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    Avascular Necrosis Causes

    Avascular Necrosis in Hip
    Hip Surgery

    Avascular Necrosis in Hip

    Avascular necrosis (AVN) is a disease of the bone that can cause joint pain, particularly in the hip. The damage to the bone happens from lack of blood flow to the bone cells, generally due to an injury. Risk factors for developing avascular necrosis include trauma and steroid use. AVN can at times lead to destruction of the hip joint and cause severe arthritis. Avascular necrosis in hip is also referred to as osteonecrosis or aseptic necrosis. Avascular necrosis is a throbbing bone condition that gets terrible over time and can affect your mobility. It happens when something cuts off blood flow to one of your bones. Dr. Aashish Arbat a popular hip replacement surgeon in Pune believes in technological advancements & innovations which help cure the patients with less pain & in lesser time frame. In this blog, Dr. Arbat a well-known name in hip replacement surgery explains the symptoms, causes, treatment of avascular necrosis of hip. For any disease understanding the symptoms or indications at the primary stage is essential. Some people have no symptoms in the initial stages of avascular necrosis. Dr. Arbat, mentions a few symptoms signs to help you get alert. Keep reading to learn more. Avascular Necrosis of Hip Symptoms As the condition deteriorates, affected joints might hurt only when putting weight on them. Ultimately, you might feel the pain even when you’re lying down. Pain can be mild or severe. It normally develops gradually. Pain associated with avascular necrosis of the hip might center on the groin, thigh or buttock. Besides the hip, the shoulder, knee, hand and foot can be affected as well. Some people develop avascular necrosis on both sides, such as in both hips or in both knees. Avascular necrosis of the hip occurs when blood flow to a bone is interrupted or reduced. Avascular Necrosis Hip Causes The following are some of the causes of avascular necrosis: Joint or bone trauma, such as a dislocated joint or fractures Cancer treatments involving radiation Fatty deposits in blood vessels Use of certain drugs, such as Prednisolone Medical conditions such as antiphospholipid syndrome or protein C or S deficiency Excessive smoking Certain chemotherapy drugs Deep sea diving Illnesses such as HIV/AIDS, sickle cell anemia, renal disease, Caisson’s disease, glycogen storage disease Long-term steroid use Alcohol abuse Dr. Arbat, a reputed Pune Orthopedic Doctor mentions the possible precautions to follow. Prevention Limiting alcohol intake Keeping cholesterol levels low Monitoring steroid use Early detection of  the avascular necrosis of the hip and proper treatment, can help you regain mobility and live an active life. Open discussion with your doctor is the key. Avascular necrosis if left untreated; worsens. Eventually, the bone can collapse. Avascular necrosis also causes bone to lose its smooth shape, at times leading to severe arthritis. Avascular Necrosis of Hip Treatment Treatment options for avascular necrosis of the hip as explained by Dr. Arbat, a well-respected hip replacement surgeon in Pune: Core decompression: Surgeon removes part of the inner layer of bone. Bone transplant (graft): Strengthens the affected bone area. Bone reshaping (osteotomy): Removes a wedge of bone above or below a weight-bearing joint to shift weight off the damaged bone. Joint replacement: Surgical option. Regenerative medicine treatment: For early diagnosis, nonsurgical treatments like medications, injections, and physical therapy may slow progression. Does Hip Replacement Cure Avascular Necrosis? Dr. Arbat, an esteemed hip replacement doctor in Pune mentions that it is important to understand if hip replacement can cure avascular necrosis. It has been found to be a boon for patients. Avascular Necrosis of Femoral Head Symptoms Intermittent pain that appears and eases when you put pressure on the bone and then remove the pressure. Increasing pain and stiff joints. Limited range of motion. Limping if you have avascular necrosis in your hips or knees. Difficulty climbing stairs, standing, or walking. Pain that may increase over time and becomes severe if the bone collapses. Pain that occurs even at rest. Groin pain if the hip joint is affected. Difficulty with overhead movement if the shoulder joint is affected. Worsening arthritic symptoms in the joint when the condition deteriorates. FAQs How long can you live with avascular necrosis? Living with avascular Necrosis can be challenging, and can affect your quality of life by limiting your range of motion. However, with early detection and treatment you can live a possibly long and healthy life with some management techniques. What is the best treatment for avascular necrosis? There is no cure for avascular necrosis, but early diagnosis and treatment can slow its progression. Treatment includes taking medications to relieve pain or restricting the use of the affected area. How is avascular necrosis of the hip diagnosed? To diagnose avascular necrosis (AVN) of the hip, doctors will review your medical history, perform a physical exam, and order one or more tests. Your doctor may start making a diagnosis by asking you about your symptoms, including when they began and whether they have gotten worse over time. The Orthopedic Doctor will also asses your medical history to see if you have any risk factors for AVN, like a previous hip injury, corticosteroid use, and whether you have a medical condition associated with AVN of the hip. At the time of the physical exam, your doctor will closely examine your hip and move it around to check whether certain positions cause pain. Imaging tests like X-rays and magnetic resonance imaging (MRI) scans of the hip are needed to determine a diagnosis. Make an appointment to consult with Dr. Aashish Arbat, a well-respected Pune Orthopedic Doctor if you have Avascular necrosis in hip so that you to decide on the best course of action. Book an appointment TODAY!

    Avascular Necrosis Stages
    Hip Surgery

    Avascular Necrosis Stages: Explained By The Top Knee Replacement Doctor

    Avascular necrosis is the death of bone tissue due to lack of blood supply, which can lead to bone collapse and arthritis. Avascular necrosis can be categorized into five different stages. To learn more about avascular necrosis stages; read on. Dr. Aashish Arbat, the most honoured knee replacement surgeon in Pune in this blog explains the Avascular necrosis stages Radiology, causes, risk factors, and how to avoid Avascular necrosis. Avascular Necrosis Stages Stage 1: Radiographic variations are absent or show minor osteopenia. An MRI scan is needed for identification. The beginning of this illness is asymptomatic. Standard radiographs are normal. Stage 2: This phase is categorized by sclerosis of the superior central portion of the joint head and/or osteopenia and/or subchondral cysts. Stage 3: In this step, the articular surface is dejected so that the round contour is conceded, without being significantly deformed. This causes a joint space contraction. A plain radiograph displays a crescent sign. Stage 4: This phase is considered a wide breakdown of the subchondral bone and ruin of the primary trabecular pattern. This can cause secondary arthritis. Stage 5: The ultimate stage is where both articular surfaces get affected, which leads to a dysfunctional joint. Injury that stops or slows blood flow to a bone is the main cause of AVN. Let’s discuss some other causes too. Avascular Necrosis Causes Drinking too much alcohol Smoking Taking high doses of corticosteroids for a long time can increase fatty substances (lipids) in the blood, which can block arteries Childhood diseases including Legg-Calve Perthes disease Chemotherapy or radiation High cholesterol Gaucher’s disease HIV infection Lupus Organ transplants Pancreatitis Blood disorders Stage 2, treatment aims to stop extra bone loss and manage indications. Avascular Necrosis Stage 2 Treatment Here are some approaches as mentioned by Dr. Arbat the most esteemed knee replacement doctor in Pune. Medications Therapy Surgical Procedures AVN stage 3 Symptoms Minor or severe pain in or around the affected joint Groin discomfort that spreads down to the knee The uneasiness that happens when putting weight on the hip or knee Joint pain is enough to limit movement Avascular Necrosis Stage 3 Treatment Core decompression: A knee replacement surgeon takes away part of the inner layer of bone to cut pain and activate the production of strong bone tissue and new blood vessels. Bone transplant (graft): This practice can help support the area of bone affected by avascular necrosis. Cold packs Heat treatment Rest Nonsteroidal anti-inflammatory drugs (NSAIDs) Physical therapy to comfort joint inflammation and increase range of motion. If all other treatments are unsuccessful, a total hip arthroplasty is the only possibility Avascular Necrosis Stage 4 Treatment Core decompression Bone transplant Bone reshaping Joint replacement Regenerative medicine treatment How Long Can You Live With Avascular Necrosis? If you are looking to know how long can you live with avascular necrosis; book an appointment and meet Dr. Aashish Arbat a globally admired Orthopedic Surgeon in Pune. He is a M.Ch – Orthopaedics, FRCS and has been practising as an Orthopedic Surgeon for the last 22 years. Dr. Arbat provides diagnosis and suggests surgical and nonsurgical treatment options to patients experiencing complications from AVN of the hip. How long you can live with avascular necrosis is case-specific. Besides medication, Dr. Aashish Arbat, recommends the following avascular necrosis stage 3 treatment without surgery. Rest, this involves restraining physical activity or using crutches Exercises, suggested by a physical therapist, can recover joint range of motion. Electrical stimulation can encourage the body to grow new bones. Prevention To lessen the hazard of avascular necrosis and improve general health: Restrict alcohol Maintain low cholesterol levels Monitor steroid use Quit smoking Wrapping up If you have any concerns or notice any symptoms of avascular necrosis; seek medical advice immediately. Consult an Orthopedic Surgeon for proper assessment and supervision before you reach the critical avascular necrosis stages.   FAQ How fast does avascular necrosis progress? The progression differs, but usually, it can develop fairly fast. Let’s break it down: AVN can develop from stage one to stage four in less than 18 months, with some patients experiencing quick deterioration in just a few months. Literature recommends a 50% possibility of progression over a three years. Can avascular necrosis affect any bone in the body? Yes, avascular necrosis can affect any bone in the body, however, it generally happens in the hip joint. What happens if avascular necrosis is left untreated? Avascular necrosis if left untreated, can lead to enduring impairment to the bone and joint, causing joint collapse and substantial effect on a person’s quality of life.

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