AVN avascular necrosis stages

[@raymondmurray1192]

I am a patient of Major Joint Orthopedic's as well as working in a Major joint ward in a Military Hospital 27 years.I have had Bilateral hip replacements from AVN as well as a fractured trochantor.22 yeaers later i have had no problems with my replacements .The trochantor was wired .Dr.Homena say's no need for any future issues.I am 77 years old.

[@husarica]

I have first stage of AVN on both hips. No collapse. Doc sugested core decompresion with steam cells. How much cd procedure is good? I read so many failures about CD and people end on THR on end.

[@dr.markleregenerativeortho9552]

sorry to hear but yes, CD by itself can be very poor results but doing a bone marrow concentrate injection with or without CD is very beneficial .... finding a doc that specializes in ortho-biologics is ideal or surgeon that does a minimially invasive CD (smallest needle possible) and can inject bone marrow concentrate into the lesion is key!

[@husarica]

@@dr.markleregenerativeortho9552 thanks for answer. I will wisit doc tomorrow. He was talking about some risks but I need to ask him lot. Here in Croatia I for CD precedure I will wait about two years in state hospital. Same doc in private clinic cost a lot but if made failure I will not have money for better HIP with ceramic. On my left I newer had pain but got geografical sign and all white. On right just black bone oedima on top. Now almost without pain. Walking, ecercise and use peptides bpc. I need to think about CD. Dont want to do more damage. Thanks.

[@husarica]

@@dr.markleregenerativeortho9552 Thanks on your advice. Here are new developments. In state hospital for CD I need to waith about two years. Same doc in private clinic if I pay can do precedure fast. For money no need to wait. But in my home town I have one doc who is doing biological therapy. He offer me CD with bone narrow. I said about comunication with you and advice with smallest neadle possible. He said we will provide all and do it here. You dont need to wait. First one leg and rest then other. It is surprise and it want cost a nothing. On right hip I got just black oedima on top of femur head. Almost no pain. I am on bpc 157. On left white bone but geographical sign. Need to decite.

[@rachels1616]

I was diagnosed with Extensive Avascular Necrosis today. I have to use a walker and an unloader brace.

[@equinoxeparabellum6776]

I wish this guy was based in Ireland. He knows his stuff. I have genital pain which maybe related to herniated L2L3. I did have groin pain but thankfully my hips are fine.

[@dr.markleregenerativeortho9552]

there is a clinic in Europe : www.algocells.com/ that we have trained that might be able to help!

[@swankyshivy]

how to increase blood supply to area and how to delay progression.

[@PacLevkov]

Is it normal to have AVN in stage 3 with most of the pain gone and able to walk normally? The pain is only on the stretch position of the hip and short after sitting/sleeping position.

[@dr.markleregenerativeortho9552]

Some patients compensate well with AVN and location of collapse could be a small region that gets stressed on those movements

[@vysonr5821]

Hello mr doctor, I have avascular necrosis in my bilateral femoral head, bilateral knee, foot , hand (lunatum bone) shoulder and ... i use cortisone, what can i do. I am writing you from turkey. May be? Can you help me pls. Thank you very much for video

[@dr.markleregenerativeortho9552]

sorry to hear but the chronic prednisone is likely causing the multi-focal AVN throughout your body.... we can treat these but finding a way to come off prednisone is key for longterm success

[@moseschrute]

Hi I was born with CDH in my right hip, diagnosed with stage 2 AVN when I was 8 years old. I’m in my 40s now with sudden onset of groin pain and X-ray was negative for OA but showed some flattening of the femoral head. I have an MRI arthrogram next week, will this show AVN to help stage it? And is is normal for it to progress all of a sudden when I had no pain for most my life?

[@dr.markleregenerativeortho9552]

yes, the MRI should show AVN well and can stage the AVN (ARCO 1, 2, 3, 4)...hip degeneration and AVN can progress very rapidly many times...if there is significant collapse then may need a THA

[@alexfarmtv8983]

New subscriber doc my right hip got avascular necrosis what is your advice for me?

[@dr.markleregenerativeortho9552]

Morning Alex -- Sorry to hear... best advice is to get evaluated to see how severe it is / stage it. If amendable to treatment then getting it treated as soon as possible because if left alone will likely advance requiring hip replacement -- if you'd like to get evaluated - feel free to email me @ [e-mail] and we can set up a tele health evaluation ..take care

[@maclindagroves]

I am in serious pain . The orthopedic surgeon need to wait 8 months to help me! I’m on blood thinners. 2 heart attaches- o e hip replacement in

[@dr.markleregenerativeortho9552]

Not really...too risky but typically treatable with PRP to help pain / stop spurs from growing

[@madalinsandulescu8757]

Poor explanations and poor new studies related…