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According to Zhong'an rheumatoid osteoarthropathy, 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.
There are mainly the following points to pay attention to:
1) Hip and knee pain, also known as ectopic pain, is the main manifestation of early femoral head ischemia symptoms, because it is often ignored because it is "distant" away from the hip joint, and it is easy to misdiagnose arthritis or joint injury, which is actually a radiological symptom related to femoral head necrosis. This pain can be evident due to exertion, trauma, heavy alcohol consumption, excessive activity, going up and down stairs, etc.
2) Children aged 3-10 years with a history of minor trauma or upper sensation before the onset of the disease. Sudden onset, the child has pain in the kneele joint and thigh, which turns into hip pain a few days later, and then causes claudication, low body temperature and low fever, tenderness in the hip joint, the affected hip is maintained in a slightly flexed and adductive position, the hip joint internal rotation and abduction activities are obviously limited, the hip joint on the affected side is ** contrast, and the epiphysis and cartilage surface are not smooth. Zhangjiakou Xuanhua District Zhonglou East 150 meters north of the gold mine bottom business.
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Hello Early symptoms of necrosis of the femoral head:
The main symptoms are pain in the side buttocks or groin or lower back, stretching pain in the knee joint, chills, weakness, soreness, and numbness in the lower limbs. These symptoms do not necessarily occur at the same time, and may manifest as only one or two, which may persist or disappear in the short term.
It is recommended that you go to a regular hospital for examination as soon as possible, early diagnosis, and early **, so as not to delay your condition and miss the best ** period!
For patients with mid-to-early femoral head necrosis, as long as they receive formal systematic **, they can generally achieve clinical **. In China, conservative femoral head necrosis is generally adopted, oral traditional Chinese medicine, external plasters, and good functional exercises. Patients with advanced stage are advised to choose the best method according to their actual condition and economic conditions, such as surgery.
Hope it helps, I wish you a soon**!
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Hello! The main symptoms of femoral head necrosis are:
Pain. Pain may be intermittent or constant, worsened with walking activity, and sometimes at rest. The pain is mostly pinprick, dull or sore, and often radiates to the groin area, inner thighs, posterior buttocks and inner knees, and there is numbness in this area.
Joint stiffness and limited mobility. The affected hip joint is not conducive to flexion and extension, difficulty in squatting, inability to stand for a long time, and walking duck steps. Early symptoms are abduction and limited external rotation activities.
Limp. It is a progressive shortened claudication due to hip pain and collapse of the femoral head, or late hip subluxation. Intermittent claudication tends to occur in the early stages, especially in children.
Signs. Localized deep tenderness, adductor insertion tenderness, positive figure-4 test, positive Gaga S sign, positive A11is sign, Tkdele Lak UQ test. Abduction, external rotation, or internal rotation are limited, and the affected limb may be shortened, muscle atrophy, and even signs of subluxation.
Sometimes axial rush is positive.
X-ray findings. Bone texture is small or interrupted, and the femoral head is cystic, hardened, flattened, or collapsed.
Early symptoms of femoral head necrosis are not easy to diagnose, and only a few present with hip pain. X-rays usually show no bone destruction, which is often overlooked and misdiagnosed. If attention can be paid to, MRI patients can be diagnosed early.
Hope it helps. Good luck soon**!
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Hello! The five major symptoms of early femoral head necrosis are: lower limb weakness, chills in the lower limbs, lower back pain, hip pain, and knee joint pain.
This disease begins to manifest as a dull and dull pain in the hip joint or its surrounding joints, which worsens after activity, and further development can lead to dysfunction of the hip joint, seriously affecting the patient's quality of life and ability to work.
The main symptoms are: walking limp, pain, weakness of the lower limbs, difficulty in moving, inability to walk in severe cases, muscle atrophy and even paralysis. If it is not timely, it will be disabling and paralyzed.
Therefore**femoral head necrosis should be detected early**, you can go to the hospital to take a "X-ray pelvic orthoposterior film" to confirm whether it is femoral head necrosis, and sincerely wish you good health and a happy life!
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Early symptoms of femoral head necrosis include: low back pain, hip pain on the affected side, groin pain on the affected side, knee pain in the affected limb, chills in the affected limb, weakness when moving a lot, soreness, and fatigue. These symptoms cannot appear at the same time, and some people have one or two symptoms or several symptoms, which disappear after a short period of time, and repeat many times.
This is an early symptom of femoral head necrosis, and you should go to the hospital for CT, ECT or MRI examination in time, which can detect necrosis of the femoral head. X-rays are not possible for early diagnosis. By the time the x-ray changes, the condition has reached the middle and advanced stages, and it is a little late.
Because early femoral head necrosis x-rays can only show decreased blood circulation around the femoral head, osteoporosis, and a small number of cystic changes. Therefore, X-rays alone generally cannot be detected early. At this time, due to the increased internal pressure of the femoral head, the pain in all parts of the affected limb is more obvious, and it is often misdiagnosed as rheumatism, lumbar spondylosis, knee joint disease, etc., **analgesic, commonly used some painkillers or closure, etc., the symptoms disappear, that is, the disease is considered to be cured, resulting in misdiagnosis and mistreatment, so that the disease develops to the middle and late stages, thus delaying the best time for patients.
Because each patient's age, length of illness, **, severity of illness, physical fitness, and sensitivity to drugs are different. The best way to achieve necrosis of the femoral head is to adopt the conservative method of integrated Chinese and Western medicine. This kind of ** avoids the disadvantages of slow efficacy first, and secondly, it does not require surgery.
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1. Joint pain is the earliest early symptom of necrosis of the femoral head.
The femoral head is a major part of the lower body of the body, so it can involve pain in the buttocks, outer thighs, and knees and the front of the thighs. When the patient stands and does not walk, there is no pain in the femoral head of the hip joint, but the pain in the buttocks, the muscles of the outer thigh, the pain of the muscles of the knee joint and the front of the thigh when walking, indicating that the sudden pain symptoms are not aggravation, but due to the patient's improper walking, muscle fatigue or muscle strain, and patients with necrosis of the femoral head do not need to be afraid that it will disappear naturally after a few days or ten days.
2. The change of a large area of water droplet sign in the femoral head is also one of the early symptoms of necrosis of the femoral head, and the trabecular disappearance in the area of the water drop sign refers to the fact that there are multiple water droplets on the table in the femoral head, and the water droplets are evaporated after the water droplet traces change, also known as the femoral head bagel change.
3. Feel atrophy of buttocks, thighs, and calves.
4. The top of the femoral head is a semi-moon-shaped subchondral fracture, the trabeculae of the subchondral bone of the femoral head are separated from the cartilage, and the crescent-shaped fracture is a sign of a translucent area.
On the pelvic x-ray in the frog position, the lateral superior aspect of the femoral head shows the most obvious subchondral fracture of the femoral head, with one or more crack-like translucent bands, which are also early symptoms of necrosis of the femoral head.
The above are the early symptoms of femoral head necrosis introduced to you by the doctors of Golden Coronary Bone Disease, grasp the early symptoms of femoral head necrosis, and ** femoral head necrosis as soon as possible, so as not to worsen the condition and bring more pain to the patient.
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1. Pain in the knee joint 2. There are some people who have early femoral head necrosis and pain in the groin area, so if there is no obvious reason for the pain in the groin area, high attention should be paid to suspicion of hip joint disease, and early hip imaging examination should be performed.
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Hip soreness and indirect pain, pain in the abdomen and buttocks, stiffness and inconvenience in movement, and more and more pain over time.
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Then we should see if our bones are stiff, and then see if the bones are painful, if such a situation will occur, then we should go to the hospital to shoot**, look at the specific situation, and make a reasonable **, relieve our pain, when we are angry, the body will be very weak, and it will be very uncomfortable, sometimes it will be very weak, and there will also be osteoporosis.
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If your hip pain is constant all the time, it will get worse every day. Weakness of the lower limbs, the most obvious is pain at the base of your thighs, or your abdomen, or low back pain, if this is the case for a long time, it may be necrosis of the femoral head and you should go to the hospital for examination in time.
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See if there are some problems in your body, if there is a problem, you should be in time, whether your bones are in pain, and in the early stage, there will be no way to walk upright, which indicates bone necrosis.
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At this time, according to your daily activities, for example, the joints are seriously affected when you move, and the speed is relatively slow when driving, and then there is also joint swelling and pain, and in the early stage, there will generally be weakness in the limbs, and the pain will become stronger and stronger.
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If the patient's range of motion in the hip joint is small, there is a suspicion that there is a problem with the femoral head, and further examination is required.
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The early symptoms of femoral head necrosis mainly include the following aspects: 1. Knee joint pain, many people will have knee joint pain.
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The following 5 methods can help you deal with the initial situation of femoral head necrosis: When you feel hip pain, do not use drugs indiscriminately, observe for a few days, and then go to the hospital for consultation.
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The three main symptoms of necrosis of the femoral head: hip (unilateral or bilateral) pain, claudication, and dysfunction. The early symptom of femoral head necrosis is pain, which is not easy to diagnose, and only a few cases of hip pain.
It is recommended that you go to Beijing Qianhai Hospital for a check-up so that you can get a timely and effective **. Early detection of femoral head necrosis should be timely and correct to avoid delaying the disease. Good luck soon**!
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The early clinical symptoms of femoral head necrosis are not obvious, and the first symptom is a dull or dull pain in the hip joint, which worsens after exertion. It is often accompanied by adductor pain, discomfort in the hip joint after exertion, but there is no impaired mobility, sometimes the pain can radiate to the inside of the knee, and the weather is cold and wet.
Once such symptoms appear, it is necessary to go to a regular hospital in time for examination, such as the Femoral Head Intervention Center of the 466 Hospital of the Beijing Air Force
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There are three major characteristics of early symptoms of femoral head necrosis: 1. Hip discomfort and pain: the groin and radiating to the inner thigh and knee joint (patients often suspect knee joint disease), and even hip pain.
It is one of the features of early symptoms of femoral head necrosis. 2. Weakness of the lower limbs, sensitivity to cold and cold: In the early stage of necrosis of the femoral head, the blood supply around the femoral head will first decrease, that is, part of the blood circulation will be blocked, and with the length of time, the degree of blood circulation obstruction will slowly increase, and when the blood volume of the femoral head is reduced to a certain extent, the bone cells of the femoral head will wither and die.
3. Aggravation of pain and fatigue of lower limbs: hip pain, for a period of time, patients feel that both legs or one leg are easy to fatigue and weakness, and the symptoms of fatigue and weakness will be more obvious when they are active, but this symptom lasts for a period of time and disappears on its own without adding **, and it is the same as a normal person.
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Suggestion: This disease is mostly 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.
Hormone drugs can also cause the disease. Manifested as:
Symptoms such as joint pain, claudication, stiffness, etc. X-ray findings. Bone texture is small or interrupted, and the femoral head is cystic, hardened, flattened, or collapsed.
Doctor asked: View the original post
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