Knowledge Base


by Dr Vaid Ji on Sep 27, 2023


Avascular necrosis is a painful disease which is a result of constricted blood supply which ultimately results in bone tissue destruction. It is also called osteonecrosis and can affect your mobility. The reason is some sort of disruption in the blood flow to one of your bones. Bones are constantly changing and old bone tissue is being replaced by new bone tissue that's breaking down and dying. This needs to happen constantly and correctly for healthy bones.  The affected bones deteriorates with time and starts breaking into tiny pieces thus collapsing the bone structure. The main cause for AVN is bone dislocation which obstructs the blood flow. People between the ages of 30 to 50 years are most commonly affected.


Bone is an important connective tissue in body providing your body it's basic structure and framework. Bone gets its nutrition from the blood vessels. In avascular necrosis, this blood supply gets reduced or interrupted leading to deterioration of bony tissue.

Here are some of the reasons which can be the causative factors of avascular necrosis:

  • Any dislocation of the joint
  • Deposits of fats in small blood vessels
  • Exposure to radiations
  • Certain medical conditions which decrease blood flow to the bone such as sickle cell anemia, Gaucher’s disease, etc


There are some factors which make a person more prone to avascular necrosis. Following are the risk factors of avascular necrosis:

  • Decreased bone density
  • Having a genetic predisposition to AVN
  • Excessive alcohol intake
  • Cigarette smoking
  • Prolonged use of corticosteroids
  • Any physical trauma
  • Weakened immune system such as AIDS, SLE
  • Organ transplantation
  • Suffering from diabetes
  • Radiation therapy
  • Chemotherapy
  • Decompression sickness in scuba divers
  • Pancreatitis
  • Cancer such as blood cancer


 The symptoms of  Avascular Necrosis appear gradually in a person and as the body deteriorates the symptoms get more prominent.  Some of them are:

  • Severe pain in the affected joint
  • Decreased mobility of the joint
  • Stiffness in the affected joint
  • Difficulty in walking and standing
  • Pain when pressure is put on the joint
  • Limping of the limb


It is important to prevent the disease before it happens so, here are some of the measures which will allow you to be more healthy and avoid avascular necrosis:

  • Eating a balanced diet
  • Say no to cigarette smoking
  • Avoid alcohol consumption
  • Doing regular physical exercise
  • Maintaining optimum weight
  • Keeping the cholesterol levels in check
  • Less use of corticosteroids


The doctor will ask about the signs and symptoms of the disease to the patient. He will look for swelling and tenderness in the concerned part. He will take the past medical history of the patient and his family history also. The doctor will suggest some of the following tests to the patients:

  • X-ray
  • CTscan
  • MRI scan
  • Bone scan


In avascular necrosis there is involvement of all three doshas at some point or the other but vata dosha is predominant.  So, in the treatment vata balancing measures are of importance. Also, kapha balancing measures along with deepan and pachan to resolve ama is important. Rookshana and snehana therapies with virechan and vasti have a good effect. Local herbal massages and sudation, pichu or sthanik vasti also has shown results. It helps in lubricating and strengthening bones which combats the vata dosha and relieves pain and discomfort. It combats vata and relaxes the soft tissues and the muscles around the joint brings lightness and flexibility around the joints.


 Here are some of the medications of Chandigarh Ayurvedcentre which are used for the treatment of avascular necrosis:

1. Detox Premium Powder
The powder is very beneficial to cure any body pain as it removes excess toxins from the body and balances the aggravated pitta and vatadosha. It consists of several herbs and bhasmas such as shuktapishti, giloysatv, parwalpishti, kamdudha rasa, motipishti, gandhakrasayan, akikpishti, etc. The ingredients help in reducing swelling, redness, shrinkage of tear lining in the anus, burning sensation, etc.
Recommended Dosage: Take one sachet twice daily.

2. MakarRasayan Tablet
MakarRasayan tablet is a herbo-mineral tablet and is purely Ayurvedic formulation. CAC MAKAR RASAYAN tablet help in balancing all the three doshas. It helps to rejuvenate body tissues and act as an immuno modulator. It helps in proper blood circulation. It prevents the skin from dryness. It contains natural ingredients like shudhakuchla, guduchisatva, shudhashilajeet,  rassindoor, moongabhasma, shankhbhasma, pravalpishti etc. Herbs and minerals used for the formulation of these tablets show antioxidant, aphrodiasic, analgesic and immuno modulator properties.
Recommended Dosage– Take 1 tablet twice a day with normal water.

3. Nerve Up Tablet
Nerve up tablet is a herbo-mineral tablet and is purely ayurvedic formulation. CAC Nerve up tablets help in balancing the vatadoshas. It reduces kaphadosha, and acts as nervine stimulant. It shows effective results in improving the central nervous system. It contains natural ingredients like shudhakuchala, shudhashilajeet,  pravalpishti, shankhbhasma etc. These contains natural vatahar properties and helps in curing vata diseases.
Recommended Dosage– Take 1 tablet twice a day with normal water.

4. Pain-O-kill Tablets
As the name suggests these tablets will kill the pain naturally. The herbs present in the formation of these tablets are Ashwagandha, Hadjod, Punarnava, Nirgundi, Methi, Garlic, etc. These herbs in combination show antioxidant, analgesic, anti-inflammatory, immuno-modulator properties. The regular use of these tablets reduce body pain and acts on its root cause.
Recommended Dosage: Take 1 tablet twice daily with normal water.

Pain-O-kill Syrup
The herbal syrup is prepared from ingredients like Shunthi, ShudhGuggulu, Ashwagandha, Hadjod, Nirgundi, etc that reduces pain naturally. This herbal syrup helps to reduce body pain, muscle stiffness, inflammation, & swelling. The ingredients used for the preparation of the syrup possess antioxidant, analgesic, anti-inflammatory, etc properties.
Recommended Dosage: Take 2 teaspoonfuls twice daily.