Hello doctor, I am a 24-year-old male and I have pain in hip joints for more than three months. Reports indicate avascular necrosis stage 2. Pain is mostly in the right hip joint. Pain will appear only when I put extra stress on muscles. The doctor has recommended me core decompression and he cannot guarantee whether it will heal or not. I am really scared of this. What if I somehow avoid the surgery? Is there any chance of natural healing? I have attached photos for your reference.
Hello. I have gone through the attachments (attachment removed to protect patient identity) You have avascular necrosis of the femoral head. Most of the surgeons will ask you to get operated for a core decompression or total hip replacement for this but studies have shown that medicines have high possibility to avoid surgeries. You still are stage 2 with edema so there are good chances you will get better with medicines. I suggest you the following: Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. You should use a walking stick. You can walk but do not exercise or do physiotherapy. Follow up with X-rays and MRI (magnetic resonance imaging) images. This is only a second opinion platform. This professional advice provided by me stands subject to the actual examination of report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult an orthopaedician and traumatologist online -->