Avascular necrosis (AVN), also known as osteonecrosis or aseptic necrosis, is a condition in which the bones of a joint become necrotic due to an interruption of blood supply. AVN is a debilitating condition that can cause significant discomfort, pain, and disability.
Non-Surgical Treatments
Non-surgical treatments for AVN can include medications, physical therapy, lifestyle changes, and orthotics. Non-steroidal anti-inflammatory drugs (NSAIDs) are often prescribed to reduce pain and inflammation. Physical therapy and exercises can help to maintain range of motion and muscle strength. Lifestyle changes such as avoiding activities that put stress on a joint, losing weight, and quitting smoking can help to slow the progression of AVN. Orthotics, such as braces and splints, can provide support to the affected joint and help to reduce pain and inflammation.
Surgical Treatments
When non-surgical treatments have failed to provide relief from the symptoms of AVN, surgical treatments may be recommended. Common surgical treatments for AVN include core decompression, bone grafting, and joint replacement. Core decompression involves removing a small portion of the affected bone to reduce pressure and allow for healing. Bone grafts can be used to replace the necrotic bone with healthy bone tissue. Joint replacement is often recommended for severe cases of AVN, as it can provide the most pain relief and the longest lasting results.
Conclusion
The best treatment for AVN will depend on the individual, as every case is unique. Non-surgical treatments such as medications and physical therapy are often recommended as the first line of treatment. If these treatments fail to provide relief, surgical treatments such as core decompression, bone grafting, and joint replacement may be recommended. It is important to talk to your doctor about the best treatment option for you.