How much weight can be carried by aseptic femoral head necrosis

Hello, femoral head necrosis should pay more attention to rest, reduce activity, crutches to reduce weight-bearing, to avoid aggravating the condition, which is also an adjunct**.

TCM ** necrosis of the femoral head can preserve its own femoral head. Necrosis of the femoral head can be cured conservatively**.

Chongqing Yiqing Traditional Chinese Medicine Hospital is a specialized traditional Chinese medicine hospital specializing in femoral head necrosis, using pure Chinese medicine target directed body fluids, external treatment of traditional Chinese medicine, and auxiliary acupuncture and acupuncture, so as not to change the femoral head. Under the premise of not interfering with the general environment of the body, the targeted targeted administration acts on the affected part, regulates the microecology of the affected part, reduces the viscosity, thickness and stagnation of the blood, improves the acidic environment, promotes the increase of blood vessels and veins in the affected part, expands the lumen, establishes effective microcirculation or collateral circulation, rebuilds the trabecular bone, improves immunity, and assists the body to use the ecological ability of self-organization, self-operation and self-maintenance in the affected part to fundamentally improve the necrosis of the femoral head. You can log in to Bone Disease Worry-Free for more details.

Since each patient's physical constitution and so on are different. Therefore, the exact amount of weight that can be carried varies from person to person.

What is aseptic necrosis of the femoral head? What is the aseptic necrosis of the femoral head? Necrosis of the femoral head is a progressive painful condition.

The main clinical manifestations are hip pain, limited movement, and claudication. Early symptoms may be less noticeable. If it is not timely or improper, it will develop into severe disability or late labor attrition, causing a huge burden on families and society.

Aseptic avascular necrosis of the femoral head, also known as non-traumatic avascular necrosis of the femoral head, is a disease in which bone cells and bone marrow components die and subsequently repair due to a variety of causes, resulting in structural changes in the femoral head, collapse of the femoral head, and joint dysfunction.

The main causes are: trauma, long-term drinking, hormone abuse, blood circulation disorders, etc. If the patient notices any discomfort in the buttocks, such as radiating pain in the inner thighs, it is recommended to go to the hospital for a definitive diagnosis and symptomatic treatment**.

Aseptic femoral head necrosis generally refers to necrosis of the femoral head. Patients can improve their condition by general**, drug**, physical**, surgical**, etc. General**:

Patients with advanced femoral head necrosis should stop taking hormonal drugs, refrain from drinking alcohol, pay attention to rest, avoid strenuous exercise or weight-bearing exercise, and use crutches or wheelchairs to relieve the condition.

Medication: Under the guidance of a doctor, patients can use alprostadil, warfarin, dobutamine tablets and other drugs to reduce symptoms and control the progression of the disease. Patients with severe pain can take painkillers such as ibuprofen and nimesulide according to the doctor's advice.

Physical**: Patients with femoral head necrosis can also use hyperbaric oxygen, extracorporeal shock wave, magnetic therapy, etc.** to relieve pain and promote bone repair. Surgery**Burning Judgment:

For patients with no obvious conservative effect or severe disease, core decompression, osteotomy, artificial hip replacement, etc. can be used.

Ancillary tests, especially imaging, are important for the diagnosis of femoral head necrosis. Imaging examination can preliminarily rule out other diseases that cause hip pain, clearly diagnose suspicious cases, locate bone lesions, stage cases of femoral head necrosis, detect the best effect, and describe the complications and best effects of the disease. Plain X-ray radiographs have strong specificity for advanced femoral head necrosis and are the most basic diagnostic and grading reference for femoral head necrosis.

Plain x-rays of femoral head necrosis may show femoral head collapse with or without joint space narrowing; cystic degeneration or spotted sclerosis of the femoral head, flattening of the outer upper part of the femoral head; There is a border sclerotic zone within the femoral head; Subchondral bone has changes such as translucent bands (positive crescent sign, subchondral fractures).

This disease leads to impaired intraosseous circulation, which can lead to bone cell death and eventually affect the entire bone structure. If your symptoms are not particularly severe, then you can do it with medication**, and pay attention to your daily diet and bed rest.

It is a bone disease caused by bone cell death caused by intraosseous lap ring failure. The cluster can be activated by means of activation**, and this part of the cell can be re-transplanted.

It is the structural change of the femoral head, the collapse. It can be conservative**, it can also be surgical, it can be acupuncture, massage, physiotherapy.

1.Symptom (1) Pain Early symptoms are pain in the groin area or deep buttocks. In some patients, the first pain is not in the hip and is only present in the anterior thigh or knee joint, which is easily missed.

As the disease progresses, the patient's pain progressively worsens. (2) Claudication In the early stage, patients have pain due to increased internal pressure in the femoral head, increased intravenous pressure in the hip joint and ischemia, and intermittent claudication occurs, which is relieved after rest. In the late stages, osteoarthritis may have persistent claudication due to collapse of the femoral head.

2.Signs: tenderness in the groin area, greater trochanteric percussion, local deep tenderness, adductor insertion tenderness, axial percussion pain in some patients, quadriceps and gluteus maximus atrophy, and a positive early "4" test. Normal or slightly limited hip motion in the early stages, particularly impaired internal rotation is an important sign.

Later stage, movement of the hip joint is limited in all directions. 3.There are many ways to stage femoral head necrosis, and the widely used one is the ARCO stage

1) Stage 0 normal. (2) Stage 1 X-ray and CT are normal, and bone scan and MRI are abnormal. (3) Stage 2 osteosclerosis, dissolution.

4) Stage 3 focal osteoporosis, semilunar sign or joint flattening. (5) Stage 4 osteoarthritis, acetabular changes, joint damage.

Aseptic femoral head fluid necrosis, also known as avascular necrosis of the femoral head, is a progressive disease with serious consequences. The pathological process is not easy to reverse, that is, there are not many effective methods, and secondly, the symptoms develop progressively with joint destruction, which eventually leads to joint dysfunction of the patient, and the multidirectional movement of the lower limbs is restricted, resulting in the patient's difficulty in walking and unable to sit and go to the toilet normally.

Aseptic necrosis of the femoral head, also known as avascular necrosis of the femoral head, has a variety of causes. The main symptoms are, neonatal hip dysplasia, hip trauma, skeletal neck fracture, excessive alcohol consumption, long-term use of hormones, gout hyperuricemia, slipperyllinose of the femoral epiphysis, bursitis, hyperlipidemia, mucopolysaccharidosis, osteoporosis and patients who have had fracture surgery and infection.

Aseptic femoral head necrosis is divided into three stages in the evolutionary process: necrotic phase, repair phase, and femoral head collapse phase.

Necrotic stage: After the ischemia of the femoral head, most of the bone cells lose their ability to synthesize 2 hours after ischemia. The cells of the femoral head die.

Repair period: The repair process starts in about 2 weeks and is staggered with the necrosis process. The first to appear is the protomesenchyma and capillary hyperplasia between the trabeculae, which slowly expand, and after 8 to 12 weeks, they can spread to most of the necrotic femoral head.

Mesenchymal cells on the surface of the trabecular necrotic bone gradually differentiate into osteoblasts and synthesize new bone. Undifferentiated mesenchymal cells and osteoclasts penetrate the dead bone area, undergo resorption and removal, and are replaced by new bone, and finally completely become living bone, which is called the creeping replacement process, and then after a long late molding, it becomes a mature trabecular bone.

Femoral head collapse: Collapse can occur throughout the repair process, and the stronger the repair capacity and the higher the collapse rate, the faster the progression.

Femoral head necrosis, also known as avascular necrosis of the femoral head, is one of the common osteoarthropathies. Most of them are caused by rheumatism, blood diseases, diving diseases, burns and other diseases, which first destroy the blood of adjacent articular surface tissues**, and then cause necrosis. The main symptoms are intermittent pain that progresses to persistent pain, followed by muscle spasms caused by pain, limited joint movement, and finally severe disability and claudication.

Aseptic femoral head necrosis is also known as aseptic necrosis of the femoral head, also known as avascular necrosis of the femoral head, or osteochondritis of the femoral head, or flattening of the femoral head. Therefore, if this disease occurs, please do it in time**. Minimally invasive intervention** is a good choice for you.

Necrosis of the femoral head is not incurable, in fact, the root cause is actually caused by the blockage of bone qi and blood. At present, the most effective Chinese medicine prescription on the market is Henggu Bone Wound Healing Agent, which is used by many audiences, and the reputation is very good in all aspects. There is no clear can be yourself.

This question should be considered like this.

After suffering from femoral head necrosis, why can't you bear weightThe femoral head necrosis, also known as avascular necrosis of the femoral head, is one of the more common orthopedic diseases. Most of them are caused by trauma, alcohol, hormones, and dysplasia, and the main symptoms gradually progress from intermittent pain to persistent pain, and then the pain causes muscle spasms, joint movement is restricted, and finally causes claudication and collapse of the femoral head.

After the occurrence of femoral head necrosis, if the patient ignores some external factors, it will accelerate the deterioration of the condition and affect the progress of the **, among these external factors, the weight-bearing problem of patients with femoral head necrosis is a problem that patients will encounter and should pay attention to. So what happens if the damaged femoral head is overloaded during the process?

Because the femoral head bears 80% of the weight of the whole body, this bearing capacity determines the bony structure of the hip joint and the rich musculature of the hip joint, completes the mechanical movement function of the joint, and plays an important role in the upright and walking of the human body. Therefore, excessive weight bearing is very detrimental to femoral head necrosis.

The effects of weight bearing on necrosis of the femoral head are mainly as follows.

1. The articular cartilage covered on the femoral head plays a role in the human body as an elastic cushioning resistance and maintenance of inter-articular lubrication. In patients with middle and advanced stage of femoral head necrosis, the osteochondrage has been necrotic and disappeared, and weight-bearing causes friction between the femoral head and the acetabulum, affecting the growth of bone tissue.

2. The femoral head is composed of trabeculae and other structures, and after necrosis, there will be atrophy, fracture and disappearance of trabeculae, which will cause the femoral head to fragment, collapse and deform, and the weight bearing will affect the repair and reconstruction of the trabecular bone. Avoiding weight-bearing creates conditions for the repair and reconstruction of trabeculae, and reduces the occurrence of collapse and deformation of the femoral head.

How much weight does the femoral head carry in different states of motion?

When the human body stands still, the two ** bones bear half of the weight pressure;

Walking slowly, the moment one leg is weight-bearing and one foot is off the ground (when one leg is weight-bearing), the weight-bearing side of the femoral head is under heavy weight pressure;

When walking briskly and carrying weights on one leg, the femoral head on the weight-bearing side is subjected to more than twice the body weight pressure;

When going up and down stairs and carrying weights on one leg, the femoral head on the weight-bearing side is subjected to weight pressure of more than 3 4.

After reading the above data, I have always thought that the idea of each leg bearing half of the weight has been subverted, and the femoral head is under tremendous pressure in different states of movement, especially when it is in a state of necrosis, it is crushed by a weight-bearing exercise similar to "pounding garlic", so it must not be completely weight-bearing before the necrosis is completely repaired!

Weight-bearing after femoral head necrosis tends to accelerate the deterioration of the condition and affect the progress. Only by avoiding weight-bearing can the friction between the femoral head and the acetabulum be reduced, which is conducive to osteochondral repair.

If you continue to do things with weight, it will put a greater load on the femoral head of the patient's hip joint, which will definitely not be conducive to the recovery of the disease, and may even worsen. Double crutches can be used, as well as single crutches and crutches to lighten the load.

It is because the bone is necrotic and cannot bear the weight at all, and if it is pressed too much, it will make it more serious.

The femoral head carries 80% of the total body weight, and the body has to rely on it to coordinate normal walking, and the bone is necrotic, and the body cannot bear weight, which will affect the repair of the femoral head.