How do we Cure Avascular necrosis?
Avascular necrosis is a degenerative bone condition characterized by the death of cellular components of the bone secondary to an interruption of the blood supply. It typically affects the epiphysis of long bones at weight-bearing joints for example hip and shoulder but can affect any other joint. Non-traumatic cases typically present with mechanical pain of variable onset and severity and are often difficult to localize. In early disease, the physical examination is often normal which inevitably causes a delay in diagnosis.
Causes of Avascular necrosis:
It can be caused by trauma or non-traumatic events. Traumatic events for example An injury, such as a dislocated joint, might damage nearby blood vessels. A fracture in a bone.
Non-traumatic causes are such as Radiation therapy, Steroid abuse, etc.
Symptoms of AVN:
Symptoms include pain and decreased range of motion in the affected joint. Also, As the disease progresses, the joint can become stiffer
Medical management of AVN:
Pharmacological therapy with anticoagulants, statins, and vasodilators. Pharmacological therapy helps to delay the progress of joint degeneration in the early stage of avascular necrosis
Also, Surgical treatment includes core decompression for stages 1 and 2 of the disease. In the core, a decompression surgeon creates a tract that decompresses the affected part. Hereby facilitates increased blood flow, which will then promote neo-vascularization that could possibly stimulate new bone growth.
Physiotherapy Management of Avascular necrosis:
Appropriate treatment for avascular necrosis is necessary to prevent further deterioration of the joint. If untreated, most patients will experience severe pain and limitation of movement within two years. Physiotherapy treatment can slow down the progression of the disease and decrease associated pain.
Physiotherapy treatment involves three main goals:
- Relief of symptoms
- Prevention of disease progression
- Also, the Improvement of functionality
Physical therapy treatment focuses on exercises to maintain joint mobility and strengthen the muscles around the affected joint. In order to maintain joint mobility, both passive and active exercises should be initiated. Passive exercises contain passive movements of the hip and stretching exercises.
Active exercises consist of 3-dimensional motions of the hip joint and can be applied during standing, sitting on a chair, or lying down. In the next stage, strengthening exercises are added. These exercises will focus on the muscles of the hip and thigh but will also include exercises for the core area as they play a large supporting role.
To improve functionality it is important to implement endurance training and coordination training in a more advanced stage of the therapy. Endurance can be trained by walking on a treadmill or cycling (Stationary). To improve coordination, walking exercises with increased complexity and balancing exercises can be adopted in physiotherapy sessions.
Advanced Physiotherapy treatment
Heat is applied in an attempt to increase blood supply to the area and help decrease pain.
Electrical stimulation and Ultrasound can be used to stimulate bone growth.
Soft tissue mobilization helps in the relaxation of certain points in your body.
Extracorporeal Shock Wave Therapy (ESWT) causes the expression of angiogenic growth factors that act as a stimulus to neovascularization and could, therefore be useful in the treatment of AVN. ESWT can improve pain and function.
Super Inductive System (SIS) is one of the most beneficial therapy which can minimize the effect of AVN and helps you to get back to normal life.
Also, Laser therapy, elite physiotherapy, and sports injury center have High-intensity class 4 laser which helps to improve the blood circulation of your affected joint and reduce symptoms.
In addition, We have many testimonies that prove that our treatment for AVN is highly successful and definitely helpful in your journey to get back to normal life.