#Avascular Necrosis

[pitchcanker]

AVASCULAR NECROSIS

[willowreader]

This is a new Covid side effect I did not know about. If you have a sore hip after Covid this could be why.

[worms-i-think]

My bone died and now I can’t walk!

here’s the story of how my skeleton betrayed me and how people’s reactions have inspired my upcoming villain arc.

Since the beginning of the year I’ve had some trouble with my hip, which made walking painful and gradually more difficult. I assumed I’d pulled something, but when things didn’t improve, I went to a doctor. Multiple X-rays, an MRI, and a CT scan later, I was diagnosed with avascular necrosis (AVN; also called osteonecrosis). I don’t know why I, as a 19 yr old female, developed a rare condition usually found in middle aged men with a history of steroid use and alcoholism, but I’m being passed around doctors who are looking into procedures to lessen the damage. Basically there wasn’t enough blood getting to my bone and the tissue died, fracturing in the process. I’m on two crutches and can’t walk for more than a few steps without leaning on the wall or something.

One of the most significant things I’ve noticed outside of my body, though, is the way people treat me. I work for a small company, and customers new and old have all had something to say about a young woman having to use a crutch. (I use one at work so my other hand is free.) I’m not kidding when I say that the day after I started using them, a man came in and asked, “why’re they making you work if you’re a cripple?” and he laughed. You’d be surprised the number of people who’ve called me that. Most people assume I broke something doing sports. I get “what’s wrong with you?” on the regular, which is *such* a strange thing to ask someone! I tried responding with ‘I don’t know’ or ‘broke my hip’, which were true, but didn’t seem to satisfy people. If you joke and say ‘bear attack’ they demand the real story. Once I knew what it was I had, I simply told the really insistent customers that I have a bone disease. (People don’t like that either! One woman asked my full legal name so she could write a letter to her priest about me, then came back weeks later to tell my coworker she sobbed in her car because of me!)

Coworkers aren’t much better: my boss and another coworker, both women around their 60s, were looking at me and laughing, so I asked what was up. They said I should tell everyone I got injured having the roughest, craziest sex of my life. That I found a sex shop that sells the perfect handcuffs and I could recommend them to customers who asked. My response to that was just to stand there like 🩼🧍‍♀️.

So! Yeah! People should stop assuming that they’re close enough to strangers to joke about their conditions or grill them for information. No, I don’t know when I’ll be able to walk. No, I don’t know why I developed this problem. No, you can’t walk into the store and call me a cripple, you don’t know me, you’re not funny, my bones have literally degraded and you’re laughing about how I’m ‘hobbling around’?

(Nobody get me started on doctors. I have one really great one but I’m currently in a new hospital where a nurse explained that they may or may not have lost the file for my CT scan… Plus the RMV had no idea where my handicapped placard went and told me just to keep calling them until they had it.)

That’s all folks! I might have updates about walking or surgery eventually but that’s my story :’)

[ramblingandpie]

MRI is scheduled! 6:20 in the morning! And the follow-up with ortho at 2 PM! So that's a relief.

[gwyneirastorm]

I had my surgery today for my AVN and it was successful and quick. They removed all of the dead bone and the bone graft seems to have taken. We will find out for sure in a few weeks. Being outpatient was good too because I get to recover in my own home, sleep in my own bed, be with my husband and my son and my cats while I recover. Recovery is estimated to be about 6 weeks, which isn't bad at all.

In other news, my leg FUCKING HURTS.

Not just the incision or the area around it, but my whole leg. The pain radiates through my thigh, down to my knee, and then settles in my foot. I know its because they had to deal with the bone, and that effects everything. But that doesn't make it any easier. The Percocet the doctor wrote for me helps a little, enough to knock the edge off. The crutches are a total and complete pain to use, but I guess I will get used to them. I hate this part of recovery the most and I will be glad when its over. I just want to be able to take care of myself again.

[yashodahealthcarehospital]

A young patient diagnosed with avascular necrosis, had an amazing experience under the care of Senior Orthopedic Surgeon - Dr. Ajay Panwar (MS, MCh, FICS, FFAEM).

At Yashoda Hospital & Research Centre, Nehru Nagar, Ghaziabad, we treat such complex orthopedic cases on an everyday basis.

For appointments, call 9810922042, 0120-4182000.

Visit our website: www.yashodahealthcare.com.

[robotic-knee-replacement]

Preventing AVN Progression: Lifestyle Changes and Early Intervention Strategies

Introduction: Avascular necrosis (AVN), also known as osteonecrosis, is a condition characterized by the death of bone tissue due to a lack of blood supply. AVN can affect various joints in the body, including the hip, knee, shoulder, and ankle, leading to pain, limited mobility, and joint dysfunction. While AVN can progress over time if left untreated, lifestyle changes and early intervention strategies can help slow or halt its progression. This blog explores proactive measures individuals can take to prevent AVN progression and preserve joint health, with insights from Dr. Saurabh Giri, an esteemed orthopedic surgeon specializing in joint preservation and arthroscopic techniques.

Understanding AVN: Before delving into prevention strategies, it’s essential to understand the factors that contribute to AVN development. AVN can occur due to various causes, including trauma, steroid use, excessive alcohol consumption, joint disorders, and certain medical conditions. These factors disrupt the blood supply to the affected bone, leading to tissue death and eventual joint degeneration. Common symptoms of AVN include persistent joint pain, limited range of motion, swelling, and difficulty bearing weight on the affected joint.

Preventive Lifestyle Changes: Dr. Saurabh Giri emphasizes the importance of making positive lifestyle changes to prevent AVN progression and maintain joint health. Here are some lifestyle modifications individuals can consider:

Healthy Diet: Dr. Giri recommends a balanced diet rich in nutrients such as calcium, vitamin D, and antioxidants to support bone health and reduce the risk of AVN. Incorporating foods such as leafy greens, dairy products, fatty fish, and fortified cereals can help maintain bone density and strength.

Moderate Exercise: Engaging in regular, low-impact exercises such as walking, swimming, and cycling is encouraged by Dr. Giri to improve joint flexibility, strengthen surrounding muscles, and promote blood circulation to the affected joints. However, individuals should avoid high-impact activities that may exacerbate joint pain or strain.

Weight Management: Dr. Giri emphasizes the importance of maintaining a healthy weight to reduce stress on weight-bearing joints such as the hips, knees, and ankles. Excess weight can increase the risk of AVN progression and accelerate joint degeneration. Adopting a balanced diet and staying physically active can help achieve and maintain a healthy weight.

Avoidance of Risk Factors: Dr. Giri advises minimizing exposure to known risk factors for AVN, such as excessive alcohol consumption, steroid use, and traumatic injuries. Individuals should follow recommended guidelines for alcohol consumption and use caution when taking medications known to increase the risk of AVN.

Early Intervention Strategies: Dr. Saurabh Giri stresses the importance of early intervention in preventing AVN progression and preserving joint function. If individuals experience symptoms suggestive of AVN, prompt evaluation and treatment by a healthcare professional are essential. Early intervention strategies may include:

Diagnostic Imaging: Dr. Giri recommends imaging tests such as X-rays, magnetic resonance imaging (MRI), or bone scans to diagnose AVN and assess the extent of bone damage. Early detection allows for timely intervention and management to prevent further deterioration of the affected joint.

Conservative Treatments: In the early stages of AVN, Dr. Giri may recommend conservative treatments such as rest, activity modification, physical therapy, and pain management to alleviate symptoms and slow disease progression. Physical therapy can help improve joint mobility, strengthen surrounding muscles, and promote better biomechanics.

Medications: In some cases, Dr. Giri may prescribe medications such as bisphosphonates or anticoagulants to reduce bone loss and improve blood flow to the affected area. Nonsteroidal anti-inflammatory drugs (NSAIDs) or analgesics may also be used to manage pain and inflammation associated with AVN.

Surgical Options: In advanced cases of AVN where conservative treatments are ineffective, surgical intervention may be necessary to preserve joint function and prevent further damage. Dr. Giri specializes in a range of surgical options, including core decompression, bone grafting, osteotomy, or joint replacement surgery, depending on the severity and location of AVN.

Conclusion: Preventing AVN progression requires a comprehensive approach that includes lifestyle changes, early intervention, and targeted treatments. By adopting healthy lifestyle habits, avoiding known risk factors, and seeking timely medical attention from experts like Dr. Saurabh Giri, individuals can reduce the risk of AVN development or slow its progression. With proactive measures and early intervention strategies, individuals can preserve joint health, alleviate symptoms, and maintain an active lifestyle despite the challenges posed by AVN.

[regrowbiosciences]

Apart from these, hip pain may also be a result of dead bone tissues which is caused by lack of blood supply in the region leading to Avascular Necrosis or Osteonecrosis. Body weight adds to the pain, which can sometimes be very severe.

[drvishwajeetchavan]

[healthcareinformations]

Avascular Necrosis (AVN) stem cell treatment is an advanced regenerative therapy aimed at restoring blood flow and healing bone tissue affected by AVN, a condition in which bone cells die due to insufficient blood supply. In this treatment, stem cells—typically derived from the patient's own bone marrow or adipose (fat) tissue—are harvested and then injected into the necrotic bone area.

[shivayahospital685]

How to Choose the Right Ayurvedic Practitioner for Avascular Necrosis Treatment in India

Avascular necrosis (AVN), also known as osteonecrosis, is a condition where the blood flow to bones, usually the hip, gets disrupted, leading to the death of bone tissue. This condition can cause significant joint pain, disability, and loss of mobility. In India, the rich tradition of Ayurveda provides an alternative, holistic approach to managing AVN, focusing on natural treatments with minimal side effects. Ayurvedic medicine for avascular necrosis in India offers a promising route for those seeking long-term relief.

If you're considering Osteonecrosis Treatment in Ayurveda, selecting the right practitioner is critical to ensure you receive safe and effective care. Here’s a guide to help you choose the right Ayurvedic practitioner for AVN treatment.

1. Understand the Ayurvedic Approach to Avascular Necrosis

Before diving into selecting a practitioner, it's essential to understand how Ayurvedic treatment for joint pain works. Ayurveda focuses on balancing the body’s doshas (Vata, Pitta, and Kapha) to promote health and healing. For AVN, Ayurvedic practitioners recommend:

Herbal formulations that improve blood circulation and tissue regeneration.

Detoxification procedures like Panchakarma to remove toxins.

Dietary modifications to strengthen bones and promote healing.

Tailored physical therapies, including oil massages and yoga, to maintain joint flexibility.

In Ayurveda, every treatment is personalized. Knowing this framework will help you have more productive consultations and understand the course of your treatment.

2. Look for Qualified Practitioners

Ayurveda is a specialized field that requires rigorous training. When looking for a practitioner for Osteonecrosis Treatment in Ayurveda, ensure they are qualified. In India, Ayurvedic doctors typically hold a Bachelor of Ayurvedic Medicine and Surgery (BAMS) degree, which involves extensive study of traditional and modern medicine.

Additionally, look for practitioners with experience in treating bone and joint disorders. Shivaya Hospital, founded by Dr. Avinash Singh Chauhan, is an example of a facility that has gained credibility for offering effective Ayurvedic treatment for joint pain and other chronic conditions, ensuring that treatments are conducted under the supervision of seasoned experts.

Key Considerations:

Ensure the practitioner is registered with the Central Council of Indian Medicine (CCIM).

Verify the doctor's qualifications and experience in treating AVN specifically.

Ask about their experience with similar cases and success rates.

3. Assess the Practitioner’s Experience with Avascular Necrosis

Not all Ayurvedic doctors have experience treating AVN. Osteonecrosis is a complex condition that requires specialized knowledge of bone health, tissue regeneration, and vascular health. Practitioners who have dealt with AVN cases will be able to offer more effective treatment options and better anticipate complications.

You may also want to look for practitioners associated with well-known clinics or hospitals like Shivaya Hospital, where an integrated approach to treatment is emphasized.

Questions to Ask:

How many patients with avascular necrosis have you treated?

What results have your patients seen after treatment?

Do you offer personalized treatment plans based on the severity of the condition?

4. Explore the Treatment Protocols Offered

Ayurveda offers a broad range of treatments, from herbal medicine to detoxification therapies. A good practitioner will suggest a combination of treatments based on your specific condition. For AVN, ayurvedic medicine for avascular necrosis in India often includes herbs like Guggul, Ashwagandha, and Shallaki that promote bone health and reduce inflammation. Panchakarma therapies like Virechana and Basti may also be recommended for detoxification and rejuvenation.

Ensure the practitioner you choose offers a comprehensive treatment plan that includes:

Herbal Medications: Ayurvedic herbs play a significant role in managing AVN by improving circulation, reducing pain, and regenerating bone tissue.

Panchakarma Detoxification: Therapies like Abhyanga (oil massage) and Swedana (herbal steam therapy) to flush out toxins and improve joint mobility.

Dietary Recommendations: To support healing and strengthen bones, Ayurvedic practitioners recommend specific diets rich in calcium and other nutrients.

Yoga and Exercises: Specialized exercises to maintain joint flexibility and improve blood flow to the affected areas.

5. Check Patient Testimonials and Reviews

Patient testimonials and reviews can offer valuable insights into the effectiveness of an Ayurvedic practitioner. This information helps gauge the success rate, the quality of care, and the overall patient experience. Websites, social media, and word-of-mouth recommendations can be useful tools in finding reviews.

At Shivaya Hospital, for example, many patients have shared positive reviews, emphasizing their improvement after receiving Ayurvedic treatments for AVN and other joint disorders. Look for similar institutions with good reputations.

Red Flags:

Avoid practitioners with consistently negative reviews, vague treatment plans, or lack of transparency.

Watch out for exaggerated claims, such as guaranteeing a "100% cure," which may not be realistic for complex conditions like AVN.

6. Evaluate the Facility and Treatment Environment

Where you receive treatment matters as much as who treats you. Ayurveda involves personalized therapies, and a good facility should have the right infrastructure for these. For instance, clinics like Shivaya Hospital are designed to provide comfortable, hygienic, and well-equipped environments for Ayurvedic therapies.

When evaluating a facility:

Ensure it has a proper Panchakarma unit for detoxification therapies.

Check the availability of experienced therapists for massages, oil treatments, and other physical therapies.

Look for clinics that follow strict hygiene standards.

7. Consider Follow-Up Care and Monitoring

The healing process in Ayurveda can take time, especially for a condition like AVN. Follow-up care is essential to monitor your progress and adjust treatment as needed. The practitioner you choose should offer regular follow-up consultations to ensure that the treatment is effective and to address any issues that arise.

At Shivaya Hospital, for instance, patients receive continuous care and are monitored closely throughout their treatment. Ensure that your chosen practitioner offers a similar level of commitment to your long-term recovery.

Important Follow-Up Aspects:

Frequency of follow-up visits.

Adjustments to treatment plans based on progress.

Long-term lifestyle changes recommended by the practitioner.

8. Inquire About Cost and Treatment Duration

Ayurvedic treatments for AVN, while often less invasive than conventional treatments, can still be costly depending on the duration and complexity of the treatment plan. The cost of ayurvedic medicine for avascular necrosis in India varies widely, so it’s essential to ask about the treatment fees upfront. Some Ayurvedic clinics may offer package deals, which can help reduce costs.

Additionally, ask about the expected duration of treatment. AVN typically requires long-term care, and it’s important to have realistic expectations about how long the Ayurvedic treatment will take to show results.

Questions to Ask:

What are the treatment costs, and what’s included?

How long is the treatment plan expected to last?

Are there any additional costs for therapies, herbs, or follow-up consultations?

In conclusion, choosing the right Ayurvedic practitioner for Osteonecrosis Treatment in Ayurveda requires careful consideration of qualifications, experience, and treatment protocols. Institutions like Shivaya Hospital, founded by Dr. Avinash Singh Chauhan, embody the principles of authentic Ayurveda and focus on restoring health without side effects. When selecting your practitioner, ensure they have the necessary experience with AVN, offer comprehensive treatment plans, and provide ongoing care to ensure a successful recovery.

[ramblingandpie]

Got through to rheumatology this morning and the receptionist said she'd send my message to one of the less-swamped doctors. Still haven't gotten a call back.

A co-worker reminded me about the ortho-specific urgent care right near work, and I ended up going there because being in pain sucks. The PA I saw there was really nice, twisted my leg all around and confirmed that yeah something's Not Right in that hip joint, and he and the doctor agreed that regardless of what else could be going on from rheumatology perpective, an MRI was the next step, especially due to the risk of AVN. So. That got ordered.

Unfortunately it was too late in the day to get it today, but he put it in as an urgent order. Allegedly, I'll get a call in the morning when the imaging scheduling opens. I told them I'd go to any location tomorrow that had openings.

Fingers crossed that we can get this solved because pain sucks.

[gwyneirastorm]

So I'm four weeks post-op today and I have two more weeks until my last post-op appointment, where the doctor will hopefully toss my crutches and say, "You don't need these!"

What I'm not going to tell him is that I've been walking around my house without them for a week and a half now. I still use them out in public, but I don't need them at home. I dont have pain when I walk, I don't feel unsteady on my feet, I'm not doing any squatting or crawling...Im just walking around. Getting from one place to another without my crutches.

I just couldn't take them anymore. They were such a pain in the ass, more trouble than they were worth, and I needed to be able to take care of my kid and my house because my husband got three days in and decided it was all too much for him. So I stayed on them as long as I could and then I just set them aside so I could resume mom and wife duties. I know that's bad, but it is what it is. I told him from the beginning, for weeks before my surgery, that it was going to be very difficult and overwhelming, you need to prepare yourself for this, blah blah blah. Did he listen to me at all?

No.

I started dressing myself and helping myself around on day two because he started complaining about how taking care of both of us (me and the kid) was too much. By day three, I was slowly cleaning things up and hanging up laundry because he complained the house was too much to keep up. We lived in straight up filth for two weeks because he just wouldn't do certain things like run the vacuum or wipe down the counters or clean the shower.

And the shower--dont get me started on the shower. I wanted to at least shower every other day, but showering is cumbersome when you can only use one leg. I found a stool and rigged up a system where I sit the stool on a towel so it wouldn't slip, put another towel on top for me to sit on, and then I was good to go. I could even wash and clean myself once I got in the tub, but I needed his help to get in and out. You would have thought I was asking him to carry me on his back instead of use his arm to steady myself. After my third shower, I honestly didn't want his help anymore so I just took the risk and got myself in and out of the tub.

By the end of week two, my whole family (dad, mom, sister) had all contracted some kind of virus and were all horribly ill. The problem was that they were supposed to be helping me take care of the kid during the day while hubs was at work. So that Friday my dad called early to tell me they were all sick and we should stay away so we don't get the plague as well. I didn't feel comfortable at all staying home with my kid by myself so soon after my surgery and I was afraid I wouldn't be able to care for him. I asked my husband if he could just take the day off and use one of his PTO days. He said, "No. Figure something out if you need help." Then he walked out the door and just expected me to figure it all out.

So I finally got sick of it all--him not taking care of my house, not taking care of me, not taking care of my kid--and I put down the crutches and started walking by myself so I could handle my responsibilities again. I decided a few days ago that I would be bringing all of this up in marriage counseling after I had to listen to him brag to himself about what a great husband, father and homemaker he is. Which is, of course, HORSE SHIT.

Anyway, so my leg is sore from use, but its muscle pain and I think its because I didn't use it for two weeks. I really can get around pretty well on my own now. Im very impressed with how much better the surgery has made things overall. My mobility is much better and I have almost no pain. I had actually forgotten what that was like.

[yashodahealthcarehospital]

Avascular Necrosis | Hip Replacement | Dr. Ajay Panwar - Sr Orthopedic Surgeon | Yashoda Healthcare

A young patient diagnosed with avascular necrosis, had an amazing experience under the care of Senior Orthopedic Surgeon - Dr. Ajay Panwar (MS, MCh, FICS, FFAEM). At Yashoda Hospital & Research Centre, Nehru Nagar, Ghaziabad, we treat such complex orthopedic cases on an everyday basis.