Avascular necrosis of bone, also known as osteonecrosis, is a condition in which bone tissue dies due to a lack of blood supply. This can lead to bone pain, joint deformity, and eventually, bone collapse. Treatment for avascular necrosis of bone typically begins with conservative, non-surgical methods.
The most common non-surgical treatments for avascular necrosis of bone are medications and lifestyle changes. Medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), can help reduce the pain and inflammation associated with avascular necrosis. In some cases, corticosteroid injections may also be used. Lifestyle changes, such as quitting smoking, avoiding alcohol, and maintaining a healthy weight, can help reduce the risk of avascular necrosis. Physical therapy to improve range of motion and strength can also be beneficial.
If non-surgical treatments are not effective, surgical interventions may be necessary. Surgical treatments for avascular necrosis of bone include core decompression, bone grafting, and joint replacement. Core decompression involves removing a portion of the affected bone to reduce pressure and improve blood supply. Bone grafting involves using bone from another part of the body to replace the damaged bone. Joint replacement is an option when the joint is severely damaged and is no longer functioning properly.
The best treatment for avascular necrosis of bone depends on the severity of the condition. In most cases, conservative, non-surgical treatments are effective. However, if the condition progresses, surgical interventions may be necessary. It is important to discuss all treatment options with your doctor and determine the best course of action for your individual situation.