Avascular necrosis (AVN) is a condition of death of bone tissues due to lack of blood supply. It is a painful disease, which does not show any early symptoms. But, when it gets to a worsening stage, it becomes painful such that it makes a person unable to use their joints. The pain starts slowing only while applying pressure to the bone, later it becomes constant and lastly it becomes severely painful.
AVN is also known as osteonecrosis. Because bone is the specific tissue that is deteriorating. AVN can affect any bone, however it is most frequently found in the hip joint.
Avn is not an instance of osteoporosis in which bone deteriorates more quickly.
According to ayurveda, all the three doshas are involved in manifestation of AVN, but Vata dosha is most predominant. Vata dosha resides in bones, and when Vata dosha increases, bone tissues degenerate, which starts the manifestation of AVN. Further, Pitta dosha is involved in pathogenesis of AVN, as it resides in blood. As in AVN there is lack of blood supply to the bones, and pitta cannot be high in the bones, it starts to damage the bones. Moreover, Kapha dosha increases the imbalance in production of fat tissues, and increases blockages in the channels of blood supply to the bones.
Thus, when it comes to treatment for avascular necrosis in ayurveda, it’s all about setting balance between the doshas and elimination of toxins that have blocked the channels. Treatments associated with AVN are deepana, panchakarma, and rukshana. These therapies help in detoxifying the body, nourishing the tissues and bringing back the missing links to ensure proper functioning. Along with this, a proper diet and exercise plan is suggested in order to pacify the effects of vitiated doshas and also avoid symptoms of AVN in the long run.
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The treatment line for avascular necrosis in ayurveda includes following stages:
All these treatments are personalized depending on a person's body composition and extent of deterioration.
Avascular necrosis can occur in any bone, including the humerus, femur, or any other bone. The major goal is to halt the progression of bone deterioration. We must identify the underlying source of the deterioration before we can halt it. Simply put, there is not enough blood supply.
Regarding the Ayurvedic viewpoint. The only tissue that requires reverse feeding is bone. To maintain healthy bones, bone marrow—known as Majja in Ayurveda—is more crucial. Now, the existence of osteoblasts in bone marrow has been demonstrated through studies. This is the reason bone marrow oedema is so prevalent in avascular necrosis. We focus on the oedematous bone marrow.
Some individuals continue to use calcium, phosphorus, and vitamin D. The condition AVN, however, cannot be addressed by these supplements. Avascular necrosis refers to the absence of blood flow.
This is the issue's fundamental core cause. When it comes to tissue healing and reversing avascular necrosis. Blood must flow to obstructed locations and through blocked areas in order to restore blood flow.
The idea of raktashodhna, or blood purification, is found in Ayurveda. There are some herbs that are recommended for blocking fatty cells, ama, and toxins. Therapies and potent herbs are used to address this problem.
once the damaged part begins to receive blood. The body's inherent ability to heal itself aids in tissue regeneration. This mechanism was thrown off because of the lack of blood flow. The additional bone degeneration is stopped by this restorative process.
Age, the state and progression of the damaged bone, the underlying cause that caused AVN, and other factors all determine how well our treatment works in the process. Once all requirements are completed, patients are periodically asked for MRI and X-ray reports to gauge their development.
The early phases of AVN do not show any symptoms. As the disease progresses and blood cells die, joint pain and discomfort become visible as symptoms. Microfractures, which are very small cracks in the bone that prevent blood from flowing to particular bone parts, can cause pain to grow quickly. As a result, the bone collapses and eventually develops arthritis. A few months to several years pass between the onset of the first symptom and the development of a mobility limitation. The patient may need surgery to relieve the pain if the pain, mobility, or joint movement worsens.
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Avascular necrosis (AVN) is defined as the tissue decay brought on by a lack of blood flow.
In the word "necrosis," "avascular" means "loss of blood supply," and "decay" means "decay."
AVN is also known as osteonecrosis. Because bone is the specific tissue that is deteriorating. AVN can affect any bone, however it is most frequently found in the hip joint.
Yes, Traumatic avascular necrosis is a type of AVN - This is caused after a bone injury wherein someone breaks or has dislocation of bone. It is most common in the cases of hip fractures in which the hip no longer aligns to the joint as it used to be.
Because the arteries supplying the femoral head are so small, they are easily damaged, leading to a femoral neck dislocation or a sub capital fracture (close to the head). This causes the femoral head to get insufficient nutrition, which causes necrosis. In the other type, the arteries occluding, the cause of which is unknown. It may be asymptomatic at first, but later on, pain of varying degrees and changes in gait are observed.
Avascular necrosis and aseptic necrosis are other terminologies related to AVN. Aseptic simply implies free of infection. Because there is no infection present during AVN necrosis.
Avascular necrosis is mostly brought on by a total or temporary interruption of the blood flow to the afflicted area of the bone. This is the root causes of the blood supply issue.
Avn is not an instance of osteoporosis in which bone deteriorates more quickly.
Improper Lifestyle - When a patient abuses drugs like steroids, excessively drinks, or smokes. Or it results in fat emboli when the body's lipid levels are off. Emboli of fat are fat bundles. These bundles start obstructing the flow of blood when they come into contact with astrocytes. by narrowing the arteries. Blood flow is decreased as a result.
Metabolic Cause - Every bone undergoes ongoing bone remodelling. Osteoblasts and osteoclasts, two different cell types, were involved in this. between these two kinds. The purpose of the osteoblasts is to create new bone. When these cells aren't supplied by blood. Cells begin to decompose. Thus in the early stages of avascular necrosis, the cartilage that is above bone loses support and collapses.
Some Medical Treatments - associated with a transplant of a kidney, organ, or some radiation therapy lead to weakening bones and hence avascular necrosis
Specific diseases - like Gaucher’s disease or Sickle cell anemia can also lead to AVN
Treatments associated with AVN are deepana, panchakarma, and rukshana. These therapies help in detoxifying the body, nourishing the tissues and bringing back the missing links to ensure proper functioning. Along with this, a proper diet and exercise plan is suggested in order to pacify the effects of vitiated doshas and also avoid symptoms of AVN in the long run.
Some individuals continue to use calcium, phosphorus, and vitamin D. The condition AVN, however, cannot be addressed by these supplements. Avascular necrosis refers to the absence of blood flow.
AVN can move through these stages quickly in a few months, or it might take 12 To 18 months. In contrast, osteoarthritis of the hip is a slowly progressing disorder that can take years to develop.
Avascular necrosis cannot spread from one portion of the body to another. However, there are several disorders that induce avascular necrosis in a variety of joints across the body. In some cases, avascular necrosis can damage many bones.
Avascular necrosis is a kind of localized bone destruction. This is a dangerous problem since dead bone sections do not function correctly, are weaker, and may collapse if left untreated. Its not a fatal condition but a debilitating condition.
Nearly all ayurvedic treatments for avn result in symptomatic alleviation, allowing the patient to walk correctly and resume regular activities.
At EliteAyurveda, we have successfully treated a large number of patients at various severities.
Where modern medicines cannot stop progress, Our treatments stop further progress and offer complete treatment of affected area with out surgery.
Hundreds of our AVN patients have experienced AVN reversal globally, with many of them completely avoiding hip replacement surgery.