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Doctor insights on: Alternative Treatments For Avascular Necrosis

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Dr. Charles Glueck
462 Doctors shared insights

Osteonecrosis (Definition)

-death of bone. This is due 2 loss of blood supply 2 a certain bone part. Common after some injuries such as fractured navicular in the wrist, dislocation of the hip. Some R due 2 drugs, especially steroids, also alcoholism, in these cases it's usually ...Read more


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Does chemotherapy cause avascular necrosis? Does having cancer treatments such as chemo or radiation increase my risk of avascular necrosis? .

Does chemotherapy cause avascular necrosis? Does having cancer treatments such as chemo or radiation increase my risk of avascular necrosis? .

Perhaps: Certain chemo and radiation can cause avn. Certain cancers and disease can as well. It is best to discuss this with your oncologist or internist. ...Read more

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Does chemotherapy cause avascular necrosis? Does having cancer treatments such as chemo or radiation increase my risk of avascular necrosis? . .

Possible: Certain therapeutics, although not chemotherapy, that are commonly used in cancer patients can be associated with avascular necrosis (avn). Examples of these agents include: zometa, xgeva (denosumab) and avstin that can be associated with osteonecrosis of the jaw. Dexamethasone and radiation therapy can also cause avn. ...Read more

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Is there a natural cure or any other alternative than prosthesis for avascular necrosis in hip. If no for how long would the prosthesis last. I'm 30?

Is there a natural cure or any other alternative than prosthesis for avascular necrosis in hip. If no for how long would the prosthesis last. I'm 30?

See details: There is no natural cure. In avn the blood supply to the head of the hip has been compromised to the extent that the bone has died and collapsed. If it reaches that stage replacing the femoral head is the only option. Early stage avn can be treated by non-weight bearing or core depression. The replacement should last 20+ years depending on your weight, activities, etc. ...Read more

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Is there any alternative for curing avascular necrosis (avn)?

Is there any alternative for curing avascular necrosis (avn)?

No: If avascular necrosis (avn) has occurred, then part of the bone is dead (necrosis) and there is no cure. There are many causes from lupus to sickle cell disease to corticosteroids to alcohol abuse. The key is to prevent further avn by addressing the cause: treatment of alcoholism, reducing load (obesity) on the damaged bone, reducing the need for steroids, etc. ...Read more

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Can you tell me about avascular necrosis?

AVN: AVN is caused by a lack of blood supply to the bone due to either traumatic or non-traumatic reasons. The bone then has death of its cells, which often leads to collapse of the affected bone. Better imaging modalities have increased the number of cases diagnosed in recent years. ...Read more

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What can be done about avascular necrosis?

What can be done about avascular necrosis?

Surgery: If caught early, an artificial blood vessel can be made for the hip, and probably other places. But this has to be done before xrays change, and require an early MRI to diagnose. If not caught early, replacement surgery is needed. ...Read more

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Can coffee cause avascular necrosis?

No: Although caffeine isn't good for bone density, regular consumption of coffee doesn't cause avascular necrosis. ...Read more

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What does avascular necrosis of lunate mean?

Lacks blood supply: For some reason, your lunate bone has lost its blood supply. See an orthopedic hand and wrist specialist for treatment. ...Read more

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How to plan exercise routine for avascular necrosis?

How to plan exercise routine for avascular necrosis?

Depends on location: Avascular necrosis can occur in a lot of locations. Exercise depends on pain tolerance and mechanics. You have to individualize the program depending on the location of the avascular necrosis. ...Read more

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Is there excercises you can to to help prevent the pain from avascular necrosis.?

Is there excercises you can to to help prevent the pain from avascular necrosis.?

AVN: Unfortunately, probably not. Pain from avn related to "dead bone" initially. In later stages, collapse of the bone with loss of normal shape, and ultimately progression to arthritis. ...Read more

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Why does steroids cause avascular necrosis?

Why does steroids cause avascular necrosis?

We are not sure: We are not sure but there is a linkage seen whether it may be more related ti the underlying problem for which the steroids are given as treatment in the first place. ...Read more

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What's a good treatment for someone with avascular necrosis?

Orthopedic evaluate: You need to be worked up for the cause! Lack of sufficient blood flow for the affected bone/ joint. ...Read more

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How common is avascular necrosis in Crohn's disease patients?

Not related to Crohn: Avascular necrosis is not associated with crohn's disease, it is associated with the corticosteroids used to treat it. ...Read more

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In which bones can you get avascular necrosis?

In which bones can you get avascular necrosis?

All of them: Virtually all bones can get avn (avascular necrosis). Usually avn occurs at the ends of bones, at the joint. ...Read more

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What is the cure for avascular necrosis of hips?

What is the cure for avascular necrosis of hips?

Joint replacement: Bisphosphonates (medications typically used for osteoporosis) can be used as a non-surgical approach, but most people need surgery. ...Read more

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What is the best treament for avascular necrosis of the knee?

Crutches.: If you have a new onset of avascular necrosis (AVN), going on crutches to take the weight off your leg, for 4-6 weeks, can often cure the condition. If that fails, there is a surgical procedure that can help. ...Read more

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Would MRI show if avascular necrosis was present or could it miss it?

Would MRI show if avascular necrosis was present or could it miss it?

Would not miss it!: Mri will pick up the earliest phases of avn, inclding subchondral marrow edema. There is no more sensitive test. ...Read more

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Is there a relation between avascular necrosis and multiple sclerosis?

Is there a relation between avascular necrosis and multiple sclerosis?

Yes, But...: Relapses due to multiple sclerosis need treatment, and most commonly we use high dose steroids or acth to reverse the process. In an occasional patient the steroids can cause adverse event, avascular necrosis of hip, shoulder, or knee. This can damage the joint profoundly, with need for joint replacement. Ms doesn't cause on its own. ...Read more

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What can I do to relieve pain from avascular necrosis in my right hip?

Depends on severity: Avn pain may be due to early disease, collapse of head, loose bodies or subchondral fractures. Pain relief arises from pathology specific treatment. For example, core decompression in early disease vs total hip replacement in advanced disease. ...Read more

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What are treatment options for avascular necrosis of the fibular sesamoid?

Excision: Removal of the bone is an option, although not ideal. Casting the foot for 1-2 months and limiting your weight-bearing is another option. Some insurances may pay for use of a bone stimulator, but if not, some bone stim companies can get one to you through a financial assistance program as they tend to be very expensive. A very unproven option would be to have a regenerative injection into the area ...Read more

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Why is the " corticosteroid administration " can cause " avascular necrosis"? * I need the mechanism how does the " corticosteroid" work.

Not Known: While it is generally agreed that the key problem in avn is compromised blood flow to the bone, the mechanism by which corticosteroid use contributes to avn is not known. It is important to remember that this is a rare and not a common problem in corticosteroid users. ...Read more

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Describe avascular necrosis of head of femur?

Describe avascular necrosis of head of femur?

The bone will be: Soft not hard bescuse the bone lost it is mineral.Avascular necrosis occurs when blood flow to a bone is interrupted. Loss of blood flow can result from joint injury, narrowed or clogged blood vessels (from fat or sickle cell anemia), or from excessive pressure inside the joint. ...Read more

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What's avascular necrosis of the femoral head?

Bone death: Avascular necrosis (also osteonecrosis, bone infarction, aseptic necrosis, ischemic bone necrosis, and (avn) is a disease where there is cellular death (necrosis) of bone components due to interruption of the blood supply. ...Read more

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How does prednisone cause avascular necrosis?

Still unknown: Even though there is this very well-established connection between chronic Prednisone use and avascular necrosis, how this occurs remains unclear.

Numerous hypotheses abound. Some argue that increased lipids seen with steroids cause vessels to joints to clog, leading to oxygen starvation & bone death. A more popular view is that vessel (venous) walls undergo thickening, leading to poor blood flow. ...Read more

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I've got avascular necrosis of hip. Today I fell on that hip. Could I've got fractured it?

I've got avascular necrosis of hip. Today I fell on that hip. Could I've got fractured it?

Unbelievable: Why would you ask a doctor who cannot examine the hip? If you have significant pain then go to the ER and have an exam and x ray. ...Read more

Dr. Pietro Seni
221 Doctors shared insights

Avascular Necrosis (Definition)

Also known as osteonecrosis, it is the death of bone from interruption of blood supply. This can result in tiny bone fractures and eventual destruction ...Read more


Necrosis (Definition)

Necrosis is the the death of cells and tissue. In dentistry, root canals are often needed when the pulp tissue inside a ...Read more