Ayurvedic Management of Post-hysterectomy Osteoporosis: A Case Report
Abstract
Osteoporosis is a systemic metabolic bone disorder characterized by decreased bone mass and microarchitectural deterioration. These changes increase fragility and fracture risk. The condition is seen particularly in postmenopausal and post-hysterectomy women. Hormone decline-related bone loss is often linked to chronic musculoskeletal pain, functional limitation, and reduced quality of life. Long-term use of modern antiresorptive therapies, though effective, may be limited by tolerability concerns and adherence challenges. This creates a rationale for safer, multimodal conservative approaches. A 55-year-old female with a history of hysterectomy in 2017 presented with a three-month history of generalized musculoskeletal pain predominantly affecting the knees and small joints of the hands, accompanied by thigh discomfort and functional limitation, and associated with generalized weakness, increased fatigue, and reduced mobility, prompting evaluation for underlying metabolic bone disease. She first reported to the OPD on February 4, 2025. Baseline evaluation showed low serum calcium (6.7 mg/dL), and bone density screening using quantitative ultrasound (QUS) of the right tibia showed a T-score of -2.6, which may suggest low bone density, including osteoporosis or possible osteomalacia. She received structured Ayurvedic integrative management over six months, with a short treatment gap due to self-discontinuation and later resumption. Clinically significant improvement was…
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