Male | 23
avascular necrosis stage 3 treatment?
My brother is 23 years old and he suffered from covid before 9 months and he had pain in hip joint and legs so we did mri and the reports said AVN in hip joint 2-3 stage so they suggested surgery to drill in bone to start the blood flow as before . I want to know the percentage of success and how operation will take place
Orthopedist
Answered on 3rd July '24
Hello sir, stage 2 needs drilling operation but stage 3 won't help with drilling . It needs replacement. Drilling has about 60 percent sucess rate and replacement more than 99 percent
2 people found this helpful
Orthopaedic Surgery
Answered on 23rd May '24
Core decompression is a common procedure done for AVN hip. It can be tried upto Stage 2A. There is nothing wrong in trying core decompression with BMAC. Success rate is pretty decent. If it fails we can always do a Total Hip Replacement any time.
Current Total Hip Replacement prosthesis have a good longevity. So can keep it as a stable back up option.
Dr Rufus Vasanth Raj
41 people found this helpful
Orthopaedic Surgery
Answered on 23rd May '24
He definitely requires surgery. Stage 2 is still managed with core decompression and bone grafting. And 3 can either be delayed if painless or proceed ahead with Total hip replacement to avoid multiple surgeries.
89 people found this helpful
Orthopaedic Surgery
Answered on 23rd May '24
We are doing some thing new,,, it's called BMAC , stem cell injection in diseased part of the hip joint. It has huge success rate. Our advice is to try it before any joint replacement is thought of
21 people found this helpful
Orthopaedic Surgery
Answered on 23rd May '24
management of AVN hip depends on many factors like stage of AVN, age of Pt , activity demand, medical comorbidity, weight of patient etc. He needs core decompression which is very simple procedure. n if no improvement even after 1 Yr or so. or if disease advances he may need THR.
42 people found this helpful
Physiotherapist
Answered on 23rd May '24
Greetings from Rid of Pain Physiotherapymy first advice is don't go for surgery at first. go for Physiotherapy, get some best results.Because after surgery also u need physiotherapy. better u try it on priority basis. u will get result definitely, but if don't get then choose surgical maneuver only
29 people found this helpful
Orthopaedic Surgery
Answered on 23rd May '24
Your Brother is young in early 20s. Core decompression can be done in stage 2. chances of success depending on involvement of Femoral head and collapse. but I would suggest go ahead with core decompression.
71 people found this helpful
Trauma Surgeon
Answered on 23rd May '24
At stage 2-3 in young individuals, it is possible to save to original hip joint with the said procedure. percentage of success varies from patient to patient. certain procedures done along with drilling are known to increase the chances of success
feel free to contact for more infoDr Utsav Agrawalorthopaedic and joint replacement surgeon7447799000
70 people found this helpful
Physical Medicine And Rehabilitation Specialist For Stroke
Answered on 23rd May '24
he is very young to get the joint replacement surgery so I would suggest to go with the Physiotherapy treatment to strengthen his hip joint muscles in course strengthening exercises to maintain the muscle strength and to relieve the stress from the bone
29 people found this helpful
Acupuncturist
Answered on 23rd May '24
Acupuncture distal and local points along with Moxibustion and electro stimulation would help a patient dealing with AVN hip pain. Acupuncture helps in increasing the immunity and helps in reducing the after- effect covid symptoms.
Electro acupuncture can also help in increasing the blood flow.
When the needles are inserted in the body, our body releases natural chemicals to fight the illness or symptom. Hence AVN can be treated with acupuncture combined with medical aid to control severe pain in the hip joint.
Acupuncture is a boon in AVN to boost up the response and reduce the recovery time taken by patients. It helps in increasing the increases the overall positivity of the patient as the acupuncture sessions advances patients start feeling better and their overall condition improves to a large extent.
32 people found this helpful
Questions & Answers on "Orthopedic" (1135)
My back left side and hand one side like tumor
Male | 28
A lump on the back and hand could be related to various musculoskeletal or soft tissue issues. Talk to a doctor to assess your symptoms. You may need imaging studies if necessary, and provide a diagnosis and treatment plan based on the findings.
Answered on 23rd May '24
Dr. Pramod Bhor
I feel pain chest pain while breathing out when move head downward
Male | 21
When breathing out or moving your head down, you experience chest discomfort. This issue stems from muscle strain between ribs or in the chest wall area. Occasionally, rib joint inflammation can cause this sensation. To alleviate symptoms, rest is recommended, along with warm compresses on the affected area and over-the-counter pain relievers. However, if the condition persists, consulting an orthopedist may be advisable.
Answered on 6th Aug '24
Dr. Deep Chakraborty
What is the treatment for facet arthropathy?
Facet arthropathy is a degenerative condition of the spine. The treatment in the initial stages consist of medicines and Physiotherapy. If associated disc prolapse or any Listhesis , surgery may be required.
Answered on 23rd May '24
Dr. Saksham Mittal
Hi, about one month ago i was doing yoga and while doing Surya namaskar my left leg knee got twisted little badly i went to the nearest dispensary. They prescribed some medicine and didn't say much. I also applied some oil for pain relief and used crap bandage. It felt fine after 7-8 days. Now recently i went for trekking and there my same leg slipped now I'm having little discomfort in knee so should I go to doctor and do some x-ray or it will be fine.
Female | 26
I'm not a doctor, but if you experienced a knee injury that still causes discomfort after a month, it might be a good idea to seek medical attention. It's possible that the initial injury did not fully heal, and the recent slip during trekking may have exacerbated the problem. You should consider seeing an orthopedic doctor or an orthopedic specialist.
Answered on 23rd May '24
Dr. Pramod Bhor
How to relieve achilles tendon pain?
Other | 40
Answered on 23rd May '24
Dr. Hanisha Ramchandani
Why is that my waist right side is paining me that I even find it difficult to walk and I can't even stand straight but when I touch my waist I can't feel any pain but I'm rather feeling It inside me making it difficult for me to walk and I can't even stand straight
Male | 20
You may be having muscle pain on your right side. This can happen when you use your muscles too much or twist them in that part of your body. Even though it's not painful to the touch, the discomfort in your body is causing you to walk awkwardly and to stand upright. Resting, applying ice, and gentle stretching will help lessen the pain. If it doesn't improve, it's best to get the advice of a orthopedist.
Answered on 18th June '24
Dr. Pramod Bhor
Had left body pain from shoulder to toe
Male | 22
Having pain from shoulder down to toe seems uncomfortable. A pinched nerve may cause this pain. A nerve gets pressed or squeezed, thus leading to this issue. Move gently, avoid activities increasing pain. If pain persists, visit an orthopedist for proper advice and treatment.
Answered on 8th Nov '24
Dr. Deep Chakraborty
For a couple of months I've had a sore right leg. Now the pain had progressed and it's making me limp. It's painful at the end of my working day when I walk home. I'm a teacher and I stand and walk a lot.. I think it's my hip. I don't have pain when I'm sitting or lying down.
Female | 73
This is a typical symptom of problems with the hip. Standing or walking for long periods can strain the joint of the hip. You should take short breaks to rest the leg during your workday. Be certain to make an appointment with an orthopedistl who can provide an accurate diagnosis and create a treatment plan for you.
Answered on 23rd May '24
Dr. Pramod Bhor
Hello doctor ji mujhe kal se bohot bukhar hay or sathmein mera right leg achanak se bohot zyada full raha hay kya ap muje bata sakte hay ki kiun aisa ho raha hay
Male | 21
A high fever and a sudden swelling in your right leg could be an infection. There are numerous causes of infections such as germs entering your body. It is of course important to take a break, drink fluids, and then use the cold pack on the swollen area. A consultation with an orthopedist allows proper treatment and determining the cause of the disease.
Answered on 1st Aug '24
Dr. Deep Chakraborty
I have pain in the inside of my legs for a week and a half and it hurts whenever I put pressure on it.
Female | 14
If you're experiencing pain on the inside of your legs that worsens with pressure, it could be due to muscle strain, adductor tendinitis, groin hernia, or nerve impingement. It would be best to consult with a healthcare professional for an evaluation, diagnosis, and appropriate treatment.
Answered on 23rd May '24
Dr. Pramod Bhor
What if you have shoulder imbalance
Male | 21
It's not possible to say anything without examining. An orthopedic can evaluate your shoulder condition, diagnose any underlying problems, and recommend appropriate treatment options.
Answered on 23rd May '24
Dr. Pramod Bhor
I am 20 year grand daughter who is taking care of my 70+age grandmother who has ankle fracture a month ago.We are not allowed to have surgery because operation won't be success.She has tight bandage in first week,after 15 days.What is the best steps to be taken now?And the second question is I am helping her with bedpan for excretion.But at night, She expects to use bedpan.But I suggest adult tape briefs.What should I use at night?
Female | 70
- Older individuals are more prone to falls and fractures. The incidence of ankle fractures in older patients is high and severe in some cases. The treatment is difficult and complicated in nature due to presence of comorbidities such as diabetes, obesity, hypertension and poor bone quality.
- Treatment goals include: Stability of the joint, ability of the patient to perform daily activities independently and minimizing complications associated with fracture and other comorbid conditions.
RICE is a part of the Non-operative management of ankle fracture in older patients which includes:
R: The importance of rest cannot be overstated. In order for the fracture to heal faster limit yourself from further pressure on the foot.
A cast will most likely be worn to keep the foot and ankle immobile. In case of severe soft tissue swelling, a cast may be required for the first three to five days. The brace must be worn for six weeks in order to allow the fracture to heal. Cast fixation with off-loading is advised for poor bone quality depending on the radiography report.
Ice: For reducing the swelling and inflammation, apply ice to the region for 20 minutes at a time.
And continue further for every 40 minutes.
Compression: Wrapping the area in a bandage helps to reduce swelling.
Elevation: To assist reduce inflammation, lift your foot and ankle slightly above the level of your heart.
Answered on 23rd May '24
Dr. Sayalee Karve
Sir/madam I am a student,my problem is my little finger joint dislocated it's nearly 20 days ago surgery was done successfully,but my finger is not folding
Male | 19
Your finger is likely struggling to bend properly after the surgery to fix its dislocated state. This issue arises due to swelling or stiffness, which can occur sometimes. To enhance its bending ability, gently move it and follow the exercises suggested by your physical therapist diligently. These exercises aim to strengthen your finger and boost its flexibility gradually.
Answered on 23rd May '24
Dr. Pramod Bhor
I’m suffering from a severe cold with a headache and particularly intense pain in the back of my neck. It’s causing me trouble when bending, getting up, and even eating. Could you recommend some medication for me? I took LCZ 5mg this morning, but it hasn’t provided relief.Also I have slight cough and a sensation in my nose.
Male | 39
Your symptoms suggest sinusitis. Inflamed sinuses cause headaches, neck pain, coughs, congestion, runny noses. Over-the-counter ibuprofen reduces pain, inflammation. Drinking fluids, using humidifiers eases discomfort. However, if symptoms persist or worsen, see a doctor promptly.
Answered on 13th Aug '24
Dr. Deep Chakraborty
I was suffering from lower back pain. X-ray report says Osteoporosis with visualized endplate sclerosis. Please suggest.
Male | 28
I am sorry to say this, but the information provided is not sufficient, with X-ray it is difficult to diagnose osteoporosis.
Please provide detailed history for further diagnosis. You can reach out to me or any doctor from the following page - Rheumatologists in India.
Answered on 23rd May '24
Dr. Rishabh Nanavati
How do i strengthen my back after a compression fracture
First step would be pain management , the target points and local points, electro stimulation therapy would help to increase blood flow in the body and help quick repair of the disc fracture, moxibustion ( passing heat in the body) through specific points, diet tips to strengthen back would be recommended, Some exercises will also be given to patient. Everything mentioned above is tried and tested with excellent response in patients.
Answered on 23rd May '24
Dr. Hanisha Ramchandani
I fractured my humorous up next to my shoulder and now my wrist and hand are swollen and badly bruised. My concern to s blood poisoning
Male | 63
You might be seeking information on sepsis, which is also known as blood poisoning. The issue of swelling and contusions is not only at the site of the fracture but may also occur in the forearm and hand. Although it may be alarming, it's usually not a symptom of blood poisoning. In case your health condition is deteriorating and you're fighting such symptoms as fever, tachycardia, and disorientation, you should not waste time seeking a medical consultation. Please also remember to keep your arm above the level of your heart and put the ice on the place to keep the swelling down.
Answered on 18th June '24
Dr. Deep Chakraborty
Sir meri age 26 years hai I have shoulder pain neck pain and back pain. Sir ye problems 7 to 8 years se ho rhi h. Eske liye mai altrasound and MRI jach bhi karwaya likin sb normal hi dikha hai Dard kuchh jyada kam karne se suru ho jata hai phir kuchh Dino tk jyada tej dard rhta hai phir dhire dhire automatic thik ho jata h
Female | 26
Answered on 23rd May '24
Dr. Hanisha Ramchandani
I had a sharp pain when I woke up and I want to know if I should go into the office for it
Female | 23
Waking with discomfort can seem worrisome, yet common causes exist. It might've been from an awkward sleeping position or strained muscles. Try gentle stretching exercises or a warm shower for relief. However, if pain persists or intensifies, then seeking medical attention from an orthopedist would be prudent.
Answered on 16th Aug '24
Dr. Deep Chakraborty
How i cured my crohn's disease
In Acupuncture, emphasis has always been on first balancing the body points, crohn's disease which is inflammatory bowel disease, there are anti inflammatory points, digestion improving points, diet tips, acupressure points on specific points in the body which helps to give quick relief and promising and positive response from the patient.
Answered on 23rd May '24
Dr. Hanisha Ramchandani
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