How is early femoral head necrosis treated?

How is early femoral head necrosis**? Trabecular morphological analysis of femoral head necrosis can be roughly divided into four stages according to the changes in bone structure: stage 1 and 2 belong to the early stage, stage 3 belongs to the middle stage, and stage 4 is the late stage.

Early femoral head necrosis is often ignored and not recognized by clinicians, usually after a year the morphology of the femoral head has changed, the patient feels that the symptoms are obvious, and the femoral head necrosis is confirmed when he visits the doctor again, but this time has delayed the best time. For patients with femoral head necrosis, early diagnosis is already very lucky, but there is not enough understanding of femoral head necrosis, and I don't know what to do, which may delay time. Early femoral head necrosis can be achieved by conservative ***, and try to avoid damage to the body.

Patients with femoral head necrosis who have been diagnosed in the early stage can use the conservative method of traditional Chinese medicine to achieve the best effect, and for patients with intermediate or more severe disease, they can also be conservative to achieve the purpose of controlling the disease and delaying replacement. Femoral head necrosis is due to poor blood circulation in the femoral head, the femoral head loses nutrients, bone tissue is absorbed, bone cells lose vitality, resulting in trabecular fracture, so the principle of early femoral head necrosis is to restore blood vascularization. The conservative Chinese medicine can achieve the purpose of restoring blood vascularity.

Early femoral head necrosis can be conservative with traditional Chinese medicine**, so what drug should be used**? Gui Peony Huoxue CapsuleThe main ingredients of Gui Paeonia Huoxue Capsule are: Angelica, White Peony, Deer Horn Gum, Lycium Berry, Continuation, Astragalus, Cinnamon Branch, Peach Kernel, Centipede, Blood Exhaustion, Natural Copper, Mustard Seed, Ox Knee, Turtle Worm and other traditional Chinese medicines are refined by modern technology.

To strengthen the foundation, tonify the kidney and strengthen the bones, clear the channels and disperse the knots, and remove the decay and regeneration as the principle to ** femoral head necrosis. For early patients, taking it according to the course of treatment can achieve the clinical effect, and for patients with severe advanced disease, it can also control the disease, delay the replacement time, and <>

The above is for:How is early femoral head necrosis**? If the femoral head necrosis has been diagnosed, but there are no obvious symptoms, no pain and no normal life, the patient should not have a fluke mentality, but also be active to minimize the damage to the body.

Necrosis of the femoral head is a common disease in clinical practice, and it occurs in a large number of patients, from young to elderly. At this time, it is necessary to go to the hospital for a comprehensive and systematic examination to clarify the location, type and degree of necrosis, and conduct a comprehensive evaluation of the condition. X-rays or CT and magnetic resonance imaging can be taken to determine the extent or stage of the lesion, and whether the lesion is early, intermediate or advanced can be determined whether it is surgical or conservative**, and the methods are mainly as follows:

1. Conservative**: If it is an early lesion, edema or localized necrosis, and there is no collapse or deformation of the femoral head, conservative** can be considered. In general, patients need to reduce weight bearing, pay attention to rest, avoid exertion, reduce alcohol consumption or try not to consume hormone drugs, and quit smoking.

At the same time, oral drugs can be taken to improve circulation, promote bone production or relieve pain, such as non-steroidal anti-inflammatory drugs and traditional Chinese patent medicines for osteogenesis and blood activation;

2. Minimally invasive surgery: If the pain is severe and the disease develops, minimally invasive surgery, such as decompression surgery for femoral head drilling, can be performed. If the adductor muscle spasms, adductor release surgery can be performed, and at the same time, the functional exercise of the hip joint can be carried out under the guidance of **;

3. Physiotherapy and hyperbaric oxygen**: If the necrosis of the femoral head reaches the middle stage, the necrosis range increases significantly, and cystic changes appear, but there is no deformation or collapse, physiotherapy or hyperbaric oxygen can be carried out**;

4. Surgery: In the medium term, bone grafting can also be considered after scraping the necrotic bone, and replacing the bad bone with good bone, such as medullary heart decompression surgery or vascular pedicle bone flap transplantation;

4. Total hip replacement surgery: If the condition is more serious, the femoral head collapses, deforms, or even hip osteoarthritis, then only total hip replacement surgery can be done.

Necrosis of the femoral head refers to the microcirculation disorder of the femoral head caused by various causes, resulting in the death of viable bone cells in the femoral head. If it is not timely, it will lead to the formation of bone cavitation of the femoral head, and even pathological changes such as fragmentation, collapse, and bone hyperplasia at the acetabular margin. The following is an introduction to the main methods of femoral head necrosis

Femoral head replacement, intervention**, borehole decompression, vascular grafting and vascular pedicle bone flap grafting.

The intervention of the femoral head necrosis method, specifically the direct injection of the drug into the arterial blood vessels, this method is also an indirect method, which dissolves the embolism through the drug to achieve the curative effect. But there are also numerous drawbacks. Not suitable for older patients.

Such patients are often accompanied by arteriosclerosis, large fragility of blood vessels, and are prone to accidents.

Some people call femoral head necrosis intraosseous hypertension, so there is a drilling decompression, which has been basically eliminated, it is only suitable for early patients, whether the condition can be prevented after drilling, clinical verification, is not ideal, and the femoral head has been re-damaged, or poor solidity, and it is easy to cause the femoral head to collapse.

The femoral head replacement method is the most commonly used method in Western medicine, but its indication range is narrow, and many complications make patients shudder and creepy. However, there are complications associated with this method: postoperative pain, limited movement, acetabular abrasion, prosthetic rupture, prosthetic infection, cortical penetration, intraoperative femoral neck fracture, fat embolism, etc.

This method of no return is like gambling, and if you lose, you will regret it for life. Therefore, some doctors in the clinic advise patients in the early and intermediate stages not to let them develop to a serious state and then perform this surgery, which is obviously unscientific, but on the contrary, it delays the best period of the disease.

Femoral head necrosis** Method: with vascular grafting. The nearby blood vessels were bundled together and implanted into the necrotic area, and the clinical practice was only preoperative imaging, and there was no postoperative examination; In addition, many patients have undergone this surgery and have maintained no weight loss after surgery, but their condition still tends to deteriorate.

Patients with femoral head necrosis can eat more high-protein and low-fat foods containing calcium and phosphorus, and a reasonable diet is also the best method of femoral head necrosis. Massage, acupuncture, physiotherapy, and fumigation can all improve circulation and provide a series of aids to the disease**.

Femoral head necrosis can be operated with drugs, and it is better to choose his own method according to the degree of his condition, and the patient should pay more attention to rest and not be too tired. The general elderly will be prone to necrosis of the femoral head, some people are caused by their bone aging, and some are caused by trauma

Femoral head necrosis, also known as avascular necrosis of the femoral head, is mainly due to the obstruction and destruction of blood circulation of the femoral head, resulting in insufficient blood supply to the femoral head, resulting in structural changes of the femoral head, collapse of the femoral head, and dysfunction of the femoral head in severe cases. 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. Lin Bao Pharmaceutical's Gui Peony Huoxue Capsule, you can learn about it

For the necrosis of the femoral head, the current methods mainly include traditional Chinese medicine blood circulation and blood stasis, decompression intervention and advanced femoral head replacement surgery. In the actual clinical ** cases, because the disease is only regarded as a general pain in the early stage, it is not easy to attract people's attention, so it is usually more serious when it is diagnosed, so more than 90% of patients with femoral head necrosis are surgical**. Surgeries** include core decompression, core decompression plus vascular bundle implantation, bone grafting, osteotomy, hip fusion, artificial joint replacement (only suitable for a small number of elderly people), femoral head repair and reconstruction, etc.

Although various surgeries have their characteristics, they are not easily accepted by patients because of their high cost, large trauma, and wide limitations. Moreover, the artificial femoral head needs to be replaced in an average of 5 to 7 years, which brings great pain to the patient and seriously affects the quality of life. Therefore, for the necrosis of the femoral head, it is generally considered to be a thorny medical problem in the medical community at home and abroad.

It is best to detect it early**. According to the length of time of onset, the symptoms of TCM are divided into three stages: primary, middle and posterior.

Initial stage: pre-femoral head necrosis symptoms are not easily diagnostic, 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, CT can be confirmed in 60% of patients.

Medium-stage: symptoms are more obvious, there is heaviness of the affected limb, progressive worsening of pain, sometimes mild and sometimes severe, limited range of motion of the hip joint, difficulty in lifting the legs, squatting and wearing shoes, walking with a limp, X-ray shows that there may be a crescent bud or oval garden-like bone density increased necrotic area at the proximal femoral head, and some femoral heads are mildly flattened.

Later stage: intermittent pain aggravates suddenly, hip joint movement is greatly restricted, abduction, adduction, elevation, and squat are severely limited, obvious claudication, muscle atrophy, lower limb weakness, and even loss of ability to work. X-rays show significant collapse of the femoral head, enlargement of the necrotic area, or narrowing or disappearance of the honeycomb joint space.

It is best to use traditional Chinese medicine conservative** and apply plasters externally. **The timing varies depending on the length of onset.

If you still have questions, add a plus, it's more convenient.

Hello, patients in the initial stage of femoral head necrosis are completely okay, **principle: do more physical therapy and drugs such as hot compresses, blood circulation and blood stasis. Adhere to the prohibition of hormone drugs, and adhere to the system of drugs for professors (senior) chief physicians of tertiary medical insurance hospitals**.

Restore the blood supply and nerve tissue conduction of the main part of the femoral head, and the patient's basic function is restored.

If you want to achieve one of the following purposes: effective, effective, and clinical, it is recommended that you contact a Zhongguancun biological company in Beijing, one of the models of biomedical engineering professional instruments developed by them, as long as 1 to 5 days of observation (effect) can know whether your femoral head necrosis problem. If there is no response within 1 to 5 days, it means that you have only one way to replace the artificial femoral head.

Due to the slow onset and inconspicuous symptoms, it is not easy to find early signs of avascular necrosis of the femoral head, but due to the phenomenon of hip and knee pain, it is easy to misdiagnose as lumbar spondylosis - once misdiagnosed, the delay is serious. There are many patients in the early stage who are misdiagnosed, and the early symptoms develop in the middle stage, which is more difficult.

Early stage of avascular necrosis of the femoral head without surgery**. In the early stage of avascular necrosis of the femoral head, the blood supply to the femoral head is not interrupted, as long as the blood flow of the femoral head is improved, the femoral head can be restored. However, if it works, there may be not only injuries from avascular necrosis of the femoral head, which accelerates this process, or even the direct cause of the collapse of the femoral head.

But if the femoral head collapses, it will not be able to return to its original round shape.

It should be reminded that the early avascular necrosis of the femoral head can be done without taking medicine, because the blood circulation is not smooth, and the oral drug is difficult to play a role through the affected part of the blood circulatory system, so the impact is not great. Sometimes, even if the velocity is not the velocity of necrosis**, the condition worsens.

Minimally invasive intervention is the ideal method with outstanding results. Disorder of nocturnal circulation of the femoral head is a core problem causing avascular necrosis. Hip trauma can directly injure the artery supplying the femoral head; Non-traumatic avascular necrosis of the femoral head is a disorder of blood nocturnal circulation caused by various factors.

Repeated intraosseous ischemia and hypoxia not only directly cause cell necrosis, but also secondary intramedullary hypertension and aggravate blood circulation disorders. Minimally invasive intervention** directly injects thrombolytic essentials, vasodilator essentials and medium essentials into the blood supply artery of the femoral head, so that the high-concentration essentials can play a role quickly. Firstly, the blood vessels of the femoral head are dilated, and then the thrombus and fat emboli are dissolved, so that the number of blood vessels in the subchondral area is increased and the caliber is thickened, which improves the blood supply of the femoral head, which is conducive to the absorption of necrotic bone and the formation of new bone.

The most common early symptom of necrosis of the femoral head is hip and knee pain, also known as ectopic pain, which is easily overlooked because it is far away from the hip joint, and can be misdiagnosed as arthritis or joint injury, although this symptom may also be caused by heavy alcohol consumption, excessive activity, trauma, etc. What specific method to use is recommended to be carried out under the guidance of a doctor, Lin Bao Pharmaceutical's Gui Peony Huoxue Capsule, you can learn about it

Hello, it is recommended to pay attention to reducing activity first, oral Chinese patent medicine that invigorates blood circulation and strengthens muscles and bones, and can usually walk on crutches. If the necrosis of the femoral head is severe and there is a collapse, the joint can only be replaced. I hope my answer is helpful to you.