Ayurveda attributes AVN to several factors that lead to an imbalance in the body's doshas. Key contributing factors include:

• Trauma or Injury: Physical trauma to the bone can disrupt blood flow, leading to necrosis. Ayurveda emphasizes that injuries often aggravate Vata dosha, resulting in pain and stiffness.


• Poor Diet and Lifestyle: A diet rich in unhealthy fats, refined sugars, and processed foods can produce Ama, causing blockages in the circulatory system.


• Long-term Steroid Use: Prolonged use of corticosteroids is associated with AVN. Ayurveda views long-term medication use as a factor that can disturb the natural balance of doshas, especially Vata.


• Excessive Alcohol Consumption: High alcohol intake can impair the liver’s function and lead to poor blood circulation, contributing to bone health deterioration.


• Medical Conditions Certain conditions like diabetes, lupus, and blood disorders can affect blood supply to the bones. Ayurveda recognizes these conditions as contributing to an overall imbalance in the body.

In Ayurveda, the management of Avascular Necrosis focuses on restoring balance to the Vata and Kapha doshas while eliminating toxins from the body. The approach includes a combination of dietary modifications, herbal treatments, lifestyle changes, and therapeutic practices to promote healing and pain relief.

Ayurveda employs a variety of therapies aimed at managing pain, improving blood circulation, and promoting bone health in individuals with AVN:

1. Panchakarma Therapy

   Panchakarma is a detoxification process that aims to cleanse the body of accumulated toxins (Ama) and restore doshic balance. Specific Panchakarma therapies beneficial for AVN include:

   • Abhyanga (Oil Massage): A warm oil massage using medicated oils can help soothe Vata, improve circulation, and reduce pain in affected joints. Herbal oils like Mahanarayan oil or Kottamchukkadi oil are commonly used for this purpose.
   • Basti (Enema Therapy): This therapy involves administering herbal oils or decoctions through the rectum, targeting Vata imbalances effectively. It helps in lubricating the joints and enhancing blood flow.
   • Kati Basti: In this therapy, warm medicated oil is retained over the lower back or specific joints, providing targeted relief and nourishing the affected areas.
   • Nasyam (Nasal Therapy): This involves administering herbal oils or powders through the nostrils to detoxify and rejuvenate the mind and body, which can help in relieving pain associated with AVN.


2. Herbal Remedies

   Ayurveda utilizes a range of herbs that possess anti-inflammatory and analgesic properties, crucial for managing pain and improving bone health:

   • Ashwagandha (Withania somnifera): Known for its adaptogenic properties, Ashwagandha helps reduce stress and inflammation while promoting overall bone health.
   • Guggulu (Commiphora wightii): Guggulu is a powerful herb used for its anti-inflammatory properties. It aids in detoxification and enhances circulation, which can be beneficial for individuals with AVN.
   • Turmeric (Curcuma longa): Turmeric contains curcumin, known for its potent anti-inflammatory effects. It can be included in the diet or taken as a supplement to reduce pain and inflammation.
   • Boswellia (Boswellia serrata): This herb is effective in reducing pain and improving joint function. It helps combat inflammation and support bone health.
   • Rasna (Pluchea lanceolata): Rasna is known for its ability to relieve joint pain and stiffness. It helps in pacifying Vata dosha and promotes overall mobility.


3. Diet and Lifestyle Modifications

   A Vata-pacifying diet is crucial for managing AVN. Key dietary recommendations include:

   • Warm, Nourishing Foods: Consuming warm, moist foods such as soups, stews, and cooked vegetables can help balance Vata. Avoid cold, dry, and raw foods that can aggravate Vata.
   • Healthy Fats: Incorporating healthy fats like ghee, olive oil, and nuts can improve joint lubrication and overall bone health.
   • Spices: Using warming spices like ginger, turmeric, and cumin in cooking can aid digestion and improve circulation.
   • Hydration: Staying hydrated with warm water or herbal teas can help in maintaining joint health and improving blood circulation.


4. Yoga and Physical Activity

   Gentle yoga and regular physical activity play a significant role in managing AVN. Specific yoga poses can help improve flexibility, strengthen muscles, and reduce pain:

   • Balasana (Child’s Pose): This restorative pose helps relieve tension in the back and hips.
   • Vajrasana (Thunderbolt Pose):Beneficial for digestion and improving blood flow to the lower body, this pose can enhance overall well-being.
   • Bhujangasana (Cobra Pose):Helps strengthen the spine and improve blood circulation to the hips.
   • Gentle Stretching: Engaging in gentle stretches can help alleviate stiffness and promote mobility in affected joints.
   
   

   In addition to yoga, engaging in low-impact activities like walking, swimming, or cycling can improve circulation and maintain joint health without putting excessive stress on the bones.