Background: Avascular Necrosis (AVN) is a degenerative bone disorder caused by compromised blood supply, leading to structural collapse. In Ayurveda, it correlates with Asthimajjagata Vata, where aggravated Vata localized in bone and marrow causes debilitating pain and restricted mobility. Case Report: A 26-year-old male diagnosed with Grade 2 Bilateral AVN presented with chronic hip pain, limping gait, and restricted joint movements. He sought a non-surgical alternative to the recommended total hip arthroplasty. Intervention: The primary intervention consisted of Panchatikta Ksheera Basti, administered in three 21-day cycles. This was supported by oral medications including GandhaTailam capsules (600mg BD) and Panchatikta Ghrita Guggulu to facilitate deep tissue rejuvenation and channel clearance. Additionally, ChitrakadiVati was prescribed for Deepana-Pachana to ensure proper metabolic correction and enhance the efficacy of the overall treatment.Results: Post-treatment, the Visual Analogue Scale (VAS) for pain dropped from 3 to 0 (Right) and 3 to 1 (Left). Gait improved significantly, and sleeplessness was completely resolved. Objective improvements were noted in Range of Motion (ROM), with right hip flexion increasing from 90° to 110° and extension from 10° to 30°. Conclusion: The combination of Basti and nourishing Vata-pacifying drugs effectively reduced Srotorodha (obstruction), improved microcirculation, and restored joint function. This integrative approach offers a viable conservative strategy for early-stage AVN.
