What is the best treatment for avascular necrosis knee?
Surgical treatments for avascular necrosis of the knee include:Core decompression, which removes part of the inner bone to reduce pressure and allow blood to flow better to the bone.Osteotomy, which moves and shapes the bone to take stress off the joint.More items...
What causes spontaneous osteonecrosis of the knee?
Spontaneous osteonecrosis of the knee is due to an overload of the medial compartment, primarily the medial femoral condyle, leading to a swelling of the bone on MRI and an overload of the articular cartilage surface. This overload can lead to insufficiency fractures and the rapid wear of the articular cartilage.
Can SONK be cured?
Core decompression may be used to treat refractory SONK. Forst et al. reported a series of 16 patients who had SONK (15 stage 1 and 2, and one with flattening of the affected femoral condyle), treated with core decompression.
Can you reverse osteonecrosis?
Treatment for Osteonecrosis Medication may be able to reverse bone damage if osteonecrosis is diagnosed before it is advanced. If the disease has caused severe damage, surgeons who specialize in joint-preserving and joint-replacement surgeries can perform procedures designed to improve mobility and relieve pain.
What does osteonecrosis of the knee feel like?
Osteonecrosis is often associated with increased pain with activity and at night. It may also cause swelling of the knee and sensitivity to touch and pressure, and can result in limited motion due to pain and swelling.
How do you diagnose spontaneous osteonecrosis?
Diagnosis of Spontaneous Osteonecrosis of the Knee (SONK) MRI scans are useful in confirming early stages of the condition by detecting the presence of bone edema. MRI scans are also helpful to detect concurrent meniscal tears.
Can you exercise with osteonecrosis?
For example, stretching exercises and movements such as leg lifts or squats can prevent the joint from becoming stiff. In addition, adding exercise such as tai chi or swimming to your regular workout routine can help you maintain flexibility in the joint without putting too much stress on the bones.
Does exercise help avascular necrosis?
Exercise or physical activity that doesn't involve putting weight through the hip joint is recommended, particularly for those that are in more advanced stages of AVN. Hydrotherapy, with its warm and buoyant properties can provide relief to the area as well as improved range of motion (movement) (2).