The thing with alternative therapies is that the doctors will never NO. They are never going to say "i have no idea whats wrong with you."So you have to be very careful which doctor you pick.
Now in my attempt to avoid surgery for avascular necrosis i have tried many many therapies and many many doctors. Most naturopaths I'm sure dint understand what avascular necrosis was all about.
Anyway in my experience of dietitians, homeopaths, acupressure, acupuncture, Ayurveda and others i have found Ayurveda to be most beneficial.
If anyone out there is looking for an alternative to surgery in treating avascular necrosis avp is the place. I have taken treatment under Dr KG Ravindran and Dr Narayanan at Arya Vaidya Pharmacy (Coimbatore). Dr Ravindran has treated a patient of avascular necrosis with favorable results. In any case I'm sure he fully understands what avascular necrosis is all about.
Now the treatment itself is very relaxing if not anything else. The treatment includes a daily massage and some herbal concoctions. You have to stay there at least for twenty one days, eat their food and be at their mercy.
It is not as bad as it sounds. (they provide hi speed Internet connections)
If your avascular necrosis is as a result of alcohol abuse or external injury i hear it is much easier to treat. Even if you have got surgery for avascular necrosis (or anything else) there are therapies you can take to to help with the healing process and pain and so on.
In my opinion if you have a shot at treating avascular necrosis without surgery it is at AVP Coimbatore.
You can e-mail the doctors your reports and ask them for their opinions here.
Sunday, January 31, 2010
The Dietitian the Homeopath the Astrologer
I was diagnosed with bilateral avascular necrosis of the femoral heads about 18 months back.
I developed the necrosis as a side effect of steroid use.
My orthopedic doctors suggested core decompression (surgery) as the necrosis was between stage 1-2 also there was no certainty that the operation would be a success so i found good reason in not jumping into surgery just yet.
First up was Vijaya Venkat. A renowned dietitian in Mumbai. They are a daughter and mother duo who claim that the body has the ability to heal itself. All you need to do is give it what it needs in order to do the healing. They put you on a diet which is mostly made up of raw vegetables, vegetable juices, fruit juices some pulses and a whole lot of lime.
I was on this diet for a little more than a month and necrosis dint get any better.
Next up was a homeopath. A scientist by day and doctor by evening. Doctor Sukumaran also from Mumbai. His home clinic was filled with people waiting for their turn with the scientist doctor. I has to wait in the stairway leading to his house. At this point i realized either he is really good or he charges very little. He dint seem to think avascular necrosis was a big problem what so ever, "fifteen days, in just fifteen days you will feel better and call me up to say i am fine" that's what he said after taking a look at me and reports. I took his word for it and kept popping little sugar ball all through the day. i went on with this treatment for 2 months.
The only thing i got from the sugar balls was extreme acidity.
Now is when i should have gone back to my orthopedic surgeon and let him do his thing, but nooo.
In India it is a law *WHEN YOU ARE STUCK IN A SITUATION WHERE YOU DONT KNOW WHAT IS THE RIGHT THING TO DO, YOU SIMPLY GO TO YOUR ASTROLOGER*
YES and so we did.
I developed the necrosis as a side effect of steroid use.
My orthopedic doctors suggested core decompression (surgery) as the necrosis was between stage 1-2 also there was no certainty that the operation would be a success so i found good reason in not jumping into surgery just yet.
First up was Vijaya Venkat. A renowned dietitian in Mumbai. They are a daughter and mother duo who claim that the body has the ability to heal itself. All you need to do is give it what it needs in order to do the healing. They put you on a diet which is mostly made up of raw vegetables, vegetable juices, fruit juices some pulses and a whole lot of lime.
I was on this diet for a little more than a month and necrosis dint get any better.
Next up was a homeopath. A scientist by day and doctor by evening. Doctor Sukumaran also from Mumbai. His home clinic was filled with people waiting for their turn with the scientist doctor. I has to wait in the stairway leading to his house. At this point i realized either he is really good or he charges very little. He dint seem to think avascular necrosis was a big problem what so ever, "fifteen days, in just fifteen days you will feel better and call me up to say i am fine" that's what he said after taking a look at me and reports. I took his word for it and kept popping little sugar ball all through the day. i went on with this treatment for 2 months.
The only thing i got from the sugar balls was extreme acidity.
Now is when i should have gone back to my orthopedic surgeon and let him do his thing, but nooo.
In India it is a law *WHEN YOU ARE STUCK IN A SITUATION WHERE YOU DONT KNOW WHAT IS THE RIGHT THING TO DO, YOU SIMPLY GO TO YOUR ASTROLOGER*
YES and so we did.
Thursday, January 28, 2010
Avascular Necrosis
If you or someone you know is a avascular necrosis (avn) patient these are the three questions that need immediate answering.
what is avascular necrosis?
A Google search will bring up hundreds of pages but in simple words necrosis is degeneration and/or dying of bone tissue dude to temporary or permanent loss in blood supply to that part of the bone.It mostly occurs in the hip joints.
now avascular necrosis comes with its fair share of pain, lack of mobility, and uncertainty.
pain management is an important aspect of dealing with the disease.
What is avascular necrosis caused by?
Avascular necrosis of the bone is a complication of corticosteroid use, trauma, systemic lupus erythematosus, pancreatitis, alcoholism, gout, and sickle cell disease, as well as other diseases.
What are the treatment options for avascular necrosis of the hip?
Treatment depends on the intensity of the disease. Some stages can be controlled with rest and medications and some are not.
There are surgical and non-surgical options.
Non-surgical treatment options for avascular necrosis (avn).
In the initial stages of avascular necrosis (stage one-two) where the x-ray, mri show that the bone structure is maintained non-surgical options can be explored.
Ayurveda is one of the best non-surgical options available in treating avascular necrosis. the outcome varies from patient to patient.
Homeopathy is another option which can help in controlling the progression of the disease.
Chinese herbal medication. Now there are tons of these available all over the internet. however the authenticity of each must be checked before hand.
While Ayurveda, Homeopathy and Chinese herbs are the main alternatives for treating early stage of avascular necrosis there are several other options that can be explored like acupuncture, acupressure, diet etc. There are many others which are under research and yet to be proven useful.
Surgical options for treating avascular necrosis of the femur (hip).
There are various options depending on the intensity of the necrosis.
Core Decompression
This procedure removes the inner layer of bone, which reduces pressure within the bone, increases blood flow to the bone, and allows more blood vessels to form. It works best in people who are in the earliest stages of AVN, often before the collapse of the joint. This procedure sometimes can reduce pain and slow the progression of bone and joint destruction in these patients.
Osteotomy
This procedure reshapes the bone to reduce stress on the affected area. Recovery is lengthy and the patient's activities are very limited for 3 to 12 months. This procedure is most effective for patients with advanced AVN and those with a large area of affected bone.
Bone Graft
A bone graft may be used to support a joint after core decompression. Bone grafting is surgery that transplants healthy bone from one part of the patient, such as the leg, to the diseased area. Commonly, grafts (called vascular grafts) that include an artery and veins are used to increase the blood supply to the affected area. There is a lengthy recovery period after a bone graft, usually from 6 to 12 months. This procedure is complex and its effectiveness is not yet proven.
The only other options remaining are joint replacements.
There are two major types of joint replacements
-hip replacement
-hip resurfacing
HIP REPLACEMENT.
There are different types of hip replacements, the doctor can better choose which may suit you best.
the implants are said to last for about twenty years.
HIP RESURFACING.
This is relatively new procedure and is expected to last longer than the conventional hip replacement.
The above are my observations as a patient of (bilateral) avascular necrosis of the femur. This should not be mistaken for a doctors opinion.
what is avascular necrosis?
A Google search will bring up hundreds of pages but in simple words necrosis is degeneration and/or dying of bone tissue dude to temporary or permanent loss in blood supply to that part of the bone.It mostly occurs in the hip joints.
now avascular necrosis comes with its fair share of pain, lack of mobility, and uncertainty.
pain management is an important aspect of dealing with the disease.
What is avascular necrosis caused by?
Avascular necrosis of the bone is a complication of corticosteroid use, trauma, systemic lupus erythematosus, pancreatitis, alcoholism, gout, and sickle cell disease, as well as other diseases.
What are the treatment options for avascular necrosis of the hip?
Treatment depends on the intensity of the disease. Some stages can be controlled with rest and medications and some are not.
There are surgical and non-surgical options.
Non-surgical treatment options for avascular necrosis (avn).
In the initial stages of avascular necrosis (stage one-two) where the x-ray, mri show that the bone structure is maintained non-surgical options can be explored.
Ayurveda is one of the best non-surgical options available in treating avascular necrosis. the outcome varies from patient to patient.
Homeopathy is another option which can help in controlling the progression of the disease.
Chinese herbal medication. Now there are tons of these available all over the internet. however the authenticity of each must be checked before hand.
While Ayurveda, Homeopathy and Chinese herbs are the main alternatives for treating early stage of avascular necrosis there are several other options that can be explored like acupuncture, acupressure, diet etc. There are many others which are under research and yet to be proven useful.
Surgical options for treating avascular necrosis of the femur (hip).
There are various options depending on the intensity of the necrosis.
Core Decompression
This procedure removes the inner layer of bone, which reduces pressure within the bone, increases blood flow to the bone, and allows more blood vessels to form. It works best in people who are in the earliest stages of AVN, often before the collapse of the joint. This procedure sometimes can reduce pain and slow the progression of bone and joint destruction in these patients.
Osteotomy
This procedure reshapes the bone to reduce stress on the affected area. Recovery is lengthy and the patient's activities are very limited for 3 to 12 months. This procedure is most effective for patients with advanced AVN and those with a large area of affected bone.
Bone Graft
A bone graft may be used to support a joint after core decompression. Bone grafting is surgery that transplants healthy bone from one part of the patient, such as the leg, to the diseased area. Commonly, grafts (called vascular grafts) that include an artery and veins are used to increase the blood supply to the affected area. There is a lengthy recovery period after a bone graft, usually from 6 to 12 months. This procedure is complex and its effectiveness is not yet proven.
The only other options remaining are joint replacements.
There are two major types of joint replacements
-hip replacement
-hip resurfacing
HIP REPLACEMENT.
There are different types of hip replacements, the doctor can better choose which may suit you best.
the implants are said to last for about twenty years.
HIP RESURFACING.
This is relatively new procedure and is expected to last longer than the conventional hip replacement.
The above are my observations as a patient of (bilateral) avascular necrosis of the femur. This should not be mistaken for a doctors opinion.
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