Avascular Necrosis Of The Femoral Head
Avascular necrosis of the femoral head caused by impaired blood flow to the vascular supply system at the site. Such phenomena are due to compression or torsion of small thrombus arterial occlusion or trauma. Next, bring a closer look, which avascular necrosis of the femoral head.
Do You Know The Femoral Head Aggravating Factors?
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Prolonged vasospasm and increased blood viscosity, venous stasis, and outflow disorders significantly impair the power of the femoral head. In this regard, the internal pressure increases, ischemia develops. This causes injury to the mechanical properties of the bone tissue. As a result, gaps are formed. Over time, the bone begins to deform, the articular cartilage is destroyed, peeled off.
Necrosis (avascular) bone found quite often. More favorably, the pathology is diagnosed in men aged 20 to 45 years. Also diagnosed with avascular necrosis of the femoral head in children aged 2 to 12 years. At the same time, boys get sick more often. The symptoms that accompany avascular necrosis are in some cases very difficult to distinguish. It is a little difficult to make an accurate diagnosis. In particular, the signs of avascular necrosis is almost indistinguishable from the manifestations of a pathological process in the hip joint.
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AVASCULAR NECROSIS OF THE FEMORAL HEAD: CAUSES
According to many experts, the development of pathology contributes to prolonged intake of alcohol in large quantities. Also, cause necrosis can become long-term treatment corticosteroids in high doses. Among the most popular factors that cause the condition should also be noted injuries: fractures, sprains, bruises. Necrosis (avascular) bones can begin due to the usual fatigue, stress, emotional strain. Account cases where pathology has developed as a result of chronic or acute pancreatitis. As exposure to radiation in high doses can act as a provocative factor. Pathology may accompany sickle cell disease, osteomyelitis. In medical practice, there is no such thing as idiopathic necrosis. Used when it is impossible to determine exactly what is causing the pathology.
STAGES OF DISEASE DEVELOPMENT
How does avascular necrosis of the femoral head progress? pathological stage are as follows:
- Violation of vascular function. At this stage to avoid jumping weights transfer prolonged standing in one place and run. Patients are advised to rest and relax. Treatment at this stage should be aimed at restoring blood flow to the femoral head as well as rebuilding the tissues. The patient is advised special exercises to prevent muscle atrophy. At this stage, a specialist may recommend taking vasodilator medications. Medications will help eliminate stagnation and restore the structure of the head as a result of normalizing blood circulation and eliminate cramps. Effective in this case, non-steroidal anti-inflammatory drugs type novocaine blockadegirudotherapy, massage. Decompression of the great trochanter or bones of the femoral head also applies.
- Deformation and fracture of the damaged object. At this stage, it is useful to walk at a slow pace for 30-50 minutes training on a stationary bike and swimming in sea water. The drug is recommended drugs, contributing to the restoration of bone tissue and vasodilators. Are appointed for hirudotherapy, massage, decompression.
- Osteoarthritis of the hip joint. At this stage of the disease is recommended to gymnastics, massage. From the preparations, craftsman can assign hondroprotektory and vasodilators. At a later date is marked limping and significant shortening of the affected limb. As is especially evident when the patient is in a horizontal position. Against the background of pathology progresses to muscle atrophy: tissues begin to shrink and decrease in size.
AVASCULAR NECROSIS OF THE FEMORAL HEAD: NSAID TREATMENT
Preparations of this group should include agents such as Diclofenac, Indomethacin, Ketoprofen, Piroxicam, Phenylbutazone, Meloxicam, Nimulid, Celebrex and their derivatives. These medications help reduce pain. It should be noted that NSAIDs do not cure necrosis (avascular) bone. However, these drugs can bring the patient enough material benefits. Assigned in a timely manner, the drugs prevent reflex muscle spasm, which occurs in response to excruciating pain. Fiber relaxation helps to restore blood circulation to the affected area. However, NSAIDs can be dangerous for the patient. The fact that after applying the medication a person ceases to feel pain and load on the affected area, as well as healthy. This, in turn, contributes to the rapid destruction of the bones of the head. In this regard, the patient must remember that, despite the absence of pain, the affected area should be protected from stress.
Avascular Necrosis Natural Cures And Treatment
Hot and cold fomentation
Exercise & yoga
Electrotherapy is beneficial.
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