Ask Ayurveda

FREE! Ask Ayurvedic Doctors 24/7

Get expert answers from certified doctors anytime

Fast responses
1000+ verified doctors
/
/
/
Is surgery necessary for my second stage AVN treatment?
General Medicine
Question #50438
67 days ago
449

Is surgery necessary for my second stage AVN treatment? - #50438

Client_bd3ce0
$3.51

Mai ak AVN in second stageka patient hu kya eska treatment kewal dwa se ho skta hai bina surgery ke treatment possible hai ?

How long have you been experiencing symptoms related to AVN?:

- 3-6 months

What type of symptoms are you experiencing?:

- Pain

Have you tried any treatments so far?:

- Yes, medications
Question is closed
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

Surgery is the best option

4903 answered questions
37% best answers
Accepted response

0 replies

Second stage AVN (Avascular Necrosis) means bone damage has started but collapse has not fully happened yet. At this stage, treatment decision depends on severity, size of the lesion, pain level, and MRI findings. In many early Stage 2 cases, conservative management with medicines, restricted weight bearing, physiotherapy, and supportive treatment can help slow progression and reduce pain. Surgery is not always immediately necessary, especially if there is no significant collapse. However, if the affected area is large or pain is increasing despite treatment, surgical options may be advised to prevent further damage. In Ayurveda, management focuses on improving blood circulation to the bone, reducing inflammation, strengthening bone tissue, and supporting regeneration through internal medicines, Panchakarma procedures like Basti, and lifestyle correction. But success depends on how early the case is and how consistently treatment is followed. Since AVN progression varies from person to person, I recommend a detailed review of your MRI reports and current condition before deciding whether non-surgical management is sufficient or surgery should be considered. A proper consultation will help guide you in the right direction safely.

973 answered questions
13% best answers
Accepted response

0 replies

Visit ayurvedic doctor, expert in ksharkarma, viddha karma, these treatment can prevent surgery, for treatment you have to personally go. Meanwhile you can can start with Laxadi guggul 1-0-1 Mahayograj guggul 1-0-1 Ashwagandha churan 0-0-1tsp at bedtime with warm milk.

13491 answered questions
30% best answers
Doctor has prepared a treatment plan for you
Kottakkal Ashwagandha Churna
Mahayograj Guggulu(With Gold) - Baidyanath
Kottakkal Lakshaguggulu Tablet
Accepted response

0 replies

–Aapko AVN second stage hai. Is stage me kabhi-kabhi dawa aur rest se control ho sakta hai, lekin har case me sirf dawa se theek nahi hota. Agar disease badhti hai to chhoti surgery (jaise core decompression) ki zarurat pad sakti hai. Isliye regular check-up aur monitoring bahut zaroori hai. – it’s also depends on -Kaunsa joint affected hai (jaise hip sabse common hai) -Kitna damage ho chuka hai -Aapki age aur overall health -Dard aur movement ki condition ---- so firstly share your all symptoms and if any investigation done then share parameters also. – untill then…u can start with this treatment but plz share all questions which I asked… —Rx: Lakshadi Guggulu – 2 tab BD after food Ashwagandha Churna – 3 gm BD with milk Mahayograj Guggulu – 1 tab BD after food Dashmool Kwath – 20 ml BD before food Panchatikta Ghrita Guggulu – 1 tab BD —External: Mahanarayan Taila se local massage – OD Mild fomentation (Nadi Swed) —Advice: Weight bearing kam karein Alcohol & smoking avoid karein Vata-shamak diet follow karein Regular follow-up after 4 weeks

12478 answered questions
30% best answers

0 replies

AVN (Avascular Necrosis) – Stage 2 Is stage me kabhi-kabhi without surgery treatment possible hota hai, lekin early and regular treatment jaruri hai Lakshadi Guggulu – 2 tablets, twice daily after food Asthibala – 1 tsp with warm milk at night Dashmool kwath – 15 ml twice daily Mahayograj Guggulu 1tab twice in day Go for kashayavasti with ksheera External Mahanarayan oil se daily massage Mild heat fomentation u ll get results

14802 answered questions
35% best answers

0 replies

AGAR AAP AVN SECOND STAGE ME HAIN TOH IS STAGE PAR ABHI JOINT PURI TARAH SE COLLAPSE NAHI HUA HOTA ISLIYE BINA SURGERY KE TREATMENT KI KOSHISH KI JA SAKTI HAI LEKIN YEH DEPEND KARTA HAI KI DAMAGE KITNA HAI AUR AAP KITNI STRICTLY REST AUR TREATMENT FOLLOW KARTE HAIN AYURVED KE HISAB SE YEH ASTHI AUR MAJJA DHATU KI KSHAYA AUR RAKTAVAH SROTAS KI RUKAVAT SE JUDA HUA ROG HAI ISME DARD KO KAM KARNA AUR BLOOD SUPPLY KO SUPPORT KARNA ZARURI HAI SIRF DWA SE TABHI FAYDA HOGA JAB AAP WEIGHT BEARING KAM KAREN ZYADA CHALNA PHIRNA SE BACHEN AUR DOCTOR KI SALAH SE PANCHAKARMA JAISI BASTI CHIKITSA LEIN MEDICINE ME ASHWA GANDHA LAKSHADI GUGGULU MAHA YOGRAJ GUGGULU JAISI DAVA DI JATI HAI LEKIN YEH SAB VYAKTIGAT PRAKRITI AUR CONDITION DEKH KAR HI LENI CHAHIYE AGAR MRI ME JOINT SURFACE STABLE HAI TOH NON SURGICAL MANAGEMENT SE PROGRESSION ROKA JA SAKTA HAI LEKIN REGULAR MONITORING ZARURI HAI AGAR PAIN BADHTA HAI YA COLLAPSE SHURU HOTA HAI TOH ORTHOPEDIC OPINION BHI SAATH ME RAKHNA CHAHIYE IS STAGE PAR DISCIPLINE REST AUR PROPER GUIDED TREATMENT SE SURGERY KO DELAY YA AVOID KARNA KAI CASES ME POSSIBLE HOTA HAI

13597 answered questions
29% best answers

0 replies

Stage II AVN can sometimes be managed without surgery if detected early and treated consistently, but progression risk remains. Kindly consult with a Panchkarma specialist and Ayurvedic physician nearby you for better management.

11908 answered questions
27% best answers

0 replies

Yes, you can prevent surgery. Go to nearby Panchakarma centre and undergo Basti treatment. Basti (Niruha Basti and Anuvasana Basti) Niruh Basti - with Panchatikt Ksheer Basti Anuvasan Basti - with Sahcharadi Taila Along with this Full body massage followed by Sudation therapy. Medicine 1 Trayodashang Guggulu 2-0-2 after food 2 Rasnasapthak Kashayam 15ml-0-15ml before food 3 Cap Ashwagandha 1-0-1 after food with milk 4 Cap Gandha Taila 1-0-1 after food Diet Avoid cold packaged oily fried junk food Regards Dr Gursimran Jeet Singh MD Panchakarma

1838 answered questions
26% best answers

0 replies

HELLO, STAGE 2 AVN means the blood supply to the bone is reduced but the joint surface has not yet collapsed In this stage, treatment without surgery is sometimes possible, but it depends on severity, symptoms and MRI findings. surgery is not always immediately required CAN STAGE 2 AVN BE TREATED WITHOUT SURGERY? It may be possible if -symptoms are present for 3-6 months -there is no bone collapse -MRI shows early stage2 -pain is manageable -the affected area is small However, many orthopaedic doctors recommend core decompression at this stage to prevent further joint collapse Regular monitoring MRI follow up is very important Ayurveda focuses on reducing vata imbalance, improving circulation, and strengthening bone tissue INTERNAL MEDICATIONS 1) YOGARAJ GUGGULU= 2 tabs twice daily after meals 2) LAKSHADI GUGGULU= 1 tab twice daily after meals 3) ASHWAGANDHA CHURNA= 1 tsp with warm milk at night 4) DASHMOOLA KASHAYA= 20ml + equal water twice daily before meals EXTERNAL THERAPIES 1) Mahanarayan oil gentle massage 2) Mild steam therapy after oil massage daily DIET -warm,nourishing food -milk, ghee -sesame seeds -avoid cold, dr, junk food LIFESTYLE -avoid putting excess weight on the joint -maintain healthy body weight -gentle physiotherapy only -avoid high impact activities Ayurvedic treatment can be supportive, but Stage 2 AVN can progress if not properly monitored. if pain increases or MRI. shows worsening, surgical options may be necessary DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU

12912 answered questions
27% best answers

0 replies

About our doctors

Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


What to do for my 72-year-old father who has GBS, diabetes, and high blood pressure and can't walk?
Can I take Chyawanprash and liver cleaner while on antidepressants?
What Ayurvedic medicine should I take for headaches as a 35-year-old married woman working from home?
How to use Navaka Guggulu for high cholesterol while on statins?
What is the best Ayurvedic treatment for nerve damage and loss of bladder control after spinal dural AV fistula embolization?
How to control creatinine and uric acid levels with a history of high blood pressure and diabetes?
How to determine the right dosage of Brahmi capsules for stress and memory loss in a 67-year-old?
Can I use lemon with my Ayurvedic powder for fatty liver grade 2?
Can I use Shilajit for proteinuria and does AMLA help with clogged arteries and erectile dysfunction?
How to increase my height at 17 years old, and what supplements should I take?
Can I give liver amrit to my child for constipation, and if not, what should I do?
Is it safe to take multiple Ayurvedic medicines for high GGT and cholesterol levels?
Can I give my 10-year-old daughter Sankhpushpi, Vacha, Satavari, Brahmi, and Ashwagandha for her falling while walking?
How to use sesame oil for muscle weakness in PSP patients and how often should I apply it?
How much vacha and ashwagandha powder can I give to my 7-year-old child?
What to do if I'm 27 and can't gain weight, feel weak, have poor digestion, and forgetfulness?
Can I take Patanjali Arjunarista syrup while on Amlovas, Mentat, and Harde at 66 years old?
Can I use Sesbania Grandiflora while taking anticoagulants for blood thinning?
What to do if my right kidney is enlarged and what diet should I follow?
How to reduce skin pigmentation and increase energy while dealing with pimples and scalp sweating?
How to treat my daughter's excessive hand sweating with Ayurvedic remedies for Hyperhidrosis?
Can I start using Kalmegh again for gout relief after it worked 5 years ago?
Is it safe for a 60-year-old man to take nutmeg powder in warm water at bedtime for better sleep and digestion?
How long does it take to lose weight and regain it after stopping medicine if I weigh 85 kg?
How long does it take to lose weight and regain it after stopping medication if I weigh 85 kg?
How to increase my height as a 16-year-old girl?
What to do for joint pain and nausea while taking Imuran for lupus?
How to treat constipation and high ammonia levels in my son with cerebral palsy and a tracheostomy?
What is the best herbal medicine to help recover from quitting ice after 2 weeks?
How to treat toe numbness in a 70-year-old with increasing constipation and flatulence?
How to treat abdominal pain and discomfort in a 60-year-old with no prior medication history?
Can Medha Vati affect blood sugar levels in my father with heart disease and thyroid issues?
What is the best Ayurvedic remedy for lowering blood pressure in someone with CKD while taking Mukta Vats Extra Power?
How to treat fungal infection that worsens in summer and hasn't improved with homeopathy or allopathy?
How to treat hemifacial issues without Botox or surgery?
What causes vertigo, fatigue, and shortness of breath after work?
How long does it take to lose weight with this medicine and what happens after stopping it?
How to treat diabetic neuropathy with numbness and burning in the left heel for a 40-year-old?
How to determine the right dosage of Ayurvedic tablets for my diabetes with a blood sugar level of 160?
Can I increase my height by 1 inch at 19 years old?
What to do for cervical spondylitis and allergy after gastritis treatment with IBS medication not helping?
How to use 15 mls of supplement in a fruit smoothie for breakfast?
What is causing my persistent back pain and weakness with weight loss?
How to treat elevated GGT levels in my liver function test report?
What to do about a low pulse rate of 50 in an 80-year-old diabetic with a history of heart surgery?
How to treat chronic migraine that requires painkillers every morning and evening?
Can I give my 16-year-old son Arjun Ashwagandha juice for high blood pressure and stress while he's on thyroid medication?
Can I take Ashoka powder while breastfeeding?
What is an effective treatment for hypertension in a 60-year-old active male not improving on Losartan?
How many tablets should I take daily for my diabetes with a blood sugar level of 168?
Can I use Chandraprabha Vati and Gaufari for uric acid and cholesterol management?
Can I take fresh neem powder with warm water while on Metformin 500 mg once daily?
Can I drink Jeera, Saunf, Ajwain & Methi water in the morning if I have rheumatoid arthritis and take allopathy medicines?
What to do for elevated liver enzymes in a 41-year-old vegetarian woman?
Can I take Jatamansi, Shankhpushpi, and Brahmi together for better mental health?
What is the best bhasma for arthritis, asthma, diabetes, high blood pressure, and skin glow?
How to use Vanshlochan as a calcium substitute and what are its side effects for adults?
How to reduce uric acid levels in joints and manage Vata and Kapha dosha for back pain and fatigue in a 55-year-old male using Ayurveda?
How to treat Fatty Liver and Enlarged Prostate in a 42-year-old male?
Can Ayurveda help with recurring sebaceous cysts on my back after multiple surgeries?
How to treat external hemorrhoids naturally when Anusol causes burning sensation?
Can I continue taking Arjuna and Parthadyarishtha together for heart health at age 69?
What to do if my 22-year-old daughter has white hair, memory issues, weight gain, and anger problems?
How to treat abdominal pain and occasional constipation in my 9-year-old daughter?
Is it safe to use chaulmoogra oil in arthritis cream for my 92-year-old aunt?
What are the alternatives to Nisha Amalki Churna for diabetes if I'm having allergic reactions on my skin?
How to treat toe numbness and constipation in a 70-year-old with hypertension?
What to do for finger stiffness and elbow pain with shortness of breath?
Can I take Ayurvedic medicine with pineapple juice if I have a Vata imbalance and take osteoporosis and heart medication?
What causes swelling on the face, hands, and feet in the morning for four days?
How to improve low blood count naturally without long-term iron injections?
How to increase my height at 20 years old if it hasn't changed in 5 years?
What to do if my 9-year-old daughter is experiencing recurring hallucinations after stopping risperidone?
How to treat sleep issues caused by waking up at midnight to urinate and feeling heavy-headed?
Is it safe to take Chandraprabha Vati and other medications for uric acid and cholesterol levels?
Can I use She Care juice while breastfeeding my 20-month-old baby?
How to manage high uric acid and fatty liver with diabetes?
What to do for persistent pain and lump in the lower abdomen for 4-5 days?
Can I start taking a Kashaya with Yavasa, Brahmi, Shankhpushpi, Pipali, Ashwagandha, Green Tea Leaves, and Tulsi?
How to use Khadirarishta and Mahamanjishthadi for best results?
What is causing my breathlessness, weakness, and pain near the liver with reduced alkaline phosphatase levels?
How to take cholesterol-lowering supplements: one 1000mg pill at breakfast or two at once?
What to do if my liver function tests show a slightly elevated AST:ALT ratio?
Can I use Nausadar to remove stones in my pancreas and duct? How to use it with club soda?
How to treat persistent pain and lump in the lower abdomen for 4-5 days?
What causes leg pain and tingling in feet in a 45-year-old male with abnormal blood test results?
Is Pithorin Imis safe and effective for treating gallbladder stones?
How to treat intracranial pressure (ICP) and heaviness with Ayurveda for faster recovery?
How to treat severe insomnia and migraines with neck pain and nausea?
What to do for digestion issues, hair fall, dry skin, fatigue, and headaches?
How to use Viscovas daily for thagobouda and how many times should I take it?
How long does it take for Tantra Max to work for my persistent pain when standing?
Can I give my 16-year-old child Arjun Ashwagandha juice for high blood pressure and stress while on thyroid medication?
How to treat a fistula in ano with active discharge and a 7.2 cm track?
How long should I take Livamrit tablets from Patanjali for cholesterol 225 and fatty liver?
Can I give liver amrit to my 5-year-old child for constipation, and what dosage is safe?
How to treat abdominal pain in my 9-year-old daughter after normal ultrasound results?
What is the treatment for my 19-year-old son who has never sweated since birth?
Can I take Krishna's prostirid juice with my blood pressure medication TELMISARTAN and Cilnidipine?
How to improve sleep quality after starting Brahmi and other medications?

Doctors online

Latest reviews

Quinn
51 minutes ago
Thanks a ton for clearing that up! I was worried but your explanation really helped me understand the risks. Got exactly what I needed!
Thanks a ton for clearing that up! I was worried but your explanation really helped me understand the risks. Got exactly what I needed!
Paris
3 hours ago
Really helpful advice! Finally getting some relief by following these tips. Fingers crossed it keeps improving. Thank you! 😊
Really helpful advice! Finally getting some relief by following these tips. Fingers crossed it keeps improving. Thank you! 😊
Christopher
3 hours ago
Super informative! The breakdown of sugartypes was super helpful. Cleared up my confusion about turbinado vs white sugar. Thanks a bunch!
Super informative! The breakdown of sugartypes was super helpful. Cleared up my confusion about turbinado vs white sugar. Thanks a bunch!
Violet
5 hours ago
Thanks for the advice! Really appreciate how you broke down the options. It’s good to know that I can simplify my medication without impacting my health.
Thanks for the advice! Really appreciate how you broke down the options. It’s good to know that I can simplify my medication without impacting my health.