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 »
How to treat slipped capital femoral epiphysis?
Query: Hello doctor,Avascular necrosis was caused by a slipped capital femoral epiphysis of the left hip in my 12-year-old girl. What is the treatment apart from a hip replacement? I need help. My daughter is in the middle of a bridge. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. 1. AVN (avascular necrosis) in pediatric patients requires injection of Zoledronic acid (single dose per year for three years) in specific doses, which are lower than adult doses depending upon the weight of the child. ... Read Full »
What are the alternative treatments for femoral neck fracture?
Query: Hi doctor, My mother is suffering from a left femoral neck fracture. Is there any other treatment other than surgery? Please suggest. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). The age of the patient is 72 years. At this age and with this fracture, there is more harm in not doing surgery as compared to doing surgery. Such patients can develop respiratory diffi... 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 »
Query: Hello doctor, I have had bad results from hip replacement surgery. My pelvic bone was destroyed so there is no joint on the right side. The right knee and calf starting to rotate to the east. Could you advise on the type of bed as the one I have is breaking down on the inside(interior spring)? P... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and I am sorry to hear about your troubles. It can be a tough thing to manage. Regarding the query about your bed, there are many types and brands available, all touting their own benefits. Also, I cannot recommend you anything specific as I hav... Read Full »
I need a hip replacement but I fear anesthesia. Please help.
Query: Hello doctor,I am 60 years old and need a hip replacement. I am healthy, no diabetes, no heart problems. My sister had a horrible anesthesia awareness incident a few years ago, and now I am terrified to have my surgery because of any risk of being paralyzed but awake. What can I do to make sure I am... Read Full »
Dr. Kiran Kumar Kolla Gopalkrishna
Answer: Hello, Welcome to icliniq.com. I suggest you opt for regional anesthesia by a spinal and epidural anesthetic. They will give an injection between your spine, and this will make your legs numb and any sensation below the navel you will not be feeling. After the surgery numbness will go and all the ... Read Full »
What causes hip pain and stiffness in older women?
Query: Hi doctor, My 72-year-old mother had surgery on her right hip four months ago. I have enclosed the x-ray taken after surgery. The right hip is fine now. However, there is stiffness and pain in the left hip and also difficulty in walking. Kindly have a look at the x-ray and let me know the problem w... Read Full »
Answer: Hi, Welcome to icliniq.com. I am sorry to hear about your mother's problem, and I hope to help you. I have seen the x-ray (attachments removed to protect the patient’s identity), and there appears to be arthritis of the left hip, and it will need replacement of the hip joint as this is the best ... Read Full »
Is it necessary to get hip replacement to correct leg discrepancy?
Query: Hello doctor,Got surgery done for a "fracture neck of the femur" five years back. Now living life with a 1-inch leg length discrepancy. Highly demotivated. Hip replacement is suggested by surgeons but not now, as I am 30 years old. As per them, revision surgery is required after 15 years or so. My q... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand that limb lengthening can be of concern but you can ealisy wear a heel raise on the normal side of just 1.5 cms (not totally correcte to 1.5 inches, it should always be undercorrected by 1 cm), limping depends upon you abductor hip muscle strength- so y... Read Full »
Can total hip replacement surgery be delayed in my case?
Query: Hello doctor,I am a 38-year-old male having pain in the hip and severe leg pain from calves to ankle, tingling, pins, and needles in both feet, and stiffness in my thighs. Please find all the reports attached. Also, suggest a medicine for RA. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your history and the files attached here (attachment removed to protect patient identity). X-ray images are of poor quality and cannot be visualized. However, the hip joint can be observed, which is the site of pathology in your case. As per the X... Read Full »
My mother-in-law suffers from body pain and refuses to walk even with help. How to help her?
Query: Hi doctor, My mother-in-law is 93 years old and had her hip replacement done for five years. She could walk after that, but we have kept a lady to be with her for twenty four hours a day and 365 days a year after the operation. She does not have diabetes or has any heart condition. She takes one tab... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. If I am not wrong, I understand that she has some neurological issues for which she is on medicines. Also, she is elderly. These can explain the swinging of the neck. Lack of energy or strength in her legs might also be a cause for her to s... Read Full »