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Guide To Avascular Necrosis (Osteonecrosis)

By Carol & Richard Eustice, About.com

Updated: May 26, 2006

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

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Part 5 of 8 - What Treatments Are Available For Avascular Necrosis?

Treatment

Appropriate treatment for avascular necrosis is necessary to keep joints from breaking down. If untreated, most patients will experience severe pain and limitation in movement within 2 years. Several treatments are available that can help prevent further bone and joint damage and reduce pain.

Ongoing Process

For most with AVN, treatment is an ongoing process. Doctors may first recommend the least complex and invasive procedure, such as protecting the joint by limiting movement, and watch the effect on the patient's condition. Other treatments then may be used to prevent further bone destruction and reduce pain. It is important that patients carefully follow instructions about activity limitations and work closely with their doctor to ensure that appropriate treatments are used.

To determine the most appropriate treatment, the doctor considers the following aspects:

  • age of the patient
  • stage of the disease (early or late)
  • location and amount of bone affected (small or large area)
  • underlying cause of AVN (with ongoing causes such as corticosteroid or alcohol use, treatment may not work unless use of the substance is stopped)
  • Treatment Goals

    The goal in treating AVN is to:

  • improve the patient's use of the affected joint
  • stop further damage to the bone
  • ensure bone and joint survival
  • To reach these goals, the doctor may first use conservative, however, these treatments rarely provide lasting improvement. Therefore, most patients will eventually need surgical treatment.

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    5. Avascular Necrosis
    6. Treatment of Avascular Necrosis - Avascular Necrosis Treatment

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