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Suffering From Avascular Necrosis In Hip Joints. On Pain Killers. Now Pain Has Aggravated. Any Other Treatment Available?
Hi...My husband is 35 years old and suffering from avascular necrosis in both the hip joints (left more than right)from last 2 years.Initially doctors were saying not to worry as blood circulation will get restored itself..he was taking pain killers twice a day. But now pain is aggrevated a lot and the same doctor is saying him to go for joint replacement.Please tell me is there any other treatment for Avascular Necrosis? I have heard about Ayurveda treatment is best for AVN..Please advice me what should I do?
posted on
Sun, 30 Jun 2013
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 30 Jun 2013
Answered on
Thu, 1 Aug 2013
Last reviewed on
Hi and thank you so much for this query. I am so sorry to hear about what your husband is going through.
AVN of the hip joint can be caused by a number of consitions like sickle cell, clotting abnormalities, gaucher's disease, trauma, etc. treatment is often tailored at addressing the underlying pathology to prevent progression and eventual destruction of the hip joint. If this fails, then the next best option is going to be a hip replacement.
I think your doctor's suggestion are right. I will suggest that you meet with an orthopedic surgeon who will evaluate him fully and consider whether it is the best option for him now or not. Ayurveda is very unknown to me and i very much doubt if it is better option over total hip replacement in AVN management. Please, just ask your orthopedic surgeon in case he has any idea concerning this.
I wish your husband the best outcome as he figures out what the best option is for him right now. Feel free to return to us with more questions if need be.
Dr. Ditah, MD
AVN of the hip joint can be caused by a number of consitions like sickle cell, clotting abnormalities, gaucher's disease, trauma, etc. treatment is often tailored at addressing the underlying pathology to prevent progression and eventual destruction of the hip joint. If this fails, then the next best option is going to be a hip replacement.
I think your doctor's suggestion are right. I will suggest that you meet with an orthopedic surgeon who will evaluate him fully and consider whether it is the best option for him now or not. Ayurveda is very unknown to me and i very much doubt if it is better option over total hip replacement in AVN management. Please, just ask your orthopedic surgeon in case he has any idea concerning this.
I wish your husband the best outcome as he figures out what the best option is for him right now. Feel free to return to us with more questions if need be.
Dr. Ditah, MD
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1. As age is 35, thus it is better to go or hip replacement than or other conventional therapy.
2. as blood circulation is compromised (as suggested by aggravation of symptoms), thus bones of hip joint may collapse further complicating the pathology.
3. Ayurveda treatment will retard the progression (with use of Tikta Ksheer Basti) but reconstruction procedure (surgery) is ideal treatment at this stage.
1. As age is 35, thus it is better to go or hip replacement than or other conventional therapy.
2. as blood circulation is compromised (as suggested by aggravation of symptoms), thus bones of hip joint may collapse further complicating the pathology.
3. Ayurveda treatment will retard the progression (with use of Tikta Ksheer Basti) but reconstruction procedure (surgery) is ideal treatment at this stage.
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HI
WELCOME TO HCM AND THANKS FOR YOUR QUERY
OSTEONECROSIS OF HIP JOINT OR AVN MAY BE TRAUMATIC BUT AS YOU MENTIONED BILATERAL INVOLVEMENT OF AILMENT CHANCES ARE RARE FOR TRAUMATIC OSTEONECROSIS
IT IS OBSERVED THAT PEOPLES WHO DRINK HUGE AMOUNT OF ALCOHOL OR ON CORTICOSTEROIDS OR WHO SMOKE , OR CHEW TOBACO HEAVILY ARE VULNERABLE TO AVN
AND PATIENTS WITH CLOTTING DISORDERS ,HYPERLIPIDEMIA ,GAUCHER'S DISEASE, PANCREATITIS ARE ALSO ON RISK TO DEVELOP OSTEONECROSIS OF HIP JOINT
IF MRI SHOWS SEVERE DEVASTATION THEN GO FOR HIP REPLACEMENT OTHERWISE THERE ARE LOT OF HERBAL COMBINATION TO INCREASE BLOOD FLOW , TO FEMORAL ARTERY , AND AIM OF TREATMENT SHOULD BE
1 INCREASE THE BLOOD FLOW BY HERBAL BLENDS WORKING ON REMOVING VEGETATIVE VASCULAR BLOCKS , AND INCREASING BLOOD FLOW LIKE [ TERMINALIA ARJUNA AND INULA RACEMOSA ]
2 REPAIR TO CARTILAGE
3 AND HERBS WHICH ARE ANTI INFLAMMATORY AND PAIN STABILIZING
WISH YOUR HUSBAND GOOD HEALTH
TAKE CARE
DR SHAILENDRA NAITHANI
WELCOME TO HCM AND THANKS FOR YOUR QUERY
OSTEONECROSIS OF HIP JOINT OR AVN MAY BE TRAUMATIC BUT AS YOU MENTIONED BILATERAL INVOLVEMENT OF AILMENT CHANCES ARE RARE FOR TRAUMATIC OSTEONECROSIS
IT IS OBSERVED THAT PEOPLES WHO DRINK HUGE AMOUNT OF ALCOHOL OR ON CORTICOSTEROIDS OR WHO SMOKE , OR CHEW TOBACO HEAVILY ARE VULNERABLE TO AVN
AND PATIENTS WITH CLOTTING DISORDERS ,HYPERLIPIDEMIA ,GAUCHER'S DISEASE, PANCREATITIS ARE ALSO ON RISK TO DEVELOP OSTEONECROSIS OF HIP JOINT
IF MRI SHOWS SEVERE DEVASTATION THEN GO FOR HIP REPLACEMENT OTHERWISE THERE ARE LOT OF HERBAL COMBINATION TO INCREASE BLOOD FLOW , TO FEMORAL ARTERY , AND AIM OF TREATMENT SHOULD BE
1 INCREASE THE BLOOD FLOW BY HERBAL BLENDS WORKING ON REMOVING VEGETATIVE VASCULAR BLOCKS , AND INCREASING BLOOD FLOW LIKE [ TERMINALIA ARJUNA AND INULA RACEMOSA ]
2 REPAIR TO CARTILAGE
3 AND HERBS WHICH ARE ANTI INFLAMMATORY AND PAIN STABILIZING
WISH YOUR HUSBAND GOOD HEALTH
TAKE CARE
DR SHAILENDRA NAITHANI
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hi
thanks for trusting on elite panel of hcm
Avascualr necrosis of hip is termed as sandi nitamb gat vaat
and it is best treated by Ayurveda as some herbs tends to increase vascular flow of blood like jyotishmati and semi carpus anacordium
it will be good if you visit nearby qualified Ayurvedic Doctor
thanks for trusting on elite panel of hcm
Avascualr necrosis of hip is termed as sandi nitamb gat vaat
and it is best treated by Ayurveda as some herbs tends to increase vascular flow of blood like jyotishmati and semi carpus anacordium
it will be good if you visit nearby qualified Ayurvedic Doctor
I find this answer helpful
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