Recently Answered Questions
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Can AVN be treated without hip replacement for me?
Query: Hello doctor, I am a 31-year-old. I have AVN stage 3 in right hip and stage 2 in the left hip. This is due to the use of steroids. I have done this MRI before two months. Many doctors told me to go for total hip replacement. Today I had an X-ray, and the doctor told me no collapse is done yet and s... Read Full »
Answer: Hello, Welcome to icliniq.com. The decision to treat conservatively or surgically depends on clinical symptoms. You have not mentioned anything about your symptoms. How much pain do you have? Is it bearable or unbearable? How much distance are you able to walk without pain? Are you ready to perfor... Read Full »
Will my previous core decompression surgery cause AVN?
Query: Hello doctor, I was diagnosed with minimal change disease before a few months and started on Prednisone. I was into remission within a week but the disease relapsed while on the full dose. Cyclosporine was added and steroids were tapered to 0 within six months. Recently, last month I had an injury d... Read Full »
Answer: Hello, Welcome to icliniq.com. AVN (avascular necrosis) of the hip is usually due to a number of causes. Prolonged steroid intake is one of them. The treatment of AVN hips ranges from rest, core decompression and eventually hip replacement. Since you have had stage 1 and 2 in your respective hips,... Read Full »
Can you reverse avascular necrosis?
Query: Hi doctor, I have had pain in my thighs, hip joints, and legs for more than a year. Reports indicate avascular necrosis stage 3. The doctor has recommended me a hip replacement. I am really scared of this. Because I did a lot of research on the internet about this. I got to know a lot of restrictio... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for using this platform. From the information you provided, it seems like you have stage 3 avascular necrosis (AVN). While there are numerous causes for AVN and often there is no identifiable cause, the prognosis is not very favorable once you reach stage 3. T... Read Full »
What drugs can help in healing avascular necrosis?
Query: Hello doctor, I am a 24-year-old male and I have pain in hip joints for more than three months. Reports indicate avascular necrosis stage 2. Pain is mostly in the right hip joint. Pain will appear only when I put extra stress on muscles. The doctor has recommended me core decompression and he cannot... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the attachments (attachment removed to protect patient identity). You have avascular necrosis of the femoral head. Most surgeons will ask you to get operated on for a core decompression or total hip replacement for this but studies have shown that... Read Full »
Is it advisable to cure AVS with physiotherapy?
Query: Hi doctor,I am suffering from AVS for the last two months and have been suggested to undergo core decompression. But according to some physiotherapist, by seeing my MRI, it can be treated using some exercises as my femoral shape has not changed or collapsed. I cannot understand what should I do. I a... Read Full »
Answer: Hi, Welcome to icliniq.com. Avascular necrosis is an irreversible disease. Once the process has started, it cannot be reverted. The rate of progress depends on person to person. The treatment depends on symptoms and quality of life. Initially, the patient experiences only pain and range of motion ... Read Full »
Can exercise help to overcome the pain caused by avascular necrosis of the femoral head?
Query: Hello doctor,I am 28 years old and I was diagnosed with stage 2 avascular necrosis of the femoral head. I do not feel any pain. The bone scan is also negative. Is something going wrong? The first diagnosis was done three and a half months ago. I walked with crutches for one month and now my doctor t... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I understand your concern. Avascular necrosis in the femur head is a common side effect of prolonged steroid therapy. It has four stages based on the extent to which the femoral head is affected. Treatment is according to the stage, in late stages surgery (joint repl... Read Full »
Query: Hello doctor, My 6-year-old daughter has sickle cell disease and has recently been diagnosed with avascular necrosis of the femoral head. She experiences moderate pain when weight is applied to her leg. She has followed the recommended two-month bed rest. There is noticeable muscle atrophy in her ri... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understood your concern. Based on the information you provided, it seems to be avascular necrosis (AVN) of the femoral head, where blood flow to the bone is compromised. The treatment options can vary depending on the severity of the condition, th... Read Full »