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Avascular necrosis in hip joints - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   can i chat wid any orthopedic surgeon
Doctor :   hi
Doctor :   how can i help you
Doctor :   I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
User :   fine..
User :   am suffering from AVN..
User :   i.e avascular necrosis..
Doctor :   r u there
Doctor :   r u there
Doctor :   ok
User :   i have got my core decompression surgery done.
User :   and its bi-lateral.
Doctor :   did u sustain any injury
User :   no.. probabely its coz of steriods..
Doctor :   where part of body is the necrosis
User :   and am 25 yrs old..
User :   hip joints..
Doctor :   ok
Doctor :   do u have xray of the joint with u
Doctor :   so what would u like to know about
User :   even aft the surgery there is no relief of pain..
Doctor :   ok
User :   i have an mri report right now..
Doctor :   what analgesics are u taking for pain relief
Doctor :   any medicines are taking as of now
User :   none.. i try to tolerate it.. n sum times wen its very severe.. tat time i take acenac-p
User :   or hifanac..
Doctor :   ok
Doctor :   does it give any relief
User :   rit nw am taking risofos and shelcal..
User :   it gives relief ionly for a day..
Doctor :   ok
Doctor :   how many days since u had sugery
User :   rit now according to the latest mri.. both the legs r in 3rd stage..
User :   2 yrs..
Doctor :   ok
Doctor :   when was the last follow up u had with orthpedician
User :   and necrotic part has covered almost 100% of the ball structure..
User :   2mnths back..
Doctor :   ok
User :   but the shpericity of the bone is maintained..
Doctor :   avascular necrosis of the hip joint isit
Doctor :   ok
User :   yes..
User :   few question i have is..
User :   shud i go in for THR at this age..?
User :   will exercise help me in this stage..?
User :   my movements are restricted.. and am unmarried..
Doctor :   if is it 100% necrotic
User :   wil i face any prob in my married life due to this..?
Doctor :   u might need that
Doctor :   nope it wont
User :   but doc wont it be difficult for me to handle an artificial part..?
User :   coz its going to be complete replacement..
Doctor :   Arthroplasty (total hip replacement) entails replacing the hip joint with an artificial femoral head and part of the femur with an artificial stem
Doctor :   With modern surgical techniques and devices, these artificial hips should continue to function for at least ten to fifteen years in the majority of patients.
Doctor :   r u able to follow
User :   yes,...
User :   and after 10 yrs..
User :   i'l again have to go for another surgery..?
Doctor :   cant say at this point
Doctor :   it depends on the physican condition
Doctor :   how well u can adjust
Doctor :   also wear and tear
User :   but doc my age..
Doctor :   i can understand
Doctor :   u should be fine
Doctor :   with good physiotherapthy
Doctor :   u will able to lead normal lif
User :   physiotheraphy wont help me in this stage..?
Doctor :   it can
Doctor :   u can wait for 15 or 1 month
Doctor :   see if u find any improvement
Doctor :   since MRi shows it is 100%
User :   is there any way by which i can avoid surgery for few more yrs..?
Doctor :   necrosed
Doctor :   it will be good to go in for surgery
Doctor :   not to risk infection
Doctor :   ok the joint
Doctor :   r u able to follow
User :   infection..?
Doctor :   sometimes
User :   is there a chance for infection too..??
Doctor :   unlikely
User :   okay..
Doctor :   The shoulder and knee do better with conservative treatment than the hip does, and this is usually the treatment of choice for these joints
Doctor :   so surgery would be the best option for hip
Doctor :   In some cases, reduced weight bearing can slow the damage caused by AVN and permit natural healing
Doctor :   When combined with medication to reduce pain, reduced weight bearing can be an effective way to avoid or delay surgery for some patients, however, most patients will eventually need surgery to repair the joint
User :   but doc i have started noticing few changes in my body now.. even the knee joint have started troblling me..
Doctor :   ok
Doctor :   did u have sore throat or fever anytime before
User :   yes..
User :   why doc..
Doctor :   do u have other joint pains aswell
User :   fingers on my hands..
User :   doc..??
Doctor :   did u get RH factor test
User :   2 yrs back.. it ws done..
Doctor :   it can also be Rheumatic arthritis
Doctor :   ok
Doctor :   what the report
User :   it ws positive..
Doctor :   ok
Doctor :   so r u taking any medicine for ur rheumatic problem as of now
User :   and even mu heamoglobin is also less..
User :   no.. no medicine for rheumatic prob..
Doctor :   ok
Doctor :   dont worry
Doctor :   u should be fine with this surgery
Doctor :   wish u a speedy recovery soon
User :   okay..
User :   thnx a lot doc..
Doctor :   dont worry ur married life will fine
Doctor :   nothing to do this
User :   ur opinion was really prove helpful to me..
Doctor :   many people do have HIP replacement due to trauma as well
Doctor :   this is normal
Doctor :   it will really help u
User :   thnx a lot..
Doctor :   if done in a well equipped center
Doctor :   sure it will make lot of change in ur life
User :   can u plz suggest me sum gud hosp for the same..
Doctor :   it will give u relief from this pain
Doctor :   u can lead a normal life as before
User :   or sum renowned doc..
Doctor :   ur located in chennai isit
User :   no sir.., am located in gujarat..
Doctor :   in bangalore we have HOSMAT
Doctor :   this is one of the best centers for hip replacement
Doctor :   we are operational in bangalore as of now
User :   my treatment ws going on under doc YYYY from Hinduja..
Doctor :   ok
Doctor :   Hinduja is good center
User :   may i knw ur gud name sir..
Doctor :   Dr.XXX
User :   thnx dr. XXX..
Doctor :   if u need any assistance u can contact us
Doctor :   or write to us
Doctor :   YYYY@YYYY
User :   definately sir..
Doctor :   ur welcome
Doctor :   cheer up
Doctor :   u should be fine with surgery
Doctor :   keep smiling
Doctor :   ok
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
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