Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

168 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

How to control pain in Avascular necrosis of the bone

following an accident where i broke my bone of the right wrist i had to undergo surgery for the fixation of the bone, even after 3 months of the treatment my pain is still persisting. my doc said there is avascular necrosis of the bone. all my movements are normal. but pain is still persisting .how to get rid of this pain?
Mon, 5 Aug 2013
Report Abuse
Question is related to
Diseases and Conditions
Lab Tests
Medical Topics
  User's Response
Hello Michael,
Please mention your age. Assuming that you have visited an orthopaedician, it sounds to me like a scaphoid non union or Preiser's disease.
If you have given up with rest, ice, compression bandaging and analgesics for 4-6 weeks, I would suggest an MRI of the wrist (if not done yet) to assess the vascularity of the proximal part of the bone. After confirming the diagnosis and assessing the severity of its involvement, a surgery i.e (a)revascularization procedure or (b)excision of the scaphoid and fusion of other wrist bones can be planned for.
Get back to me if you think my terms were too geeky.
I find this answer helpful
General & Family Physician Dr. Khaleel Ahmed.Manik's  Response
an MRI has to b got done , that will give a clear picture of wt next to b done. after MRI 2 optios 1 revascularisation or exision of scaphoid.
I find this answer helpful
  User's Response
Dr.Dinesh's  Response
Hi,

With an emerging era of stem cell which has brought ray of hope for patients suffering from AVN ,early diagnosis and intervention with stem cells prior to collapse of the femoral head is the key to a successful outcome of joint preserving procedures.

We use your own cultured Osteoblasts from the bone marrow to regenerate your hip joint .( using your own bone marrow we culture around 50 millions of Osteoblast cells over period of 4-5 weeks and inject it back to your hip joint.)


For any query, feel free to contact me .

http://www.indiaprwire.com/pressrelease/health-care/2010030544968.htm


Regards,

Dr.Dinesh p
drdineshp@regrow.in
  User's Response
oya's  Response
My mother had also had similar problem, she saw an orthopedician. He said the bone has avascular necrosis and he did some operation, now she is fine
  User's Response
Hello,

Which bone of the wrist is it?

I don't think that medications will help.You could try steroid injections ,otherwse an operation to fuse the bones.
I find this answer helpful
  User's Response
deepak's  Response

You can ask your doctor for pain killer tablets or injections for the pain. You just see the doctor and explain regrading your pain.

  User's Response
asad's  Response
You should see good orthopedician for this since it requires immediate attention
  User's Response
Piyush Pandey's  Response
It mains the bone is becoming dead so it needs to be immediately tackled. So you need to take it serious and take the immediately the treatment
  User's Response
Dr.Santosh Sahu's  Response

it may be a case of sudecks dystrophy ,consult physiotherapist for IFT,or ultrasound

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

I understand Avascular necrosis invloves a problem wiht blood flow to the bone. My husband has AVN in both hips, but the left is beginning to collapde and he is looking at surgery in January. Both hips are very painful, down to his knees. 1) Because this has to do with circulation, I would like to know if there are any particular dietary changes that can help with the inflamation as well as the circulatory problems. We recently began juicing (primary fruits and vegetable juices, including those high in protien) and have begun to add fish and other protiens into our diet. He has lost 28 lbs (from 172 to 144) and the reduced weigh alone has helped somewhat. 2) A friend recommended Chelation and gave us a book. I have just started reading it and plan to finish. From what i have read to-date, it would appear that this also has to do wiht purifying the blood, which leeads me to think that diet (particularly the right juices, and continued reduction/ommision of bad fats, etc) would be of benefit in repairing the problem. I thank you for your help/advice!

doctor1 MD

What is avascular necrosis and how is it treated? I recently has an X-ray of my rt. hip that only showed minor arthritis change in my hip. I am 60 yrs old female. I also have rt thigh pain and rt. abdomen pain/soreness heat does provide relief. with increased activity my thigh and rt. hip pain increase causing me to limp. My doctor recently treated me with methylpredisolone tablets 4 mg. for a week that really helps with the pain and soreness, After the medications was gone the pain and soreness started to come back. I hope that you can help me to understand what is going on. Thank you.

doctor1 MD

Respected Sir, I am Suffering pain from AVN (Avascular Nacrosis) From last 1& Half Year. I had an Operation of Decompression of my Left Leg But there is no any effect. Please tell me which medicines of Ayurveda can I Use . Thanking You. I Can Walk but not Properly. And Pain is decreased little bit. So Some times when I walk There is no feeling of pain. But Some times there is Pian When I walk or Wake up. Please Please Tell me which Medicines and Oil Can Completely Cure this Pain and Problem. I am 36 Year Old.

Recent questions on  Scaphoid bone

doctor1 MD

hello , we have a patient who is 68 years old female , had a scaphoid fracture six month ago , but after he removal of the cast she felt pain , severe pain and still having it with swelling and felling coldness . What d o you think she have ? help ???

doctor1 MD

I punched a wall tonight and I broke my left hand I went to an urgent care center that had an x-ray machine and I had x-rays done and I can send them to you my question is do I have to have surgery?

doctor1 MD

I broke my left hand I punching a wall and I was wondering if it is going to need surgery I have copies of my x-ray

doctor1 MD

Hi, I fell a year ago at a dance competition, I went to a&e that night with left wrist and left foot pain. I was sent home with what they said were sprain and soft tissue damage but when I returned 5 weeks later in as much pain if not more they realized my foot was actually broken and NY wrist had a suspect scaphoid fracture.

doctor1 MD

Hi...i am having a scaphoid fracture in the left wrist from last 8 months and i wasn t aware of it until now. CT scan report states fracture scaphoid bone is seen in the region of its waist.tiny fracture fragments are seen adjacent to it. no significant callous and new bone formation is see. rest of the carpel bones are normal. impression:-non united fracture scaphoid bone MRI report states old fracture of scaphoid with displaced distal segment anteriorly.there is aprroximately 3.5mm step-off at the fracture site.mild marrow oedema is observed in the distal segment,appearing hyperintense on PDFS and hypointense on T1 W images.a few small scattered bony fragments are also seen.no degenerative changes are seen.small amount of fluid is observed in triscaphe joint.findings;-scaphoid nonunion (type II). i want to know if this fracture can be fixed 100% and by what method?

doctor1 MD

Had an xray on my (pretty weakened, repeatedly injured) scaphoid today and the doc told me there wa signs of calcification, along with a line which he couldn t distinguish as being an old or a new fracture. I am seeing a scaphoid specialist soon, but in the meantime just wondered if i could get a bit of an explanation in layman s terms, so to speak.

doctor1 MD

Scaphoid got fractured on 12th of XXXXXXX post which, underwent 3 weeks of plaster. Exercised as well but upon x-ray the results were a let down. It didn't get fixed. Revisited the doctor and he suggested a surgery to remove the fragmented bone....