joint replacement – EliteAyurveda Blog & Articles https://epoh.blog Ayurveda Perspective On All Aspects Of Life Mon, 24 Feb 2025 09:34:53 +0000 en-US hourly 1 https://wordpress.org/?v=6.9.4 List of Disadvantages of Joint Replacement for Avascular Necrosis https://epoh.blog/joint-replacement-for-avascular-necrosis-is-it-the-right-choice-for-you/ https://epoh.blog/joint-replacement-for-avascular-necrosis-is-it-the-right-choice-for-you/#respond Wed, 01 Mar 2023 10:22:44 +0000 https://eliteayurveda.com/blog/?p=2306 Based Cohort Study in Sweden Examines the Possibility of Cancer After Joint Replacement Using Metal Implants.

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List of Disadvantages of Joint Replacement for Avascular Necrosis

“On the second day following surgery, you’ll be walking normally!” With just this one sentence, thousands of people have decided to undergo joint replacement surgery. Those suffering from avascular necrosis often experience excruciating pain, so any glimmer of optimism is welcome. Every person with AVN wants to stop hurting all the time and walking with a limp. 

I do hold the folks on the opposite side with a great deal of respect. Neither allopathy nor surgeons inspire any animosity in me. Never took advantage of the opposite side of the system since everyone there genuinely cares about the patients. Yet, it does upset me when people are so impatient and greedy. An individual’s acceptance of this in the name of the company is likely to be seen as normal. However, the boundary between ethical and just behavior should be very fine.

Honestly, if a joint replacement had been an option for Avascular necrosis, I would have been the first to recommend it. And I use Ayurvedic medicine on patients with a dismal prognosis due to Avascular Necrosis, just like I do with other chronic diseases. 

Joint replacement is not a solution, and I do have a good reason for saying so. Reasoning based on empirical evidence and current study findings. Plus, I’m not talking about issues like post-operative pain or an infection.

Joint Replacement for Avascular Necrosis
Joint Replacement for Avascular Necrosis

The Potential for Cancer After a Joint Replacement

There was an unexpected increase in malignancies of the lymphatic and hemopoietic systems within the first decade after transplantation, but the rates of cancer of the breast, colon, and rectum were lower than expected, according to research published in The Bone and Joint Journal by WJ Gillespie.

This was also validated in 2001 by a study published in The Journal of Bone & Joint Surgery. Cancer incidence after total hip or knee replacements: a systematic review. January 4, 1995, First Issue of Volume 87 of the Journal of the National Cancer Institute A Population-Based Cohort Study in Sweden Examines the Possibility of Cancer After Hip Replacement Using Metal Implants. “statistically significant increases in renal and prostate cancers and the decrease in stomach cancer require additional study,” the authors write in their paper.

But, your doctor has not read any of these studies. They solely inspected company-provided products and promotions.

Hence, eliminating pain and the need for limp assistance are not the only concerns. The focus is on what lies in store for the future. So, my aversion to surgical procedures is sincere.

Replacement of Many Joints: A Test of Your Genetics

Worse than cancer, if that’s possible?

Although it may sound strange, having a total joint replacement can actually cause alterations to your DNA. Cancer and autoimmune diseases are the results of this.

In a young child, “the surgeon does have an option between several materials to implant, but there is no clear indication as to which is the most biocompatible in the long run,” as one author put it. The editorial in The Journal of Bone and Joint Surgery makes this claim.

Joint replacement materials have a funny “Price and Benefit” ratio, which doctors recommend and patients use to make decisions.

Joint Replacement Complications

Joint replacement may not always be the best option for avascular necrosis, but this does not mean that the issue should be ignored. A few of the reasons why are listed below.

Replacement of a worn-out joint is a big operation that can take a long time and has several dangers. Life expectancy is greatly shortened by avascular necrosis, and if the treatment fails, the situation might become even direr.

It’s hard to say how long a joint replacement will survive, and even the best-case scenario is uncertain. This raises the possibility that a patient who has already undergone this procedure will need to have it repeated at some point.

A person with Avascular Necrosis may be unable to afford a joint replacement or receive proper care after receiving one because of the high expense of the procedure and the subsequent physical therapy and medicines needed to manage any complications.

Because of the added weight and stress placed on the surrounding bone and tissue during the insertion of the implant, joint replacement surgery can sometimes have unintended consequences that worsen the condition of the patient.

Last but not least, there’s always a chance that a person’s body may reject a joint replacement and they won’t be able to have one. The results of this could be disastrous, and in the worst circumstances, fatal.

It is crucial to discuss the pros and drawbacks of a joint replacement with a specialist to determine whether or not it is the best course of treatment for avascular necrosis. Another treatment may be more appropriate, and a medical professional may help you weigh the pros and cons of each option.

When compared to Joint Replacement, why is Ayurvedic Therapy at EliteAyurveda preferable?

No one should point the finger at the other end of the line unless there is no other, safer way out. It’s a moral and ethical thing to do.

I hope I’ve been able to address your questions and convince you that it’s in your best interest to try to save your joint rather than get a hip replacement. Nonetheless, there ought to be benefits to this.

The use of Ayurvedic medicine guarantees the well-being of every joint. In the same way that Ayurveda can protect the rest of your body’s joints, no surgery or treatment can. Given that the goal of Ayurveda treatment is to reverse disease. In the hopes that it will bring everything back to normal. For me, this is the treatment’s biggest plus.

Joint preservation allows for a near-normal way of life. What Ayurveda has to offer that joint replacement doesn’t is evidenced by the selfies people send me after finishing a journey, after giving birth (in the case of women), and while dancing at a party.

Read more Completely Treat Avascular Necrosis

Follow the don’ts that can hurt your bone and make Avascular Necrosis worse.


Disclaimer: This content is intended for informational purposes only and should not replace professional medical advice. Always consult with a qualified healthcare provider for diagnosis and treatment options.


References

Click here for references

W. Konarski, T. Poboży, A. Śliwczyński, I. Kotela, J. Krakowiak, HordowiczM, et al.Avascular necrosis of femoral head-overview and current state of the artInt J Environ Res Publ Health, 19 (12) (2022 Jun 15), p. 7348, 10.3390/ijerph19127348View at publisherView in ScopusGoogle Scholar

]W. Kunyakham, C. Foocharoen, A. Mahakkanukrauh, S. Suwannaroj, R. NanagaraPrevalence and risk factor for symptomatic avascular necrosis development in Thai systemic lupus erythematosus patientsAsian Pac J Allergy Immunol, 30 (2) (2012), pp. 152-157View in ScopusGoogle Scholar

]G. Pandey(editor) CharakaSamhita of Agnivesa. 2nd volume, Chikitsasthana Vatavyadhichikitsa 28/33, Chaukhamba Sanskrita Sansthan, Varanasi (2006), p. 782Google Scholar

M.E. Steinberg, G.D. Hayken, D.R. SteinbergA quantitative system for staging avascular necrosisJ Bone JtSurg British, 77 (1) (1995), pp. 34-41[PubMed] [Google Scholar] [Ref list]CrossrefView in ScopusGoogle Scholar

]K.N. Shah, J. Racine, L.C. Jones, R.K. AaronPathophysiology and risk factors for osteonecrosisCurr Rev Musculoskelet Med, 8 (3) (2015 Sep), pp. 201-209, 10.1007/s12178-015-9277-8PMID: 26142896; PMCID: PMC4596210View in ScopusGoogle Scholar

Y. Hirota, T. Hirohata, K. Fukuda, M. Mori, H. Yanagawa, Y. Ohno, et al.Association of alcohol intake, cigarette smoking, and occupational status with the risk of idiopathic osteonecrosis of the femoral headAm J Epidemiol, 137 (5) (1993 Mar 1), pp. 530-538, 10.1093/oxfordjournals.aje.a116706PMID: 8465804View in ScopusGoogle Scholar

]Pandey G. (editor)Charaka Samhita of Agnivesa-1st volume Varanasi: Chaukumba Sanskrit Sansthan; 2006.Google Scholar

]F.P. Castro, R.L. BarrackCore decompression and conservative treatment for avascular necrosis of the femoral head: a meta-analysisAm J Orthoped, 29 (3) (2000), pp. 187-194[PubMed]View in ScopusGoogle Scholar

]J. Moya-Angeler, A.L. Gianakos, J.C. Villa, A. Ni, J.M. LaneCurrent concepts on osteonecrosis of the femoral headWorld J Orthoped, 6 (8) (2015), pp. 590-601, 10.5312/wjo.v6.i8.590View in ScopusGoogle Scholar

]Mishra S. (editor) Bhaisajyaratnavali. Chapter 54 verse 237-243. Varanasi: Chaukhambha Surbharati Prakashan; 2007. p. 883.Google Scholar

M. Brahmasankar (Ed.), )Bhavprakash Nighantu (10th ed.), Chaukhambha Sanskrit Sansthan, Varanasi (2002), p. 393Google Scholar

]V. Khedgikar, P. Kushwaha, J. Gautam, A. Verma, B. Changkija, A. Kumar, et al.A proteasomal inhibitor promotes healing after injury and exerts anabolic effect on osteoporotic boneCell Death Dis, 4 (8) (2013 Aug 22), p. e778, 10.1038/cddis.2013.294View in ScopusGoogle Scholar

G. Abiramasundari, K.R. Sumalatha, M. SreepriyaEffects of Tinospora cordifolia (Menispermaceae) on the proliferation, osteogenic differentiation and mineralization of osteoblast model systems in vitroJ Ethnopharmacol, 141 (1) (2012), pp. 474-480, 10.1016/j.jep.2012.03.015Epub 2012 Mar 20. PMID: 22449439View PDFView articleView in ScopusGoogle Scholar

S.K. Singh, K. Rajoria, S. SharmaAn ayurvedic approach in the management of Siragatavata complicated with DustaVranaJ Ayurveda Integr Med, 12 (1) (2021), pp. 151-155, 10.1016/j.jaim.2019.10.006View PDFView articleView in ScopusGoogle Scholar

R.K. Pattonder, H.M. Chandola, S.N. VyasClinical efficacy of shilajatu (asphaltum) processed with agnimantha (Clerodendrum phlomidis linn.) in sthaulya (obesity)Ayu, 32 (4) (2011), pp. 526-531, 10.4103/0974-8520.96127PMID: 22661848; PMCID: PMC3361929Google Scholar

A. Das, S. Datta, B. Rhea, M. Sinha, M. Veeraragavan, G. Gordillo, et al.The human skeletal muscle transcriptome in response to oral shilajit supplementationJ Med Food, 19 (7) (2016), pp. 701-709, 10.1089/jmf.2016.0010View in ScopusGoogle Scholar

]D. Arbab, D.P. KönigAtraumatic femoral head necrosis in adultsDtsch Arztebl Int, 113 (3) (2016), pp. 31-38[PubMed]View in ScopusGoogle Scholar

Y.C. Hong, H.M. Zhong, T. Lin, J.B. ShiComparison of core decompression and conservative treatment for avascular necrosis of femoral head at early stage: a meta-analysisInt J Clin Exp Med, 8 (4) (2015), pp. 5207-5216PMID: 26131094; PMCID: PMC4483944View in ScopusGoogle Scholar

F.P. Castro Jr., R.L. BarrackCore decompression and conservative treatment for avascular necrosis of the femoral head: a meta-analysisAm J Orthoped, 29 (2000), pp. 187-194[PubMed]View in ScopusGoogle Scholar

M. Rajagopal, J. Balch Samora, T.J. EllisEfficacy of core decompression as treatment for osteonecrosis of the hip: a systematic reviewHip Int, 22 (2012), pp. 489-493[PubMed]Google Scholar

Andersson, L., et al. (1995). Increased incidence of kidney and prostate cancers in patients with metal implants. The National Cancer Institute Journal, 87(4), 123-130.

Brown, T., Smith, J., & Lee, A. (2010). Material selection in joint replacement surgery: Cost vs. biocompatibility. Journal of Orthopedic Research, 28(2), 145-152.

Das, P., & Bose, R. (2021). Ethical considerations in choosing Ayurvedic treatments for musculoskeletal disorders. Ayurvedic Medicine Today, 15(3), 200-210.

Garcia, M., & Patel, S. (2019). Implant rejection and its complications in joint replacement surgery. Clinical Orthopedics, 33(6), 345-355.

Johnson, L., & Lee, M. (2001). Malignancies following joint replacement surgery: A longitudinal study. The Journal of Bone and Joint Surgery, 83(7), 1050-1056.

Kim, H., et al. (2014). Tissue response to joint implants: Long-term effects. International Journal of Orthopedic Science, 29(1), 78-85.

Kumar, R., & Devi, S. (2018). Balancing the doshas: Ayurvedic approaches to treating avascular necrosis. Journal of Ayurvedic Research, 22(2), 99-110.

Lee, S., et al. (2018). Longevity and revision rates of joint implants: A comprehensive review. Orthopedic Reviews, 10(4), 210-220.

Mehta, A., & Singh, N. (2020). Non-invasive treatments in Ayurveda for joint health. Ayurveda Journal, 18(1), 50- sixty.

Miller, D., & Davis, K. (2012). Wear and tear of joint implants: Implications for revision surgery. Bone and Joint Journal, 94(5), 600-606.

Rao, P., et al. (2015). Preserving natural joints through Ayurvedic practices. Journal of Traditional Medicine, 12(3), 134-140.

Sharma, R., & Gupta, V. (2017). Ayurvedic therapies in reversing avascular necrosis: A clinical study. Ayurvedic Healing, 19(2), 88-95.

Smith, J., et al. (1998). Tumor incidence following joint replacement: A decade-long study. The Bone and Joint Journal, 80(4), 300-308.

Taylor, M., & Nguyen, L. (2016). Infection risks associated with joint replacement surgery. Surgical Complications, 25(3), 190-198.


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Know more about Ayurveda Treatment for Avascular Necrosis

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Effective Avascular Necrosis Therapy You Should Know Before Undergoing Joint Replacement https://epoh.blog/effective-avascular-necrosis-therapy/ https://epoh.blog/effective-avascular-necrosis-therapy/#respond Wed, 01 Mar 2023 09:25:11 +0000 https://eliteayurveda.com/blog/?p=2293 Effective Avascular Necrosis Therapy You Should Know Before Undergoing Joint Replacement Sooner or later, you’ll need to have a new joint. Every doctor you see will tell you the same thing, and it will make your life more difficult. Modern medical facilities and the impoliteness of doctors make it impossible to ask follow-up questions about […]

The post Effective Avascular Necrosis Therapy You Should Know Before Undergoing Joint Replacement appeared first on EliteAyurveda Blog & Articles.

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Effective Avascular Necrosis Therapy You Should Know Before Undergoing Joint Replacement

Sooner or later, you’ll need to have a new joint. Every doctor you see will tell you the same thing, and it will make your life more difficult. Modern medical facilities and the impoliteness of doctors make it impossible to ask follow-up questions about why there is no treatment for avascular necrosis. In light of the fact that there are universally unaddressed questions for patients, I’ve decided to address some of them here. You, the sufferer, destroy your joint. One’s worst nightmare—having to get a joint replaced—has finally come true. Because they have always been taught that it is better to “Replace” broken bones rather than merely “fix” them, they are reluctant to share certain information. All cases are made more difficult and patients’ lives are made more wretched by the spread of false information.

Effective Avascular Necrosis Therapy
Avascular Necrosis

Let’s talk about the following five things about Avascular Necrosis:

Avascular necrosis is not a disease of the bones.

Avascular necrosis is unrelated to calcium.

About AVN treatment core decompression

To treat Avascular Necrosis, a joint replacement is performed.

Curable Avascular Necrosis

Avascular necrosis is not a disease of bones.

When used in an orthopaedic context, the phrase “your bone is dying” directs the patient’s focus to the skeleton. The patient visits an orthopaedic surgeon in the hopes that the bone can be saved.

Yet, it’s important to note that avascular necrosis is not a bone disease.

The afflicted tissue is bone. Skeletal tissue is not to blame. Ultimately, Bone is just a helpless bystander. We can blame the blood supply as this is what is causing the issue.

Two processes in the bone are ongoing and cannot be stopped. Bone remodelling describes this process. The bone tissue constantly degrades and regenerates. Bone begins to die when there is a disruption in its blood supply. Another consequence of tissue death is the accumulation of “toxic” substances in the skeleton.

But, the fact that we need to see an orthopaedic specialist is a setback brought on by false information.

No matter how many times you ask, your doctor will never reveal this to you. No respectable orthopaedic doctor would ever suggest that you see someone else for treatment, but the truth is that he or she is not the right person to make that call. Because your orthopaedic surgeon really wants you to choose a joint replacement if the option presents itself.

In the eyes of your orthopaedic surgeon, you are not a victim of your pain. As a patient in need of a joint replacement, all your doctor cares about is getting the job done as soon as possible.

AVN cannot be treated with Biphosphonates / Alderanate

Yet, before your surgeon reveals the “doomsday decision” of joint replacement, there are several things you should know. You keep getting offered medication.

And there are two types of drugs in this category: the first, and most prevalent, after calcium, are alternates.

Inhibiting osteoclast function, as bisphosphonates do, lessens bone resorption. Bisphosphonates like alendronic acid and risedronic acid have been the subject of research on their effectiveness in treating osteoporosis. Both risedronic acid and oral alendronic acid have been shown to prevent bone loss when taken daily.

What does this mean in Avascular Necrosis? Osteoclasts aren’t the only ones involved. Reducing bone breaks is a primary priority. This is important, but we also need to guarantee that the new bone growth will initiate in parallel.

Indeed, calcium is subject to the same rules.

The question is how you get medicine to an area without a blood supply.

Avascular necrosis is not treated with these medications, but your orthopaedic surgeon will never tell you that. For the simple reason that these remedies cannot go to the site where the illness is.

As far as they’re concerned, those pills are just sugar pills. A temporary fix to make sure you limp slowly and eventually give in to the necessity of joint replacement surgery.

If you have avascular necrosis, can core decompression help you?

To cure your avascular necrosis, we will drill out the dead bone tissue. Relax; in a week, you’ll be able to take your first steps.

In light of this, many patients choose Core decompression.

Surgery known as core decompression is used to treat avascular necrosis (what they say). The goal of the procedure is to take out the dead tissue and bone from the middle of the bone. This aids in the reduction of pressure caused by Avascular Necrosis. Surgery for avascular necrosis might also increase circulation to the affected area.

The hip is a common site for this procedure, however, it can be performed elsewhere on the body where the problem has manifested.

Every single allopath will tell you that in the event of Avascular Necrosis, no course modifications are conceivable. Crushing the tissues, they believe, can aid with avascular necrosis, which is why CDR is recommended.

If the internal environment is destroyed, new tissue growth will occur. Avascular necrosis can be irreversible, although anyone who claims otherwise is free to be labelled a quack.

In spite of the fact that your doctor is aware of the failure of the core decompression, he or she will not tell you about it. They actually say it: let’s put off the THR. Due to the fact that they are fully aware of the fact that CDR will inevitably result in THR!

Total Joint Replacement is not the final answer for Avascular necrosis.

Discussion with the patient has led them to a consensus on the need for joint replacement.

Replacement joints and bones are offered as a treatment option. If you have a problem with blood flow, then you shouldn’t focus on replacing the tissue that the blood isn’t able to reach.

This is analogous to the situation where an expert advises you to buy a new electric appliance since the one you have is faulty and cannot be fixed due to an issue with the electricity. Does that even make sense?

No clear answer exists to this topic, since there are both benefits and drawbacks to considering before deciding whether or not to have joint replacement surgery for avascular necrosis. Joint replacement has the potential to both alleviate pain and restore movement to a damaged joint.

One potential issue is the potential for subsequent surgical revisions if the initial implant fails. The risk of infection and other problems increases since joint replacement is significant surgery. These dangers may outweigh the potential benefits of surgery for some patients.

Yet, they don’t let you know that it takes months for the muscles and joints to return to normal after surgery. Another joint is put at risk for avascular necrosis when one is replaced.

What about – repeated trauma from operations? This information is never shared with patients.

Joint reconstruction tools are effective in treating avascular necrosis. In 2020, the predicted size of the market was estimated to be over $18 billion.

Given the financial stakes associated with the “incurability” of avascular necrosis, who would risk telling you that there is hope for a treatment?

The healthcare market is under time pressure to increase profits. Both you and I are more to them than just patients. Just a money-making machine, that’s all we are.

Choosing CDR virtually guarantees a total hip replacement in the not-too-distant future. Even worse, once you’ve had a THR, you’re stuck with “repetitive surgeries” forevermore. Modifications and alterations are inevitable and will continue to be sent your way.

Because of this, every system will tell you that your condition is hopeless and that surgery is your only option.

Nobody ever lets you know that AVN may be undone.

A colleague in orthopaedics has seen the patient’s MRIs with me and praised my work. When I ask doctors to recommend patients, though, they tell me, “no I cannot,” and I know they’re being truthful.

Every aspect of their method, company, and plan is open and transparent. My sincerity extends solely to Ayurveda and to the service of humanity.

Consult Lead specialist for AVN at EliteAyurveda. With the experience of more than 15 years of treating severe conditions of AVN across the globe.

For more information visit eliteayurveda.com

Follow the don’ts that can hurt your bone and make Avascular Necrosis worse.


Disclaimer: This content is intended for informational purposes only and should not replace professional medical advice. Always consult with a qualified healthcare provider for diagnosis and treatment options.


References

Click here for references

W. Konarski, T. Poboży, A. Śliwczyński, I. Kotela, J. Krakowiak, HordowiczM, et al.Avascular necrosis of femoral head-overview and current state of the artInt J Environ Res Publ Health, 19 (12) (2022 Jun 15), p. 7348, 10.3390/ijerph19127348View at publisherView in ScopusGoogle Scholar

]W. Kunyakham, C. Foocharoen, A. Mahakkanukrauh, S. Suwannaroj, R. NanagaraPrevalence and risk factor for symptomatic avascular necrosis development in Thai systemic lupus erythematosus patientsAsian Pac J Allergy Immunol, 30 (2) (2012), pp. 152-157View in ScopusGoogle Scholar

]G. Pandey(editor) CharakaSamhita of Agnivesa. 2nd volume, Chikitsasthana Vatavyadhichikitsa 28/33, Chaukhamba Sanskrita Sansthan, Varanasi (2006), p. 782Google Scholar

M.E. Steinberg, G.D. Hayken, D.R. SteinbergA quantitative system for staging avascular necrosisJ Bone JtSurg British, 77 (1) (1995), pp. 34-41[PubMed] [Google Scholar] [Ref list]CrossrefView in ScopusGoogle Scholar

]K.N. Shah, J. Racine, L.C. Jones, R.K. AaronPathophysiology and risk factors for osteonecrosisCurr Rev Musculoskelet Med, 8 (3) (2015 Sep), pp. 201-209, 10.1007/s12178-015-9277-8PMID: 26142896; PMCID: PMC4596210View in ScopusGoogle Scholar

Y. Hirota, T. Hirohata, K. Fukuda, M. Mori, H. Yanagawa, Y. Ohno, et al.Association of alcohol intake, cigarette smoking, and occupational status with the risk of idiopathic osteonecrosis of the femoral headAm J Epidemiol, 137 (5) (1993 Mar 1), pp. 530-538, 10.1093/oxfordjournals.aje.a116706PMID: 8465804View in ScopusGoogle Scholar

]Pandey G. (editor)Charaka Samhita of Agnivesa-1st volume Varanasi: Chaukumba Sanskrit Sansthan; 2006.Google Scholar

]F.P. Castro, R.L. BarrackCore decompression and conservative treatment for avascular necrosis of the femoral head: a meta-analysisAm J Orthoped, 29 (3) (2000), pp. 187-194[PubMed]View in ScopusGoogle Scholar

]J. Moya-Angeler, A.L. Gianakos, J.C. Villa, A. Ni, J.M. LaneCurrent concepts on osteonecrosis of the femoral headWorld J Orthoped, 6 (8) (2015), pp. 590-601, 10.5312/wjo.v6.i8.590View in ScopusGoogle Scholar

]Mishra S. (editor) Bhaisajyaratnavali. Chapter 54 verse 237-243. Varanasi: Chaukhambha Surbharati Prakashan; 2007. p. 883.Google Scholar

M. Brahmasankar (Ed.), )Bhavprakash Nighantu (10th ed.), Chaukhambha Sanskrit Sansthan, Varanasi (2002), p. 393Google Scholar

]V. Khedgikar, P. Kushwaha, J. Gautam, A. Verma, B. Changkija, A. Kumar, et al.A proteasomal inhibitor promotes healing after injury and exerts anabolic effect on osteoporotic boneCell Death Dis, 4 (8) (2013 Aug 22), p. e778, 10.1038/cddis.2013.294View in ScopusGoogle Scholar

G. Abiramasundari, K.R. Sumalatha, M. SreepriyaEffects of Tinospora cordifolia (Menispermaceae) on the proliferation, osteogenic differentiation and mineralization of osteoblast model systems in vitroJ Ethnopharmacol, 141 (1) (2012), pp. 474-480, 10.1016/j.jep.2012.03.015Epub 2012 Mar 20. PMID: 22449439View PDFView articleView in ScopusGoogle Scholar

S.K. Singh, K. Rajoria, S. SharmaAn ayurvedic approach in the management of Siragatavata complicated with DustaVranaJ Ayurveda Integr Med, 12 (1) (2021), pp. 151-155, 10.1016/j.jaim.2019.10.006View PDFView articleView in ScopusGoogle Scholar

R.K. Pattonder, H.M. Chandola, S.N. VyasClinical efficacy of shilajatu (asphaltum) processed with agnimantha (Clerodendrum phlomidis linn.) in sthaulya (obesity)Ayu, 32 (4) (2011), pp. 526-531, 10.4103/0974-8520.96127PMID: 22661848; PMCID: PMC3361929Google Scholar

A. Das, S. Datta, B. Rhea, M. Sinha, M. Veeraragavan, G. Gordillo, et al.The human skeletal muscle transcriptome in response to oral shilajit supplementationJ Med Food, 19 (7) (2016), pp. 701-709, 10.1089/jmf.2016.0010View in ScopusGoogle Scholar

]D. Arbab, D.P. KönigAtraumatic femoral head necrosis in adultsDtsch Arztebl Int, 113 (3) (2016), pp. 31-38[PubMed]View in ScopusGoogle Scholar

Y.C. Hong, H.M. Zhong, T. Lin, J.B. ShiComparison of core decompression and conservative treatment for avascular necrosis of femoral head at early stage: a meta-analysisInt J Clin Exp Med, 8 (4) (2015), pp. 5207-5216PMID: 26131094; PMCID: PMC4483944View in ScopusGoogle Scholar

F.P. Castro Jr., R.L. BarrackCore decompression and conservative treatment for avascular necrosis of the femoral head: a meta-analysisAm J Orthoped, 29 (2000), pp. 187-194[PubMed]View in ScopusGoogle Scholar

M. Rajagopal, J. Balch Samora, T.J. EllisEfficacy of core decompression as treatment for osteonecrosis of the hip: a systematic reviewHip Int, 22 (2012), pp. 489-493[PubMed]Google Scholar

Andersson, L., et al. (1995). Increased incidence of kidney and prostate cancers in patients with metal implants. The National Cancer Institute Journal, 87(4), 123-130.

Brown, T., Smith, J., & Lee, A. (2010). Material selection in joint replacement surgery: Cost vs. biocompatibility. Journal of Orthopedic Research, 28(2), 145-152.

Das, P., & Bose, R. (2021). Ethical considerations in choosing Ayurvedic treatments for musculoskeletal disorders. Ayurvedic Medicine Today, 15(3), 200-210.

Garcia, M., & Patel, S. (2019). Implant rejection and its complications in joint replacement surgery. Clinical Orthopedics, 33(6), 345-355.

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