Avascular necrosis, also called osteonecrosis, is when blood supply to part of a bone is stopped and the bone cells die. In the hip, it can result in the collapse of the femoral head and extreme pain. Iin early stages of avascular necrosis, the joint can be preserved with treatment and in advanced stages, hip replacement may be the best option.
Risk Factors and Causes
AVN may develop because of:
- Long term use of steroids
- Heavy alcohol use
- Injury or dislocation of hip
- Some blood disorders
- Radiation therapy or certain medical problems
In some patients, no specific cause is found.
Symptoms
AVN usually begins with mild pain in the groin or thigh that worsens. The bone weakens and walking becomes painful, and movement is restricted. Pain can be present even at rest.
Early-Stage Therapy
If it is identified before the bone degenerates, options may include medication, protected weight bearing, physical therapy, and procedures such as core decompression. These are meant to slow progression and save the natural hip, but results vary.
When You Need a Replacement
Hip replacement surgery in Indore for avascular necrosis is generally advised when:
- The femoral head has imploded.
- The joint has become arthritic.
- Pain affects daily life considerably
- Treatments to save the joint have failed
Recovery and Results
The damaged joint is replaced to eliminate the pain and restore motion. Many patients, including younger adults, get back to active routines after rehabilitation. Physiotherapy helps to improve muscle strength and balance.
Early Diagnosis is Important
Hip pain should not be ignored in individuals with risk factors. MRI can detect AVN before x-rays can and has more options for treatment.
AVN is a progressive disease, but it can be successfully treated. If you have chronic hip pain, get an early assessment and a suitable plan of care from an orthopedic surgeon in Indore, especially if you have risk factors such as steroid use.
