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Shoulder

Shoulder Avascular Necrosis 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:

Oral anti-inflammatory and pain-relieving medications, such as Meloxicam, Naproxen, Advil, or Ibuprofen, may help to manage the pain and reduce inflammation associated with AVN. Applying ice packs and compression to the shoulder can also help reduce swelling and inflammation. Remember to use a cloth or towel between the ice pack and your skin to avoid frostbite.

Medications to manage underlying conditions that contribute to AVN, such as steroids or blood thinners, may be adjusted or discontinued under medical supervision.

A structured physical therapy program can be beneficial for strengthening the muscles around the shoulder and improving overall joint function. It is important to complete any home exercises that your physical therapist provides to you in order to optimize your recovery.

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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