AVN

• 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

• 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.

• 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.

Nonoperative treatment involves three main goals:

1. Relief of symptoms
2. Prevention of disease progression
3. Improvement of functionality

• To assist the patient in regaining function
• Relieve painful symptoms, crutchesor 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.

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.