How to treat necrosis of the femoral head conservatively in the early stage

From the academic status quo, the fact that femoral head necrosis is a difficult orthopedic disease is recognized by the world, modern medicine believes that femoral head necrosis can only be completely performed by surgical methods, and traditional Chinese medicine believes that this disease is a chronic orthopedic disease, and it can be achieved through long-term conservative practice. Traditional Chinese and Western medicine believe that the pathological changes of this disease are all blood circulation disorders around the femoral head, which causes bone tissue ischemia and bone cell apologetia and death.

The standards of early, middle and late stages are not the same, and there are no pain symptoms, no hip joint dysfunction, and no walking distance restriction after early clinical necrosis of the femoral head, which is the same as that of normal people; The clinical criteria for patients with advanced femoral head necrosis are rest and short distance walking without pain symptoms, and being able to engage in general labor.

Femoral head necrosis clinical** is a long repair process, when the necrotic bone cells in the femoral head are removed, normal bone cells regrow in the original position, when all the dead bone cells in the femoral head are absorbed, no new dead bone cells are produced, and the femoral head necrosis is clinical**. The whole process of this ** includes four long processes: blood circulation recovery period, dead bone resorption period, bone repair period, and bone metabolism period. Let's take a life example:

The clinical treatment of femoral head necrosis is like a tree lacking water and drought and part of the branches and leaves are necrotic, some of the branches and leaves of the tree die, then we water the roots of the tree, it will gradually sprout, and the tree will gradually plump up after one or two years.

The same is true of necrosis of the femoral head, because the femoral head has no blood nutrients and causes osteocyte necrosis, but part of the osteocytes of the femoral head die, not all the osteocytes of the femoral head. Necrosis of the femoral head is not the kind of resurrection of dead bones as people think, and it is impossible for dead bones to be resurrected. If the resurrection of dead bones is used as the basis for proving femoral head necrosis**, it is a misunderstanding to mislead patients with femoral head necrosis into thinking.

Therefore, patients with femoral head necrosis must first have mental preparation, femoral head necrosis is a common and difficult disease in orthopedics, it is very difficult and long, it is not enough to have a correct and effective method, but also to have the psychological preparation for a protracted battle, and also to establish the confidence and determination to defeat the disease.

Hello! I am Dr. Zhang, and there are many causes of necrosis of the femoral head, which can generally be divided into two categories:

1.Traumatic causes of femoral head necrosis: for example, due to a fall or car accident, a fracture of the femoral head or neck, a hip dislocation, or a soft tissue injury, can cause ischemia of the femoral head, and then develop into osteonecrosis.

2.Non-traumatic causes of necrosis of the femoral head: for example, long-term alcohol abuse and heavy use of hormonal drugs lead to vascular embolism, insufficient local blood supply to the femoral head, and ischemic osteonecrosis.

Other disorders can cause necrosis of the femoral head. For example: hypertension, diabetes, arteriosclerosis, obesity, gout, radiation**, burns, etc.

It is possible to have early and correct necrosis of the femoral head, and clinical acupuncture, physiotherapy, traditional Chinese medicine and other conservative **, it is recommended that you go to the orthopedic outpatient clinic.

Necrosis of the femoral head, preferably with traditional Chinese medicine**.

Hello, using the combination of traditional Chinese and Western medicine**, pure Chinese medicine internal administration, external application, characteristic Chinese medicine physics** and scientific functional exercises, you can achieve clinical ** in the early stage.

A portion of the femoral head is necrotic.

The patient can be cured by conservative ** big rot. Adolescent patients with necrosis of the femoral head, or MRI.

Patients with early adult femoral head necrosis who are found to have a very small necrosis range can be cured by holding crutches to reduce the load on the hip joint, bed rest and traction to reduce the intraosseous pressure of the femoral head, and oral blood circulation and stasis removal drugs can be cured. For adult patients with stage 2, 3, and 4 stages of femoral head necrosis, conservative ** is basically ineffective. Hip-sparing surgery** is available for patients with stage 2 in the international stage of femoral head necrosis, and hip replacement surgery is generally required for stages 3 and 4**.

Femoral head necrosis is caused by ischemia and hypoxia of the femoral head leading to osteonecrosis, and the clinical symptoms can vary from mild to severe, including hip pain, fatigue, and muscle atrophy. Conservative** means that no surgery is performed**, but a conservative approach is used to control the progression of the disease and reduce symptoms.

A variety of methods can be used for conservative acupuncture, including rest, medication, acupuncture, training, orthoses, etc. The effect of conservative disease varies from person to person, for patients with early lesions and mild lesions, conservative disease can effectively improve symptoms, delay disease progression and improve joint function, and achieve the effect of **and**.

However, for severe lesions, conservative** may not be effective, and surgery may be required to resolve symptoms. In addition, the results of patients with femoral head necrosis** vary depending on individual differences, site of lesion, and disease progression.

Therefore, the method still needs to be decided after an individualized and comprehensive assessment, and it is recommended that patients make a reasonable **plan under the guidance of a doctor, and actively cooperate with ** to carry out a positive and comprehensive **.

In general, the conservative method of necrosis of the femoral head is as follows:

1. Nursing**.

It is recommended that patients try to stay in bed as much as possible, avoid strenuous and high-intensity physical exercise, to prevent the effect of affecting the disease, and to actively control weight changes in daily sail lifting, so as to avoid excessive obesity and increase the burden on the hip joint.

2. Drugs**.

If the pain is severe, you can also use ibuprofen, diclofenac sodium and other drugs reasonably under the guidance of a doctor to relieve pain.

3. General**.

If it is caused by the use of hormones, alcohol consumption, etc., it is necessary to stop taking hormones immediately and stop drinking alcohol to avoid aggravating the condition.

4. Physics**.

It can be carried out by physical means such as massage, magnetic therapy**, which can promote smooth blood circulation to a certain extent, providing enough oxygen to the femoral head, thereby relieving the condition.

First of all, the recovery of conservative ** depends on the stage of necrosis of the femoral head, but for different patients, although the recovery after ** is different, the function of the affected part can basically be restored after appropriate adjudant**. Secondly, it is recommended that you do so on a daily basis

1. Try to walk on crutches to reduce the pressure between the acetabulum and the femoral head and increase blood circulation. It is relatively quiet to reduce the pressure of body weight on the femoral head and reduce or avoid the collapse of the femoral head. Movement refers to the functional exercise of the hip joint, which is generally to improve local circulation, reduce osteoclast activity, and reduce decalcification under the premise of not bearing weight.

2. Pay attention to the body not to be overweight, properly control the diet, and the diet should be nutritious. Reduce high-fat diets, animal offal, and pay attention to blood cholesterol.

3. Avascular femoral head necrosis must abstain from alcohol and smoking during the ** period. Experts in necrosis of the femoral head in Qianhai, Beijing, believe that tobacco and alcohol are extremely harmful to health.

Fourth, when walking, you should pay attention to your feet, pay special attention to the crutches used, be sure to prevent slipping, avoid falling, and avoid fractures.

Fifth, the disease has a long time, and the degree of necrosis of the femoral head is different from each other's constitution, and the curative effect cannot be compared. Some patients have significantly reduced pain after **, and there will be pain due to the absorption of necrotic cells of the femoral head and excessive joint activity in the middle, and expert doctors can be asked to help analyze the cause and deal with the symptoms.

The conservative methods of femoral head necrosis generally include basic nursing, medication, physics, etc., as follows:

1.Basic care: It is recommended that patients stay in bed as much as possible and avoid strenuous and high-intensity exercise. Qingwei has a light diet, controls weight, and avoids excessive obesity and aggravates the burden on the hip joint. At the same time, stop drinking alcohol and stop taking hormone drugs under the guidance of a doctor.

2.Medications**: Take diclofenac sodium sustained-release tablets, ibuprofen capsules, alprostadil and other drugs to relieve pain under the guidance of a physician.

3.Physical**: Under the guidance of professional physicians, acupuncture, massage, magnetic therapy and other methods of eliminating the mountain are carried out**, which can promote blood circulation and alleviate the condition to a certain extent.

During the conservative period of femoral head necrosis**, it is necessary to strictly follow the doctor's instructions, which cannot recover quickly, and can only prevent the condition from worsening. If the condition worsens, it is necessary to seek medical attention and if necessary, perform femoral head replacement surgery on the advice of a doctor.

At present, there are two main conservative methods of femoral head necrosis, chemical drugs and Chinese patent medicines. Among them, the shortcomings of chemical drugs are more obvious, that is, there are no targeted chemical drugs, so in the clinical agitation and conservatism, chemical drugs** have more auxiliary effects. As for whether the femoral head can recover quickly, this is basically impossible, even if it is surgery**, it will take a while to recover, not to mention the Chinese patent medicine that may take longer**.

However, Chinese patent medicine also has its advantages, that is, the recovery is complete, small, such as the use of Chinese patent medicine that has won the second prize of the National Science and Technology Progress Award: Tongluo Shenggu Capsule, which can be used from the root cause of bone necrosis, so that patients can regain their health.

Femoral head necrosis is a serious bone disease that is conservative** designed to slow the progression of the disease and relieve symptoms. Here are some commonly used conservative methods::

Load reduction: It is important that the liquid beam relieves the load on the femoral head to help slow the progression of the disease. Use a mobility aid, such as a crutche, to share the weight load and reduce pressure on the affected hip.

Stay moderate: Avoid prolonged weight-bearing activities and strenuous exercise, but don't avoid activity altogether. Moderate activity increases the strength and flexibility of the muscles around the joints and helps maintain joint stability.

Medications**: Nonsteroidal anti-inflammatory drugs (NSAIDs) can be used to reduce pain and inflammation. In addition, sometimes your doctor may recommend medications that regulate bone metabolism to help improve bone health.

Physics: Physics can provide symptom-specific treatments such as pain relief, increased range of motion, and improved muscle strength. The physicist may design specific exercise programs and techniques to help reduce symptoms.

Ensure good nutrition: Maintaining a good diet and nutrient intake is important for bone health. Making sure you're getting enough calcium, vitamin D, and other nutrients can help maintain healthy and healing bones.

Regular follow-up and data monitoring: Work closely with your physician to have regular follow-up visits and check-ups to monitor disease progression and adjust your plan.

It is important to note that conservative** may not be able to stop the progression of the disease, especially in more severe cases. If symptoms are not relieved or the condition worsens with conservative**, surgery**, such as a bone graft, joint replacement, or other surgical options, may be considered. To find out what is best for your individual situation, it is advisable to consult a professional doctor or orthopedic specialist.

The conservative methods of femoral head necrosis are: 1. Drugs**, improve the blood supply of the femoral head by taking drugs, such as the clinical special drug for femoral head necrosis, Tongluo Shenggu Capsule. Second, ****, such as massage, acupuncture, medication, functional exercise.

3. Sharp regret reduces the weight that can be done through traction with the application of crutches. These three ** methods can be used together, and they are very helpful for the recovery of the disease. Patients with femoral head necrosis should minimize joint weight bearing and avoid hormone use.

There are several conservative approaches to femoral head necrosis:

1. Basic nursing: ensure that the hip joint rests, reduce activities, and if the pain is more serious, it is necessary to support crutches or even crutches, so that the affected limb does not step on the ground, thereby reducing the pressure on the femoral head;

2. Drugs**: Oral anti-inflammatory and analgesic drugs can be used to reduce symptoms if the pain is severe, such as Fenpidex, Voltarin, loxoprofen and other tablets, and oral Chinese patent medicines that invigorate blood and relieve pain, so as to improve local nutritional status and blood flow;

3. Physics**: Eliminate local inflammation and pain by baking electricity;

4. Others**: Avoid factors that cause femoral head necrosis, such as excessive drinking, patients with femoral head necrosis must abstain from alcohol. Some patients with special diseases should be treated with hormones**, at this time, the hormone can not be completely stopped, and the primary disease will be uncontrollable after stopping the dose, but the dosage of hormones can be adjusted as much as possible, or alternative drugs can be selected, which can also reduce the progression of osteonecrosis.

The early stage of femoral head necrosis is very critical, and it can be started from two aspects: one is to effectively target the patient's corresponding symptoms, relieve the patient's symptoms, and reduce the patient's pain as much as possible; The second is to delay the development of femoral head necrosis as much as possible. Here are four ways to get started.

1. Protective load.

There is still controversy in the academic community about whether this method can reduce femoral head collapse, and the use of crutches can be effective in reducing pain, but the use of wheelchairs is not recommended.

2. Drugs**.

For early femoral head necrosis, non-steroidal anti-inflammatory analgesics can be used, and low-molecular-weight heparin and corresponding Chinese medicines can be used for hypercoagulant and hypofibrinolytic states**.

3. Physics**.

Including extracorporeal shock waves, high-frequency electric fields, hyperbaric oxygen, magnetic therapy, etc., which are beneficial for relieving pain and promoting bone repair.

4. Surgery**.

Most patients will face surgery, which includes surgery to preserve the patient's own femoral head and artificial hip replacement.