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AVN stage 4

Hello sir/Ma'am, my finance is suffering from SVN stage 4. She is quite young 22.5 years old. Some doctors are suggesting core decompression. Is it the right procedure or she needs complete hip replacement? We are confused between various approaches. Please suggest preferable process for this stage SVN and does she need hip replacement after some years? And how successful is core decompression?
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Dr. Ritesh Nazareth
Orthopedist 14 yrs exp Mumbai

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Stage 2-Core Decompression, Stage 4-Total Hip Replacement.
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Dr. Vandana Chauhan (PT)
Physiotherapist 10 yrs exp Noida

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To get a complete and permanent relief ,need to go through the total replacement of the hip.
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Dr. Varun Aggarwal
Orthopedist 13 yrs exp Panchkula

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Core decompression is a procedure to decrease pressure inside femoral head and therefore decrease pain in early stages of avn hip. Now in stage 4 and with head collapsed, the option best for you is THR. Total hip replacement is a very  good procedure but you must discuss its limitations in routine life with your surgeon first.
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Dr. Kalpesh Shinde (PT)
Physiotherapist 3 yrs exp Pune
U'll get some help (Without Operation) of Magnetodyn therapy to reconstruct some amount of bone & Matrix Therapy for vascular (circulation). With this u can go for Aquatic therapy to avoid further damage.
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Dr. D (Dewangan) Sunil Kumar
Knee Surgeon 18 yrs exp Raipur
Treatment depends upo stage of the disease not on  the age of patients So stage four will need replacement
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Dr. Suchita K Taparia
Sports and Musculoskeletal Physiotherapist 6 yrs exp Noida
hello sir...Physical therapy provides only symptomatic control and also does little to alter disease progression.better take orthopaedic surgeon adive for it...thanks
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