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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should i get complete recovery from avascular necrosis?

I am a 37 year old male. I was recently diagnosed with avascular necrosis in at least one shoulder. I have no insurance so I only done the MRI on the left shoulder. My right shoulder has begun to have the same symptoms. My DR. has me taking anti-inflamatories and a blood thiner. He also wrote me out of work for six weeks to rest the joints. I have lost a lot of mobility in my left arm. I drive a flat bed tractor trailer and my work can be physically demanding while strapping and tarping my loads with tarps that weigh 130 lbs. My questions are will I fully recover and will I be able to return to my current job or will I need to find lighter work? Thanks in advance. Shane
Mon, 10 Jun 2019
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Orthopaedic Surgeon 's  Response
Hi,

There is very less chance that avascular necrosis will heal completely.

In my opinion, continue physiotherapy, anti-inflammatory medicine when pain is unbearable. The only treatment is total arthroplasty of your shoulder joint. However, it is also not advisable to get arthroplasty at this young age.

So in my opinion, continue as long as possible and in the future go for arthroplasty.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Jaideep Gaver, Orthopaedic Surgeon
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Should i get complete recovery from avascular necrosis?

Hi, There is very less chance that avascular necrosis will heal completely. In my opinion, continue physiotherapy, anti-inflammatory medicine when pain is unbearable. The only treatment is total arthroplasty of your shoulder joint. However, it is also not advisable to get arthroplasty at this young age. So in my opinion, continue as long as possible and in the future go for arthroplasty. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopaedic Surgeon