Avascular Necrosis of hip joint

 Avascular Necrosis of hip joint

The death of bone tissues due to decrease in blood supply is called Avascular Necrosis or Osteonecrosis. It can results in tiny breaks in the bones and bone’s collapse.

Sign and symptoms

 Many people have no symptoms in the early stages of avascular necrosis. As the condition worsens, your affected joint might hurt only when you put weight on it. Pain associated with avascular necrosis of the hip might center on the groin, thigh or buttock.

You may have severe pain if the bone and surrounding joint collapse making it unable to use your joints. The time between the initial symptoms and bone collapse can range from several months to more than a year.

Causes and Risk Factors for Avascular Necrosis

Things that can make avascular necrosis more likely include:

• Alcohol consumption
• Medical treatments like radiation therapy for cancer (as it weakens bones)
• Long term usage of steroid drugs
• Trauma (breaking or dislocating a hip)
• Certain medications
• Blood clots, inflammation, and damage to your arteries. All of these can block blood flow to your bones.

Physiotherapy treatment aims include:

1. Decreasing weight bearing: usually achieved with use of crutches or a walking aid. By using crutches, the load that the hip joint bears, will be decreased. This weight-bearing restriction is an important conservative treatment.
2. Education: On prevention, removal or reduction of risk factors such as smoking, alcohol abuse, obesity and corticosteroids
3. Range Of Motion: 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 while lying down.
4. Strengthening exercises: In the next stage, strengthening exercises are added, focusing on the muscles of the hip and thigh. 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 on a home trainer. To improve coordination, walking exercises with increased complexity and balancing exercises can be adopted in physical therapy sessions.

For Improving Blood Circulation & Clearing Blood Vessels from Fatty Deposits

Ayurvedic Remedy	Dosage *
Amalaki Rasayan	1000 mg
Arjuna – Terminalia Arjuna Powder	500 mg
Pushkarmool Powder	250 mg
Shuddha Guggul	500 mg

* Twice a day with warm water

For Supporting Bones and Preventing Further Damage

Ayurvedic Remedy	Dosage *
Abhrak Bhasma	125 mg to 250 mg
Jasad Bhasma	50 to 100 mg
Mukta Pishti	125 mg
Praval Pishti	250 mg
Godanti Bhasma	250 mg
Hadjod (Cissus Quadrangularis) Powder	1000 mg

* Twice a day with warm milk

Or

Ayurvedic Remedy	Dosage *
Vrihat Vatchintamani Ras	125 mg
Kamdudha Ras	250 mg
Ashwagandha Extract	300 mg

* Twice a day with warm milk