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Non surgical treatment options for AVASCULAR NECROSIS in MRI.

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Hi I am 33 years old patientold recently diagnosed with Avascular Necrosis. I have a MRI scan report written by doctor and would like to know what stage I am at this condition and what non surgical or surgical treatment are available considering my age and my condition. I would like to know if it's only affecting my right hip and it's spreading to left as well.

I am hoping you will keep my email address and message private. I am attaching report / analysis.

Category: Orthopedic Surgeon

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Category: Spine Surgeon
 23 Doctors Online

Thanks for posting your query at
Dear, I have read your history and saw the attached report.
As per the MRI report, your both hip are involved and have avascular necrosis of femoral heads both sides. Right side collapse is more then left but left is also involved.
As per your reports, In view of joint edema, sclerosis and collapse of the femoral head, it is labelled as stage 3 AVN (FICAT classification).
As treatment guidelines are concern, stage 3 AVN usually don't have any scope of conservative treatment and one has to plan surgical procedure; hip arthroplasty.
I advise you to discuss your case with your Orthopaedic surgeon and decide the best treatment plan.
I hope my opinion will help you.
Get well soon dear,
Stay happy & healthy,

Patient replied :

Hi Thanks for coming back to me. It's not good news knowing what stage I am.
I have heard about a new technique "combined simultaneous hip replacement with stem-cell therapy" stem cells to form a graft that rejuvenates and repairs damaged bone"
Can it be a option for me or I have passed this stage...
Thanks for your help

Greetings from DoctorSpring,
Thanks for writing back to us.

Stem cell therapy is a very new technology to treat damaged hip and early results are promising. This procedure is usually advised for early stage of AVN in which collapse is not seen. Further more the best opinion can be given by only by the centres who are doing this procedure.
As a surgeon, I can advise you only the most devolop surgical procedure for stage 3 AVN case; Hip Arthroplasty/Replacement. We have good long team results of this procedure.
You can come to our centre in delhi to discuss in person but we do not offer stem cell therapy. We do only hip arthroplasty/replacement.
Get well soon,
Stay happy & healthy,

Patient replied :

Thank you Doctor for your help. I was trying to find if there is any treatment which could save me underoing THR.. but in your expert opinion there is none.
Could you kindly look at my attached MRI scans & X-ray and let me know how bad is it and if bone around femoral head is also gone, with your expertise/experience how much time I roughly have before both femoral head compltely collapse.
Upon receving your reply. I will close his session and I am greatful to you for your help.
Kind Regards

Thanks for writing back to us. I have full sympathy with you.
Dear, As we have discussed earlier, it appears to be stage 3 AVN. We do not have any definative method to find out the time frame from one stage to next stage. It has lot of uncertainty. But treatment for both stages (3 & 4) are same; THR.
I hope that my opinion will help you.

Dr. Karun Jain
Category: Spine Surgeon
MBBS, 2002 - Kasturba Medical College, Mangalore
D.Orth, 2009- J.S.S Medical College, Mysore
MS - Orthopaedics, 2011 - University of Seychelles - American Institute of Medicine
Currently pursuing ChM (Trauma & Orthopedics) from The Royal college of Surgeons, Edinburgh & University of Edinburgh, U.K
Dr. Karun Jain and 4 other Medical Specialists are ready to help you

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