Injury :- Dislocation Injuring Blood Supply Around The Joint.
Trauma- Fracture Neck Femur
Chronic Corticosteroid Therapy (Taking Steroid For Some Other Disease For Longer Time)
Alcoholism
Smoking
SLE
Hyperlipidemics –Increase Level Of Lipids
HIV
Diabetics
Cancer Treatment
Obesity
Steroid Abuse
Symptoms of AVN
Pain
Decreased range of motion in the affected joint.
The condition is diagnosed during routine x-ray imaging, due to a lack of overt symptoms.
Goals
Non-operative treatment involves three main goals:
Relief of symptoms.
Prevention of disease progression.
Improvement of functionality.
Treatment
To assist the patient in regaining function
Relieve painful symptoms, crutches or other walking aids can be introduced
Crutches or a wheelchair will be necessary to reduce the amount of weight bearing at the early stages of the condition as this will allow the bone time to heal.
How to properly use these devices.
Modality used to stimulate bone growth.
Extracorporeal Shock Wave Therapy (ESWT) causes expression of angiogenic growth factors that act as a stimulus to neovascularization and could, therefore, be useful in the treatment of AVN.
ESWT improves pain and function in the early stages of diseases.
Heat is useful for reducing pain.
Mobilisations; these hands on technique will require the physiotherapist to gradually move the joint through its range
Prevent any swelling
To encourage blood supply to the area.
Post-Surgical Treatment
If a joint replacement has occurred the physiotherapist will focus on
Regaining range of motion at the joint
Strengthening program.
Areas which are particularly important to strengthen include the back and core as
Stabilisation of the hip joint.
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