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Avascular necrosis of both femoral heads
Lower back pain, right to the tail bone, groin and at a point in hip since october 2019. Frequent constant pain for weeks which comes and goes. Pain while sitting or resting in different positions other than laying straight and after walking.
Went recently to laproscopic doctor for anorectal pain experiencing since February 2020. Unable to sit since then due to pain in inner thighs and anal region. The doctor confirmed no presence of any kind of anorectal problem. A MRI fistulogram was performed and avascular necrosis of both femoral heads was diagnosed. He referred to Orthopedist.
Have attached the report of summary report of MRI describing the damage.
Experiencing increased pain in right hip(even while sleeping).
Focussed on trying to get a non surgical treatment for AVN. As I am just 24 I wish to avoid total hip replacement surgery. Curious about alternative therapies as well. What is the best advice?? And treatment I should prefer?? Is it curable??
Answers (2)
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Hi though its difficult to comment without seeing the patient, based on what information you have given, regenerative medicine can help you since your's is not an advanced AVN. Also at this age what is the reason for developing AVN at such a young age and correct that.
Next Steps
Avoid sitting cross legged and steroids
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As per the report, it is already involving almost 50% of the femoral head. Do you have the x ray pic of pelvis with both hips or MRI scan image.. That would help to identify the exact area where involvement is significant..
Since it is an irreversible condition, the last resort for the problem will be surgery.. It can be prolonged with conservative management.. depending on the condition and pain..
Next Steps
The conservative management can help in cases if pain is bearable or joint involvement is less..
There is a need to identify the cause for developing AVN at this age.
Have you got any other blood investigations done..
You can start with hot fomentation, physiotherapy, analgesics, calcium and vitamin d supplements..
If the problem is persistent, you will have to go for surgery..
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You can also start with Hip ROM exercises, joint strengthening..
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.