How to manage Hip AVN?
Avascular necrosis of the hip (AVN) is distinguished by variable areas of dead trabecular bone and bone marrow that extend to and include the subchondral plate. Corticosteroid use, alcohol use, smoking, and various chronic diseases are the most common risk factors for Hip AVN. Patients with the human immunodeficiency virus are also more likely to develop hip avascular necrosis.
Conservative treatments for Hip AVN include physiotherapy, restricted weight-bearing, and alcohol cessation.
Physiotherapy Management of Hip AVN:
The first goal of physiotherapy treatment is to protect the patient's ability to bear weight. There are several methods for reducing weight-bearing. The idea behind this method is to reduce forces on the hip joint. This treatment can be done with a cane, crutch, walker, or two crutches.
Therapy with electrical stimulation, Electrical stimulation promotes osteogenesis and neovascularization while also influencing osseous turnover.
Treatment of hip AVN with Extracorporeal Shock wave therapy (ESWT):
ExtracorporealShockwave Therapy (ESWT) is a new non-invasive treatment option for Hip AVN.ESWT is a relatively new modality that can be used on AVN and has demonstrated efficacy. The shockwave stimulates deep cells, releasing growth factors responsible for tissue regeneration, and newly formed blood vessels improve blood supply and oxygenation, resulting in faster healing. Another effectsinclude pain mediator dispersion. Which results in pain reduction. Treatment with ESWT assures your recovery from AVN.
Treatment with Super Inductive System (SIS):
For the treatment of AVN, SIS has a significant impact as well, as it causes myostimulation and prevents further deterioration of the muscle tissue. SIS also increases blood circulation to the bone, which promotes the formation ofnew bone.
Treatment with High-intensity Laser (HIL):
High-IntensityLaser (HIL) provides an effective and non-addictive method of pain management. It accelerates healing and regeneration through a natural process of energy transfer. Mechanical stimulation of free nerve endings inhibits them, resulting in analgesic treatment. High-intensity laser therapy actually heals the tissue while also providing effective and non-addictive pain relief. The energy delivered to the cells by the High-Intensity Laser accelerates cell metabolism and causes proinflammatory mediators to be reabsorbed more quickly. The laser also causes biostimulation, which results in the production of ATP. ATP promotes faster RNA and DNA synthesis, resulting in faster recovery, healing, and edema reduction in the treated area.It also has a thermic effect, which causes vasodilation and, as a result, increased blood perfusion.