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Stage 2 avn on both femurs
Hii doctor. My husband met wit accident a month back he got injured near anal region.so doctors asked to do mri to see the injury & did anal alceration surgery successfully.. but accidentally in mri dey detected avn on both femurs its showing stage 2. We did xray also so iam attaching mri report & xray as well..he was not having pain before. But since 3 days during sleep & even after getting up he is getting pain on side of right thigh so plz tell any medications fr pain & kindly suggest any treatment without operation. As he recently went through anal alceration surgery he don't wanna do more surgeries. But he is in continous pain plzz suggest some immediate pain relief medicines & any home remedies. Waiting fr ur reply thanking u.. 🥲
Answers (5)
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Consult clinically,avoid taking over the counter medication which can further worsen the pain and don't wait till stage is progressed.
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Surgical treatment
Stage 2- multiple surgical option
Kindly consult to discuss
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Currently we need to also see him clinically so as to gauge the current condition and then start medication.
Based on the x rays , medication with proper physiotherapy would work perfectly .
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consult clinically
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I want to explain what AVN is in basic language - “avascular necrosis” means that the blood supply to his femur head (ball of the hip joint) has been compromised. The bone is not getting enough blood. The reason is not established but it is a common post-Covid scenario in young individuals these days
The good thing is, your husband has stage 2 (pre-collapse) so the femoral head continuity is maintained. It is a good time to try non-surgical methods but it has to be done under supervision.
He will require Tab Alendronate, calcium and vitamin D supplementation, analgesics and antacids. Along with intravenous Zolendronic Acid (to be administered under supervision). This injection will provide early pain relief as it has early blood levels. Along with that, the oral medicine will prevent collapse of the head.
Supportive measures like partial weight bearing (to reduce load) will help.
Next Steps
You can visit an orthopaedic surgeon as this entire regimen needs monitoring and repeated Xrays to see the progress.
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Please consult if you need advice on the dosage and don’t have access to nearby hospital.
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Dr. Rahul Kumar Pandey
Orthopedic surgeon
10 yrs exp
Lucknow
From history you have provided it seems that surgical treatment will be required.
Get personal consult with orthopaedic surgeon to discuss treatment
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.