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Hip

Avascular Necrosis (AVN) Non-Surgical Treatment

Can AVN be treated without surgery?

AVN can sometimes be treated without surgery, especially in its early stages or when the damage to the bone is minimal. The specific treatment approach depends on several factors, including the cause and extent of AVN, the affected joint, and the individual’s overall health. Here are some non-surgical treatment options for AVN:

Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation associated with AVN. Medications to manage underlying conditions that contribute to AVN, such as steroids or blood thinners, may be adjusted or discontinued under medical supervision.

Physical therapy can help improve hip function, reduce pain, and prevent further damage. It may include exercises to strengthen muscles around the affected hip and improve range of motion.

Reducing weight-bearing on the affected side and avoiding activities that exacerbate symptoms can help preserve the joint and slow down the progression of AVN. Therefore, Dr. Jorge Chahla may discuss with you the option of using crutches and being non-weight bearing on the affected side for 6-8 weeks in order to possibly preserve the hip and avoid hip surgery.

Electrical stimulation techniques, such as pulsed electromagnetic field therapy (PEMF), may be used to promote bone healing and reduce pain.

It’s important to note that non-surgical treatments are typically more effective in the early stages of AVN when the bone damage is limited. In more advanced cases or when conservative treatments don’t provide sufficient relief, surgical interventions, such as joint replacement or bone grafting, may be necessary to restore joint function and alleviate pain.

At a Glance

Dr. Jorge Chahla

  • Triple fellowship-trained sports medicine surgeon
  • Performs over 700 surgeries per year
  • Assistant professor of orthopedic surgery at Rush University
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