Published Paper Details:

Background: Acetabular fractures following road traffic injuries are managed conservatively or surgically depending on fracture stability and displacement. Coccygeal fracture-dislocation can cause severe pain and functional limitation. In Ayurveda, trauma-induced fractures are correlated with Asthi Bhagna and aggravated Vata Dosha, where Basti therapy is considered the principal line of management. Purpose: To evaluate the role of Mahasneha Basti in the conservative management of bilateral acetabular and coccygeal fractures following road traffic injury. Case Presentation and Methods: A 28-year-old male presented with severe right lower limb pain, low back pain and inability to stand following a fall from a scooty. MRI of hip joint revealed a comminuted undisplaced fracture involving the anterior wall of the right acetabulum and an undisplaced fracture of the anterior wall of the left acetabulum with marrow edema. X-ray of the sacrococcygeal region showed fracture-dislocation of the second and third coccygeal segments with incurving. The patient was managed conservatively with pelvic stabilization and integrative Ayurvedic therapy with Mahasneha Anuvasana Basti administered over three months in a structured tapering regimen. Supportive therapies included Sthanik Pichu, Bashpa Sweda, internal medications, and physiotherapy. Results: Gradual reduction in pain, improved weight-bearing capacity and enhanced mobility were observed during follow-up. Radiographic evaluation after one month demonstrated callus formation, indicating progressive fracture healing. Conclusion: Mahasneha Basti,as part of integrative conservative management, may contribute to pain reduction, functional recovery and fracture healing in stable trauma-induced Asthi Bhagna. Further clinical studies are warranted to validate these findings.