What are the symptoms before femoral osteonecrosis and the precursor symptoms of femoral head necros

The most obvious symptom of femoral head necrosis is pain, which will cause synovial inflammation, increased pressure in the joint cavity, and increased pain in the early stage; With the gradual aggravation of the condition, patients will have symptoms such as decreased joint motor function, inability to cross legs, claudication, and stiffness of both legs; Hip pain is mild in the early stages, more pronounced with increased activity, and gradually worsens as the disease progresses; Stage 0 or period can be performed with simple decompression**; If the patient's condition develops to the stage or stage, joint replacement is required, which has a good surgical effect and can improve the quality of life of the patient.

Pre-symptoms of femoral head necrosis:

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 point tenderness, positive figure-4 test, positive Gaga S sign, positive Allis sign, positive 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.

Once you find that you have early symptoms of bad femoral head, you should go to a regular hospital for examination as soon as possible**, early detection **, early through drug hip preservation ** can achieve ** effect.

Hello: The main symptoms of necrosis of the femoral head in the early stage are pain in the side buttocks or groin or lower back, traction 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 to detect early** early, not only to treat the symptoms and effective drugs, but also to actively cooperate with the patient**, so as not to miss the best time and delay your condition.

I hope it helps you and I wish you a good !!

=== The early symptoms of femoral head necrosis are mainly pain in the buttocks or lower back, and pain in the knee joint. Sensitivity to chills and cold, *************** weakness and numbness, the above symptoms do not necessarily occur at the same time, and may only present with a few symptoms, which may persist or disappear in the short term. It is recommended to go to beijingqianhaigugutouyiyuan

Beijing] Qianhai - femoral [bone] hospital look down}

Analysis:

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.

Femoral head necrosis is often misdiagnosed because of the lack of obvious symptoms in the early stages, so as to delay the disease. So what exactly are the early symptoms of femoral head necrosis? 1.

Necrosis of the femoral head The first perceived symptom is pain, which appears in the lower back, around the hip joint, inside and front of the thighs, groin, or in the knees. Early pain is dull and intermittent, worsens with activity, and is relieved or relieved at rest. or pain that is constant and gets worse gradually.

There are no obvious abnormal morphological changes on the line, but the hip joint has different degrees of functional limitations, such as: abduction and internal rotation of the hip joint on the affected side, squatting is not in place, etc. 3.

The affected limb is sensitive to chills, weakness during long movements, soreness, and fatigue. These symptoms do not appear at the same time, and may appear one or two or a few symptoms, appear for a short period of time and then disappear, repeat many times or persist. Femoral head necrosis Early symptoms should be done in a timely manner by going to the hospital for CT or MRI.

Plain x-rays alone cannot confirm the diagnosis of early necrosis of the femoral head because plain x-rays show only rough surface of the femoral head and a small number of small cysts in the head. Experts from Chongqing Yiqing Hospital of Traditional Chinese Medicine pointed out that when there are changes in the femoral head on X-ray, the necrosis of the femoral head has reached the middle and late stages, and the femoral osteoporosis and a small number of cystic changes.

In addition, because of the increased internal pressure of the femoral head, the pain is obvious, and it is easy to be misdiagnosed as rheumatism, lumbar spondylosis, knee joint disease, etc. Nowadays, many doctors only focus on the patient's pain symptoms, and often use some painkillers or occlusion, etc., so that the patient thinks that the pain symptoms disappear, and the disease will be gone. But I don't know that the best time for patients with femoral head necrosis has been delayed.

Therefore, doctors and patients should have a certain knowledge of prevention and treatment of femoral head necrosis, and should not miss the opportunity of early diagnosis and early femoral head necrosis because of misdiagnosis.

Early symptoms of necrosis of the femoral head: pain, ipsilateral hip pain, ipsilateral groin pain, limb knee pain, chills in the limbs, weakness of movement, pain, fatigue. These symptoms can appear at the same time, and there seems to be one or several symptoms or symptoms that appear and disappear for a short time and repeat many times.

The reason why femoral head necrosis cannot be cured for a long time is due to the fact that there is a complex pathological process of femoral head necrosis, if it cannot be timely and effective in the early stage, it will cause the femoral head to collapse, narrow the joint space, and finally lead to osteoarthritis, so that the patient's hip joint dysfunction and disability and paralysis. In addition to suffering from physical pain, patients also suffer from psychological trauma, which also adds a heavy burden to their families, workplaces and society. Therefore, it is necessary to detect it early and ** early.

Femoral head necrosis has become a recognized medical problem in the world, medical experts from all over the world have carefully studied for more than 100 years, and major breakthroughs have been made in the artificial replacement of femoral head, but this technology is not accepted by the majority of femoral head patients, leaving many shortcomings. There are three main reasons: first, the cost of surgery is high, the trauma is great, the pain is great, and there are many sequelae, which are unacceptable; second, the degree of necrosis of some femoral heads does not reach the level of non-replacement joints; Third, some elderly people or immature people are not suitable for joint replacement.

Therefore, most patients and their families are willing to accept non-surgical treatment, looking for a kind of bitterness, no injury, safety and reliability, which is the key to femoral head necrosis.

Femoral head necrosis generally produces sequelae, and its main symptoms are not the same in different periods, and the femoral head necrosis experts of Jinan 106 Hospital briefly analyze the different signs of sequelae in different periods.

Sequelae of the femoral head: subchondral fracture of the femoral head, separation of trabeculae from cartilage, multiple crack-like translucent band-like changes in the femoral head, and normal or basically normal appearance of the femoral head. By **, 95% of patients live and work completely** and like normal people.

Sequelae of the femoral head: subchondral fracture of the femoral head, separation of trabeculae from cartilage, multiple patchy or band-like sclerotic high-density bone changes in the femoral head, signs of collapse and flat hypertrophy of the femoral head, and loss or loss of trabeculae. After **, 85% of the patients were clinically **, able to walk the hip joint without pain, claudication, basically normal function, normal appearance and image when walking, and non-heavy physical work could be carried out normally.

And in the clinical** patients, 20% of patients have severe femoral head collapse, flat femoral head, and severe hyperplasia on the lateral side of the femoral head.

Sequelae of the femoral head: bone fracture of the femoral head, loss or most of the trabeculae, multiple large-area cystic light transmission changes in the femoral head, multiple sclerosing high-density bone changes, severe collapse and deformation of the femoral head, flat hypertrophy, and joint space narrowing of more than 2mm or disappearing.

Early symptoms of bone necrosis include low back pain, pain in the buttocks on the affected side, pain in the groin on the affected side, pain in the knee joint of the affected limb, chills in the affected limb, weakness during excessive activity, 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.

When early symptoms of femoral head necrosis are found, it is necessary to maintain a good attitude, do not be afraid of the disease, do not be too anxious, and do not rush. A good mindset will keep you calm, know how to deal with it, and know how to deal with it.

After the symptoms of femoral head necrosis appear, you should seek medical attention in time. The doctor will check the painful area through physical sign observation and local deep pressure, and do tests such as the 4-character test, Gaga S sign, and A11is sign to see if they are positive; After X-ray, CR and other medical imaging examinations, the femoral head is seen to see if there is a cyst, sclerosis, flattening or collapse of the femoral head, so as to determine whether the patient has necrosis of the femoral head.

Once the early stage of femoral head necrosis is diagnosed, the appropriate method should be selected as soon as possible, because the early stage of femoral head necrosis is the first period of femoral head necrosis, and the effective patient can completely, and the patient who misses this period cannot return to the state before the onset of the disease.

Qingdao Huaguo Hospital of Traditional Chinese Medicine femoral head experts said: femoral head necrosis, early use of MRI, ECT and other examinations can be well found, and then through the "three-in-one penetration" effective, the chance is still very large, but do not wait until the femoral head has been seriously collapsed to think about it, the only way at this time is replacement surgery.