ASEPTIC NECROSIS

SYMPTOMS

The main symptom of Aseptic Necrosis is pain. However, in the early stages of this condition, pain cannot be felt in the affected area. Because of this, a person may not be aware that he already has this condition. Pain only arises when the condition worsens. Here are the common symptoms:

• Joints hurt when weight is applied (most common in the hip joint)
• Pain when lying down
• Pain when walking when the knee is affected
• Painful and decreased range of motion of the shoulder joint 

The pain is usually mild. However, it will gradually worsen and is persistent.

DIAGNOSIS

To obtain a diagnosis, the doctor will interview the patient for a history of trauma and accident that may have caused bone injury and joint dislocation. A physical exam will also be conducted on the affected area, along with checking for swelling, tenderness, and range of motion.

Imaging tests like multiple X-ray tests can be conducted to look for bone damages and bone changes in the later findings. An MRI, CT Scan, and bone scan may also be conducted to obtain a more accurate diagnosis.

TREATMENT

If the condition was diagnosed in its early stages, the patient is advised to take a rest, use assistive devices like crutches if necessary, and attend physical therapy for exercises to improve range of motion. Doctors may also prescribe medications such as non-steroidal anti-inflammatory drugs and osteoporosis drugs, depending on the severity of the condition.

Joint replacement surgery will only be required if the condition becomes very serious.