What is the most painful period of femoral head necrosis?

The pain of femoral head necrosis is present throughout the patient, but the pain is more pronounced in the early and middle stages. After the collapse of the affected area in the middle and late stages, the pressure is reduced, and the pain is in some patients, but it is definitely not a sign that the condition is reduced. Dr. Jin Guan reminded:

Necrosis of the femoral head must be timely**, as soon as possible**, so that it can **.

Necrosis of the femoral head is avascular necrosis caused by trauma or the inability of blood to feed the femoral head.

Symptoms: 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.

The easiest way to help you identify femoral head necrosis is the figure 4 test.

4" test operation method: the patient lies on his back, one lower limb is straightened, and the other lower limb is placed in the shape of "4" near the knee joint, and one hand is pressed on the knee joint, and the other hand is pressed on the contralateral iliac crest, and both hands are pressed down at the same time. Pain in the sacroiliac joint is present when pressed down, and the bed surface is not palpable on the curved knee.

If it is positive, it is recommended to go to the hospital as soon as possible** You can take an X-ray**Assist**.

If it is negative, lumbar disc herniation is not ruled out, and corresponding tests should be done.

What is femoral head pain? Symptoms of necrosis of the femoral head:

1) Claudication: The cause of claudication is pain and limited hip function. Painful claudication is characterized by the fact that the affected limb does not dare to step on the ground with weight, and the foot on the affected side is lifted immediately as soon as it steps on the ground, that is, the healthy foot lands heavily and for a long time, and the affected foot lands lightly and for a short time, and the function is limited.

In addition to pain and shortening of the affected limb, claudication is characterized by adduction of the affected hip. The knee on the affected side is tightly pressed closer to the unaffected side, and even the knees rub against each other.

2) Muscle atrophy: The occurrence of muscle atrophy is mainly due to the reduction of blood ** in the affected limb of necrosis of the femoral head and the lack of effective exercise of the patient. Muscle atrophy caused by necrosis of the femoral head is apraxia, i.e., it is not a permanent atrophy, but the muscles will still recover once the affected limb has been effectively exercised.

3) Pain: The pain can be around the hip joint, the inner thigh, the front side, the outer side or the knee, and it begins to be dull, dull, and intermittent pain, especially if the pain is aggravated by more activities, and rest can be relieved or alleviated, and there are also persistent pains. In the late stage, it worsens after walking activity, and the pain stops when it moves, and it stops when it is still.

In addition, the symptoms of early femoral head necrosis manifest as hip joint dysfunction, which is mainly manifested as: abduction, adduction, difficulty in bending and extending, difficulty in squatting, dare to cross legs, joint stiffness, and inflexibility in leg lifting.

Femoral head necrosis**: Many early patients choose conservative drugs **, but simple oral administration of some Western medicines, Chinese patent medicines, and traditional Chinese medicines** will basically have no effect, because Chinese and Western medicines reach the lesion area through blood circulation, and femoral head necrosis is caused by restricted blood circulation, and simple medication** cannot solve the problem of tissue adhesion caused by femoral head necrosis. So far, there has not really been a drug that has a reliable efficacy and can ** necrosis of the femoral head.

The overall failure rate of non-surgical** was about 80-92%, which was comparable to that of the non-** group.

Hello, pain is one of the symptoms of femoral head necrosis, it is necessary to be timely, and the general situation of necrosis of the femoral head needs to depend on the degree. Severe and requires surgery. If it is not serious, it can be conservative.

Sudden onset of hip pain after a fracture, dislocation, or hip injury is intermittent or persistent when self-examination for necrosis of the femoral head, which worsens with activity, and is usually pinprick or sore.

People who use hormones for a long time or drink too much alcohol often have hip pain, which is a dull, dull ache that is often located in the groin, is noticeable with activity and lessens with rest.

In self-diagnosis of femoral head necrosis, hip pain radiates to the posterior hip or medial knee, and numbness is felt in that area.

Stiffness of the hip joint, limited movement, inflexibility in leg lifting, and initial symptoms of necrosis of the femoral head on self-examination are difficulty crossing the legs or squatting.

Early symptoms include pain in the buttocks or groin or lower back on the affected side, stretching pain in the knee joint, chills, weakness, soreness, and numbness in the lower limbs; These symptoms do not necessarily appear at the same time, may only show one or two symptoms, these symptoms may persist, or may disappear in a short period of time, then CT or magnetic resonance examination in the hospital can make a diagnosis, if a simple X-ray plain film, because of the early appearance of only the surface of the femoral head rough, a small amount of small cystoid changes in the head and it is not easy to make a diagnosis, but because of the increased internal pressure of the femoral head, the patient's pain is more obvious, often misdiagnosed as lumbar spondylosis, arthritis, sciatica, etc.; Therefore, it is necessary for medical workers and patients to have knowledge of the prevention and treatment of femoral head necrosis, so as not to miss the opportunity of early diagnosis and early diagnosis.

Yes, necrosis of the femoral head can be indirect or persistent in nature, so it can cause a lot of pain to the patient, with intermittent or persistent hip pain. This is a common symptom of femoral head necrosis, also known as ectopic pain, which is a common symptom of femoral head necrosis.