Avascular necrosis is the condition where an interruption of sub-chondral blood supply leads to death of cellular component of bone typically at weight bearing joint. Here, we present a case of 30 years old male patient presenting chief complaints of bilateral pain in knee joints with numbness since last 3 month. The pain radiating towards medial aspect of thigh which is associated with stiffness. The patient also complained difficulty in walking, crossing the leg, sitting and squatting positions. This is a known case of Avascular necrosis (AVN). As per Ayurveda, suggest this is a disease of Asthimajjagat Vaat Vyadhi. This patient was initially taken for Panchakarma procedure namely classical Virechan. After classical Virechan, Basti (Anuvasan and Asthapana) and Shamana Chikitsa were given to the patient. Pristha Abhyanga, Katiabhyanga, Avagahana, yoga as well as physiotherapy were subsequently advised to patient. The entire procedure was going on for 8 month. MRI scan of bilateral hip joint after 8 month of follow up, this treatment revealed change in AVN grade from 3rd to 2nd. The range of movement of this joint was also increased significantly. Most of these medicines are Rasayana (immuno modulatory in action). Therefore the present case study strongly suggests that Panchakarma therapy, Rasayan Aaushadhi, yoga and physiotherapy bring significant improvement in the treatment of AVN.

Avascular Necrosis, Asthimajjagat Vaat Vyadhi, Basti, Rasayan, Yoga