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CASE REPORT
Year : 2020  |  Volume : 3  |  Issue : 3  |  Page : 108-112

Understanding transient osteoporosis of hip (Asthi-Majjagatavata) and management through Ayurveda


National Ayurveda Research Institute for Panchakarma (NARIP), Cheruthuruthy, Kerala, India

Correspondence Address:
Dr. K M Pratap Shankar
National Ayurveda Research Institute for Panchakarma (NARIP), Cheruthuruthy, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JACR.JACR_29_20

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Transient osteoporosis of the hip (TOH) is a rare musculoskeletal disease characterized by acute pain and disability and is often missed during clinical diagnosis. This is a case report of TOH, which was effectively managed with a combination of Panchakarma procedures and oral medicines. The case was diagnosed and treated as Asthi-Majjagatavata (~vata disorder involving bone and bone marrow). The treatment protocol included Snehapana (~internal oleation) with Guggulu tiktaka ghritam, Mridu virechana (~mild purgation), Abhyanga (~massage with Dhanvantaram taila), Patra pottali swedana (~sudation with bolus of leaves), and Panchatiktaka ksheera basti (~enema with medicated milk) for 21 days along with oral medications for three months. The patient's improvement was assessed with the Harris Hip Score. Substantial improvement was noted post-treatment and also after three months of follow-up. This case shows the successful management of TOH with Ayurvedic treatment after proper understanding of the pathology of the condition.


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