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Doctor insights on: Avascular Necrosis Of The Hip In Children

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Dr. Thomas Deberardino Dr. Deberardino
Orthopedic Surgery
28 years in practice
New York Medical College
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What is avascular necrosis of the hip?

What is avascular necrosis of the hip?

Hip joint breakdown: Avascular necrosis represents a spectrum of issues that advance from mild hip pain early in the process and heads toward varying degrees of femoral head collapse and severe pain with limited function. Speak to your orthopaedic surgeon if you are having progressive hip pain to see if imaging with X-rays or an MRI is indicated

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Dr. Charles Glueck
461 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


Dr. Alan Ettinger Dr. Ettinger
Podiatry
45 years in practice
Temple University School of Medicine
2
Dr. Ahmad M Hadied Dr. Hadied
Orthopedic Surgery
45 years in practice
University of Damascus Faculty of Medicine
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What are the signs/symptoms of avascular necrosis of the hip?

What are the signs/symptoms of avascular necrosis of the hip?

Pain pain limpping: Many people have no symptoms in the early stages of avascular necrosis of bone. As the disease worsens, your affected joint may hurt only when you put weight on it. Eventually, the joint may hurt even when you're lying down. Pain can be mild or severe and usually develops gradually. Pain associated with avascular necrosis of the hip may be focused in the groin, thigh or buttock.

Dr. Luis Villaplana Dr. Villaplana
Internal Medicine
31 years in practice
Ponce School of Medicine
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What are the common signs or symptoms of avascular necrosis of the hip?

Pain and: Significant limitation of motion that won't go away even with meds.

Dr. Bertrand Kaper Dr. Kaper
Orthopedic Surgery - Reconstruction
25 years in practice
Northwestern University Feinberg School of Medicine
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What happens to people who get avascular necrosis of the hip (also called osteonecrosis)?

What happens to people who get avascular necrosis of the hip (also called osteonecrosis)?

Depends on severity: Avascular necrosis is also known as avn or osteonecrosis- a condition in which the blood supply to the hip ball (the femoral head) is compromised. There are different staging systems for avn- designed to identify the severity of the disease, and thereby help with treatment recommendations. Treatment ranges from observation to a "core decompression" procedure to hip replacement.

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Dr. Barry Waldman Dr. Waldman
Orthopedic Surgery - Reconstruction
25 years in practice
Johns Hopkins University School of Medicine
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Dr. Alfred Kim Dr. Kim
Internal Medicine - Rheumatology
12 years in practice
Drexel University College of Medicine
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What is the best pain relief medication for someone with avascular necrosis of the hip bones?

What is the best pain relief medication for someone with avascular necrosis of the hip bones?

Whatever works: That was a terse answer, but that is the truth. Everything from over the counter meds to narcotics need to be used, but most people will eventually need narcotics due to the intense pain. Bisphosphonates are used to slow the damage, but does not alleviate the pain. Surgery is the definitive solution.

Dr. Steven Sheskier Dr. Sheskier
Orthopedic Surgery - Foot & Ankle
35 years in practice
Baylor College of Medicine
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Dr. Thomas Namey Dr. Namey
Internal Medicine - Rheumatology
44 years in practice
Washington University School of Medicine
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Can brown recluse spider venom cause avascular necrosis of the hip the bite was 5 inches above the knee the hip pain began 1 month after spider bite?

Can brown recluse spider venom cause avascular necrosis of the hip the bite was 5 inches above the knee the hip pain began 1 month after spider bite?

Not likely!: There are no associated reports of this linkage. Both are not uncommon and coincidently may occur together. Avascular necrosis is a severe form of arthritis of the hip caused by disruption of the blood supply to the cartilage on top of the hip. Ultimately leading to hip replacement. Stop gap procedures are in my opinion, ineffectual.

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Dr. Mark Weston Dr. Weston
Orthopedic Surgery - Spine
27 years in practice
University of Nebraska College of Medicine
10

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Is a paralabral tear in the hip a sign of avascular necrosis?

Is a paralabral tear in the hip a sign of avascular necrosis?

No different dx.: Labral years are a cartilage tear in hip avn is ischemic death of ballof hip with collapse.

Dr. Joe Wilkinson Dr. Wilkinson
Orthopedic Surgery
40 years in practice
University of Texas Medical Branch School of Medicine
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Is there any physical activities I can do if I have avascular necrosis of my hips?

Non-impact: Type and degree of exercise depends on the stage of avn. Usually light exercise (range of motion) in the water and light water aerobics are ok.

Dr. Alfred Kim Dr. Kim
Internal Medicine - Rheumatology
12 years in practice
Drexel University College of Medicine
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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.

Nicole Bressler Dr. Bressler
Emergency Medicine
5 years in practice
Lake Erie College of Osteopathic Medicine
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What is avascular necrosis of hip and knee?

What is avascular necrosis of hip and knee?

Bone Destruction: Avascular necrosis means there is no blood getting to a particular body part. Our body parts need blood to survive, including bones (bones are living tissue). Necrosis refers to the dying of cells that make up that body part. Avascular necrosis of the hip & knee means there is no blood getting to them & they are being destroyed.

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Dr. Kirt Kimball Dr. Kimball
Orthopedic Surgery
43 years in practice
UCLA School of Medicine
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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.

Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
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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.

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Dr. Paul Williams Dr. Williams
Family Medicine
31 years in practice
Philadelphia College of Osteopathic Medicine
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I just had left hip replaced april 2 for avascular necrosis my dr. Said my right is bad. How long should I wait till my right hip is replaced?

Hip replacement: I don't think there is a "right" answer - depends on your level of pain. You might want to wait until your other hip heals. Discuss this with your surgeon.

Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
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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.

Dr. Ricardo Borrego Dr. Borrego
Anesthesiology
years in practice
Emilio Aguinaldo College of Medicine AKA De La Salle University College of Medicine
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I have avascular necrosis in my right hip, can it cause lower right back pain?

Yes: Problems with hip pain may eventually cause issues with your back due to how the body tries to adjust to pain by favoring the non painful joint leading to misalignment of your back.

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Dr. Parthiban Munnainathan Dr. Munnainathan
Family Medicine
4 years in practice
St. George's University School of Medicine
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What level of pain associated with severe hip osteoarthritis rel to severe avascular necrosis resulting in progressive bilateral hip deformities.

Talk to a dr: Hi, Thank you for your question. I would love to discuss this in more detail with you. Please contact me if you would like to tackle your problems one on one. Either way hope you feel better. Dr. M

Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
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I have been told I avascular necrosis bilaterally in hips had both hips replaced still have pain only a little better. Still have pain shooting pain?

Speak with ortho: If this is the case, one has to lead for other causes of your pain, especially if the pain is in both hip areas. You need to speak with your orthopedist.

Dr. Pietro Seni
220 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