Hip osteonecrosis is a disease that causes the death of bone cells and cartilage cells in the hip. It progresses slowly, causing pain and disability early and aseptic necrosis in advanced AVN. Is there a cure? How can you treat it? This article will help you find a better solution!

Diagnosis of Hip Osteonecrosis

  • X-rays

X-ray examinations can detect bone changes in the later stages of hip osteonecrosis. In the condition’s early stages, X-rays usually appear normal.

  • MRI and CT scan

An MRI and a CT scan can produce detailed images of early bone changes. These changes might indicate hip osteonecrosis.

  • Bone Scan

A tiny amount of radioactive material is injected into a vein. It travels to the parts of your bones that are injured or healing and shows up as bright spots on an imaging plate.

Treatment for Hip Osteonecrosis

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and aspirin reduce inflammation and relieve pain.
  • To prescribe rest, elevation, and physical therapy.
  • Cholesterol-lowering drugs such as statins prevent further narrowing of blood vessels in the bone.
  • To provide a pelvic girdle orthosis (rigid support for the hip).
  • Injecting corticosteroids into the joint for short-term relief of pain.
  • To inject antibiotics into the joint for patients who have an active infection or signs of sepsis (blood poisoning).
  • Treat any underlying disease with appropriate medications (e.g., treating hypertension with diet and drugs if necessary).

While there are no randomized controlled trials evaluating the effectiveness of prolotherapy for hip osteonecrosis, some case reports and case series suggest that prolotherapy may be a safe and effective treatment option for select patients.


The hip joint is one of the largest joints in the human body and thus is at a higher risk for developing osteonecrosis. Hip AVN should never be ignored and should be diagnosed by a medical expert whenever it occurs so that treatment can get started promptly. For more detail, contact Dr.Vikram Rajguru at Hadapsar in Pune.