Avascular Necrosis of the Hip

Symptoms of AVN

Symptoms include hip pain that worsens with weight-bearing activities, limited range of motion, and a limp. The pain may become severe as the condition progresses, making daily activities increasingly difficult.

How It’s Diagnosed

Dr. Khoo will diagnose AVN through a combination of physical examination, X-rays, and MRI to assess bone damage and the extent of the condition. An accurate diagnosis is crucial to plan the most effective treatment.

Living with AVN

Living with AVN can severely limit mobility and quality of life. The pain and joint damage can make walking, standing, and performing daily activities challenging. It often requires long-term management to maintain joint function and control pain.

Treatment Options

Total Hip Replacement: This procedure replaces the damaged parts of the hip joint with artificial components, significantly reducing pain and improving mobility for patients with severe arthritis or joint damage.
Physiotherapy for Hip Conditions: Physiotherapy is essential for restoring hip strength, flexibility, and function. It is often recommended for conditions like osteoarthritis, labral tears, and hip bursitis. A personalised physiotherapy plan can help alleviate pain and improve mobility.
NSAIDs for Hip patients: Medications like ibuprofen are used to manage pain and inflammation associated with hip conditions.
Activity Modification: Modifying your daily activities can significantly reduce hip pain and prevent further injury. This may involve avoiding high-impact activities or adjusting your exercise routine. Dr. Khoo will provide personalised advice to help you adapt your lifestyle while promoting healing.

When Is Surgery Necessary?

Surgery, such as core decompression or hip replacement, may be necessary if there is significant bone damage and other treatments are not effective in controlling symptoms or maintaining joint function.

What if I Need Surgery?

If surgery is required, Dr. Khoo will explain the procedure, such as core decompression or hip replacement, and what to expect during recovery. You’ll receive detailed information on pre-surgery preparation, the surgical process, and rehabilitation to help you feel prepared and supported throughout your treatment.

What to Expect at Your Consultation with Dr. Khoo

Dr. Khoo will assess your AVN condition and discuss both non-surgical and surgical options. He will provide a comprehensive treatment plan to help you manage symptoms, improve quality of life, and preserve joint function as much as possible.

FAQs

Can avascular necrosis be treated without surgery?

In the early stages, AVN may be managed with physiotherapy, NSAIDs, and activity modification. However, surgery is often required as the condition progresses.

What is the recovery time after core decompression?

Recovery from core decompression surgery typically takes 3 to 6 months. Dr. Khoo will provide a personalised rehabilitation plan to support your recovery.

Will I be able to walk normally after hip replacement?

Most patients can regain normal walking ability after a successful hip replacement, with improvement seen over several weeks to months of rehabilitation.