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Doctor insights on: Core Decompression Avascular Necrosis

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How do you treat avascular necrosis?

How do you treat avascular necrosis?

Surgery, meds: The most common solution is joint replacement surgery, but bisphosphonate medications can be used first to try to slow the progression of bone death. ...Read more

Dr. Pietro Seni
215 doctors shared insights

Avascular Necrosis (Definition)

Also known as osteonecrosis, avascular necrosis is the death of bone from interruption of blood supply. This can result in tiny bone fractures and eventual destruction of the entire bone. It can be caused by trauma, blockage of circulation with lipids in the blood, certain diseases like sickle cell disease, Gaucher, and occasionally after exposure to corticosteroids. Sometimes, there ...Read more


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What should I do about avascular necrosis?

What should I do about avascular necrosis?

AVN: More information needed. In some bones (humeral + femoral head) if diagnosed before collapse and arthritis begins, there may be some value to core decompression. Some centers have shown decreased progression of collapse with free vascular fibula grafting (hip). No consensus regarding treatment before collapse. Once collapse occurs, some sort of resurfacing/replacement required to manage pain. ...Read more

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How can I know if I have avascular necrosis?

How can I  know if I have avascular necrosis?

See an ortho: I would see an ortho and get examined if necessary, you will likely undergo an xray and may need an MRI to make the diagnosis of avascular necrosis. ...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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What are the risks of getting avascular necrosis?

Not enough info: The risk really depend if you have a disease or take meds that predispose to the disease or have fractured a hip or are a diver for instance. If you do not take prednisone, do not drink alcohol to excess and have none of the diseases or injuries or activities associated with higher risk then your risk is virtually zero. ...Read more

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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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Dr. Charles Glueck
455 doctors shared insights

Osteonecrosis (Definition)

Osteonecrosis is a condition in which part of a person's bone dies due to lack of blood flow to the area. The hip and shoulder are more likely to be affected, but osteonecrosis can also involve the knee, elbow, wrist, or ankle. Trauma to the bone can cause osteonecrosis, often there ...Read more


Decompression (Definition)

Decompression (surgery), a procedure used to treat spinal stenosis (in spinal decompression), carotid artery stenosis or any condition where a ...Read more