Suggest treatment for avascular necrosis of the femoral head?

Posted on Tue, 23 Dec 2014 in Bones, Muscles and Joints
Question: I'm a patient of ANFH (Avascular Necrosis of Femur Head) in China. My problem is caused by the use of Glucocorticoid for the cure of Acute Myelitis in February,2013. I'm in the stage of I or IIA. I haven't felt the pain of my hip joint till now. There is no limitation of the movement of my hip joint, but MRI showes clearly that there is the lesion, and my femoral head hasn't collapsed.
I have two questions:
1、What is the effective treatment for ANFH in early stage?
2、Some doctors said that High Energy Shock Wave (Extracorporeal Shock Wave Therapy) is very effective for my condition, does this treatment really work?
Thank you!
Answered by Dr. Praveen Tayal 41 minutes later
Brief Answer:
ESW therapy will help.

Detailed Answer:
Thanks for posting your query.
In early asymptomatic avascular necrosis of femoral head low-frequency pulsed electric and magnetic fields can stop the further disease progression.
Free vascularized fibular grafting significantly alters disease progression in precollapse lesions and is even useful in modifying disease in mildly collapsed and early arthritic hips.
You can start with Extracorporeal shock wave therapy and see the improvement with serial MRI scans. In case there is any further deterioration then do consider going for surgical treatment.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Praveen Tayal 5 hours later
Dear Dr. Tayal,
Thanks for your answer.
I have two more further questions:
1 Does medicine work for my condition? Some doctors said I could take Calcitriol, and Fosamax Plus or Salmon Calcitonin Acetate, but some said they wouldn't work.
2 I have seen some of the best Orthopaedic Surgeons in China, and I want to know which hospitals are the best at Orthopedics in the U.S.? Can you name some of their best doctors for this disease? What are their typical treatments for early ANFH? Can foreigners get the best medical care in the U.S.?
Thanks a lot!
Answered by Dr. Praveen Tayal 23 minutes later
Brief Answer:
Details below.

Detailed Answer:
Thanks for writing again.
1. Medicines will not help you much. Taking calcium, calcitriol or fosamax plus will not reverse the disease process.
2. Regarding the best hospitals and level of medicare in USA, you will have to search online or e. mail at YYYY@YYYY
I do not personally know regarding any such specific hospitals in USA since I am from XXXXXXX
Hope my answer is helpful.
Do accept my answer in case there are no further queries.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12049 Questions


The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Lab Tests
Medical Topics

Recent questions on  Acute myelitis

doctor1 MD

Hello, My daughter is 33 months and has been diagnosed with Acute Myelitis on July29. Initial MRI showed infected spine from C2 - T8 Second MRI...

doctor1 MD

Dear sirs, last summer I was diagnosed with CIDP , symptoms were mostly general weakness and pain, and some sensory things. But, within in few...

Get personalised answers from verified doctor in minutes across 80+ specialties

195 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction