Avascular necrosis is the pathological process encounters due to hampering in blood supply to the bone Death of the bone tissue. Avascular necrosis is also called as Osteonecrosis or Bone Infarction. Most commonly hip joint Head of Femur is involved but avascular necrosis of hip joint is poorly understand. But this process is the common pathway of traumatic or non traumatic factor that comprise the already precarious circulation of the femoral head. Long term use of steroid medication and heavy intake of alcohol can lead to avascular necrosis. Clinical picture of avascular necrosis is quite similar to Vankshanagata Vata but in Ayurveda classical text it is called as AnuktaVyadhi as this disease is not clearly mentioned in the Ayurveda classical text. Rectal administration of medications or medicated oils or decoction is called as Basti. Basti is very elite to encounter the aggrevated Vatadosha which is the main aetio logical factor for the manifestation of disease. Asthi are important site of Vata Dosha. Hence medication given rectally affects all the tissue up to bone tissue that’s why Basti is selected for the present case; along with Basti Panchakarma treatment patient was on oral Ayurveda medication and physiotherapy.Patient was hospitalized for duration of 2 months 18 days and showed substantial improvement.