Ayurveda's holistic approach to musculoskeletal health.

39) Asthidhatu (Asthi-dhatu):
ٳ-ٳ translates to 'bone tissue' in Ayurveda. This dhātu is crucial for structural support and integrity of the body. Understanding its health and balance is vital, particularly in treating conditions like avascular necrosis, where bone health directly impacts overall function and mobility.

40) Tiktaghrita (Tiktaghrta, Tikta-ghrita):
վٲ-ṛt is a type of ghee infused with bitter herbs. This formulation is utilized for its therapeutic qualities, aiding in detoxification and metabolic support. վٲ-ṛt enhances Agni and is employed in treatments aimed at managing conditions associated with the imbalances of pitta and kapha doshas.

41) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
ٳٳkṣaya refers to depletion or deterioration of tissues in Ayurveda, which can result in various health issues. Understanding and addressing dhātukṣaya is critical in treatment planning, emphasizing the need for rejuvenation therapies that restore strength and nourishment to affected dhātus.

42) Mamsarasa (Mamsa-rasa):
ṃs- denotes the essence derived from meat in Ayurvedic medicine. This substance is thought to be nourishing and strengthening for the body. It plays a role in certain therapeutic preparations, especially those aimed at enhancing vitality and supporting the recovery of weak or depleted tissues.

43) Anuvasana:
ԳܱԲ refers to oil enemas in Ayurveda, which help to nourish and rejuvenate deeper tissues. This therapy aids in alleviating vata imbalances and is often part of comprehensive treatment plans, particularly for chronic conditions where deep tissue nourishment is required for healing.

44) Udvartana:
Udvartana is a type of massage therapy involving the application of herbal powders to the body. This technique promotes detoxification, enhances circulation, and reduces obesity. It also helps in balancing doshas, contributing to overall wellness and facilitating relief from musculoskeletal discomfort.

45) Vatadosha (Vatadosa, Vata-dosha):
ٲ-ṣa signifies the physiological principle of motion in Ayurveda, governing bodily processes like circulation and nerve function. Imbalance in vāta can lead to various disorders, including those related to pain and stiffness. Managing vāta is crucial for overall health and stability in bodily functions.

46) Vitiation (Vitiated):
Vitiated refers to the imbalance or dysfunction within the body's doshas, often resulting from poor diet, lifestyle choices, or other factors. Addressing vitiated states is a primary goal in Ayurvedic therapy to restore health and balance through suitable treatments and lifestyle adjustments.

47) Guggulu:
Guggulu is a resin derived from the Commiphora mukul tree, known for its therapeutic properties in Ayurveda. It is often used for its anti-inflammatory and lipid-lowering effects. Guggulu plays a significant role in formulations targeting joint health and overall revitalization.

48) Aushadhi (Ausadhi, Aushadhin, Ausadhin):
ṣa refers to medicinal herbs or plants used in Ayurveda for therapeutic purposes. These natural substances are integral to health treatments, as they possess various properties that can help balance doshas, treat diseases, and promote overall well-being and vitality.

49) Shashtika (Sastika):
Ṣaṣṭ첹 refers to a type of rice used in traditional Ayurvedic therapies, particularly in rejuvenation treatments. It is valued for its nutritive qualities and is often part of formulations that support digestive health and overall vitality, aiding in balancing vata and enhancing the body's strength.

50) Science (Scientific):
Science encompasses systematic knowledge bases that help understand and explain natural phenomena. In relation to Ayurveda, it signifies a growing interest in integrating traditional healing methods with modern scientific principles, promoting research and evidence-based practices to enhance the effectiveness of holistic health care.

51) Dravya:
Dravya refers to substances used in Ayurvedic treatments, including herbs, minerals, and other materials. Each dravya has specific qualities and therapeutic properties essential for creating effective herbal formulations designed to restore balance and target particular health conditions.

52) Vikara:
վ means 'transformation' or 'disorder' in Ayurveda, referring to changes in the body's doshas or tissues that lead to diseases. Understanding vikāra helps practitioners identify imbalances and apply appropriate treatments or lifestyle modifications to restore health and harmony.

53) Dipana:
ī貹Բ refers to the process of enhancing digestion in Ayurveda, often accomplished through the use of specific herbs or spices that stimulate Agni (digestive fire). Maintaining strong dīpana is essential for optimal health, preventing toxin buildup, and ensuring effective assimilation of nutrients.

54) Pathya:
Pathya translates to 'healthy regimen' in Ayurveda, encompassing dietary guidelines and lifestyle practices that support good health. Practitioners advise pathya in treatment plans to foster balance among doshas and aid recovery, reflecting the importance of nutrition and lifestyle in achieving optimal wellness.

55) Nidana:
Բ refers to the underlying cause or diagnosis of an illness in Ayurveda. Identifying nidāna is crucial for understanding the nature of a condition and determining effective treatment strategies. Accurate diagnosis leads to tailored therapies that address root causes more effectively.

56) Srotas (Shrotas):
Srotas refers to the channels or pathways in the body through which doshas, dhātus, and nutrients circulate. Maintaining the health of srotas is vital for overall wellbeing, as blockages or dysfunctions can lead to imbalances contributing to various health issues.

57) Karana:
ṇa refers to the process of preparation or formulation in Ayurveda. It embodies the methodologies by which medicines are created and tailored to meet individual health needs. Correct karaṇa ensures that treatments deliver their desired therapeutic effects effectively and safely.

58) Bitter:
Bitter is one of the six tastes recognized in Ayurveda, playing a significant role in balancing doshas, particularly pitta and kapha. Bitter herbs are often included in treatments for their detoxifying, digestive, and appetite-stimulating properties, making them vital for maintaining health.

59) Asthi (Ashthi):
Asthi means 'bone' in Ayurveda and represents an essential dhātu contributing to the body's structure and support system. Healthy asthi balance is critical for physical function and mobility, underpinning the treatment of conditions affecting bone health and integrity.

60) Mamsa (Mamsha):
ṃs translates to 'muscle' in Ayurveda, representing one of the seven dhātus essential for physical strength and vitality. Its health is vital in maintaining overall body dynamics, and its balance is crucial in treatments targeting nutritional support and muscle integrity.

61) Medas (Meda, Medash):
Meda refers to fat tissue in Ayurveda, crucial for energy storage and insulation. The balance of meda is essential for maintaining bodily functions, hormonal regulation, and overall health. Its management through diet and lifestyle is significant in preventing obesity and other health disorders.

62) Sveda:
Sveda refers to the process of sweating and includes therapies that induce perspiration to enhance detoxification, circulation, and metabolic processes in Ayurveda. Sveda therapy plays an integral role in many treatments aimed at purging toxins and balancing dosha imbalances.

63) Water:
Water is a fundamental element for health in Ayurvedic practices. It is vital for digestion, hydration, and supporting bodily functions. Proper water intake is emphasized in maintaining Agni and ensuring efficient nutrient absorption, which are crucial for overall health and well-being.

64) Lepa:
Lepa refers to herbal pastes or poultices applied to the skin for therapeutic purposes in Ayurveda. This method helps in reducing localized pain and inflammation while promoting healing. Lepa is commonly used in treatments for musculoskeletal disorders and skin conditions.

65) Yoga:
Yoga signifies a holistic practice combining physical postures, breath control, and meditation. It is integral to Ayurvedic philosophy, promoting balance between body and mind. Yoga facilitates stress reduction, enhances physical health, and complements Ayurvedic treatments by promoting overall wellness.

66) Paka:
relates to cooking or processing food in Ayurveda, emphasizing the importance of how food is prepared for digestion and nutrient absorption. Proper pāka aligns with maintaining Agni, influencing one's health positively and ensuring effective assimilation of nutrients.

67) Mridu (Mrdu):
ṛd translates to 'soft' or 'mild' in Ayurveda, typically used to describe gentle treatments or substances. This quality is essential when applying therapies, particularly for individuals with sensitive conditions or those requiring a more nurturing approach for healing.

68) Shali (Sali):
Ś refers to a type of rice valued in Ayurveda for its nutritious properties. It is often used in dietary formulations and therapies due to its balance of tastes and ability to support the digestive system, promoting overall well-being and vitality.

69) Anga (Amga):
ṅg translates to 'limb' or 'part of the body' in Ayurveda. Understanding the health of each aṅga is vital as they contribute to physical function and overall well-being. Addressing issues within specific aṅgas allows for targeted therapeutic interventions.

70) Vata:
ٲ is one of the three doshas in Ayurveda, representing air and space elements. It is responsible for movement within the body, including circulation and nerve function. An imbalance in vāta leads to various physical and mental health issues, necessitating careful management.

71) Vati:
ղṭi refers to Ayurvedic pills or tablets made from herbal compounds. These formulations are significant for consistent dosing and administration of herbal therapies. ղṭi plays an essential role in delivering therapeutic benefits in a convenient format for patients seeking treatment.

72) Diet:
Diet signifies the food habits and nutritional intake essential for maintaining health and balance in Ayurveda. An appropriate dietary regimen aligned with an individual’s dosha is critical for enhancing well-being and preventing illness, emphasizing the importance of personalized nutrition.

73) Rice (Rce):
Rice is a staple food in many cultures and holds significant value in Ayurveda for its digestibility and nutrient content. It is often used in medicinal preparations and as a dietary staple, contributing to balance and harmony in dietary practices.

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Discover the significance of concepts within the article: �Ayurveda's role in conservatively managing femoral head avascular necrosis.�. Further sources in the context of Science might help you critically compare this page with similair documents:

Ayurveda principles, Treatment plan, Therapeutic enema, Panchakarma Therapy, Rejuvenation, Avascular necrosis, Symptomatic improvement, Bio-purification, Cost-effective therapy, Asthivaha Srota, Gait improvement, Complications During Treatment.

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