A member asked:

Prednisone starting 40mg/day taper over 8 mo. sle. hip/knee pain severe past 2 months. hip pain totally new. pain chronic.possible avascular necrosis?

3 doctors weighed in across 3 answers

Yes: Yes, avascular necrosis is a possibility . An MRI would be the best study for an early diagnosis of avn.

Answered 9/28/2016

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Dr. Joram Seggev answered

Specializes in Internal Medicine - Allergy & Immunology

See rheumatologist: What you describe may have several causes. Avascular necrosis is definitely in the differential diagnosis. You are on "heavy duty" medication with Mycophenolate Mofetil (cellcept) and prednisone. Don't wait, go and see your rheumatologist.

Answered 6/30/2014

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Dr. David Fisher answered

Specializes in Orthopedic Surgery

Possibly: Hip pain from avn can be felt in the groin, thigh or knee. It may hurt at night or with activities. X-rays may or may not show evidence of the condition, while an MRI scan is very helpful in detecting the condition and extent of involvement of the bone. Treatment may include core decompression or hip replacement depending on extent of involvement.

Answered 6/10/2014

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