HomeAnswersOrthopedician and Traumatologyavascular necrosis (AVN)

Can I follow physiotherapy to cure AVS?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's 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 am 35 years old.

Answered by Dr. Anuj Gupta

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

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 is not limited. The pain is because of raised pressure inside bone and since the shape of the head is maintained, so the range of motion is good. So in this case, core decompression helps in reducing the pressure and in turn pain. But, this surgery does not stop or slow the progression of the disease. In the later stages when the shape of the head is deformed and there is pain and hence the quality of life is severely affecting, then the only option left will be the hip replacement. I would be able to help you more in the decision if you could tell me what are your symptoms and what all you feel you are not able to do in your daily life.

Answered by Dr. Anuj Gupta
Medically reviewed by iCliniq medical review team
Published At October 29, 2018
Reviewed At January 9, 2024

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Listen to related tracks in our music library
Comprehensive Second Opinion

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.