In Ayurveda, managing pain associated with avascular necrosis (AVN) can be approached through a combination of pain-relieving and tissue-strengthening herbs that support joint health without causing harm to other organs, such as the kidneys. One commonly recommended Ayurvedic remedy is a formulation containing herbs like Ashwagandha, Shallaki (Boswellia), Guggulu, and Turmeric. These herbs have natural anti-inflammatory and analgesic properties that help reduce pain and inflammation in the affected joints while also promoting circulation to the area. Ashwagandha is known for its adaptogenic properties, which help manage stress and support the body's overall healing process, while Shallaki and Guggulu are specifically known for their effectiveness in managing joint pain and inflammation. Turmeric, with its active compound curcumin, offers powerful anti-inflammatory benefits and helps improve mobility and function in the joints. An example of an Ayurvedic formulation you may consider is a combination tablet that includes these herbs, such as "Rumalaya" or "Orthomol," which are often used to address joint pain and inflammation in conditions like AVN. These formulations are typically safe for long-term use when taken in appropriate doses, as they are designed to be gentle on the kidneys and liver, unlike conventional allopathic painkillers. It is important, however, to consult with an experienced Ayurvedic practitioner who can customize the treatment based on your specific needs and overall health status, especially considering the age factor. In addition, Ayurveda recommends combining such tablets with lifestyle changes like specific joint exercises, dietary modifications, and local applications such as oil massages with Mahanarayan oil or Sesame oil to support joint health and reduce stiffness. Consistent use of these remedies, along with a balanced diet rich in anti-inflammatory foods, can help manage pain and improve quality of life for AVN patients.