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Cases done
by Orthopedicians


Symptoms and treatment of idiopathic aseptic necrosis of bone.


Idiopathic aseptic necrosis of bone is the condition in which bone tissue dies due to interruption of blood supply which occurs spontaneously or due to unknown causes.

As many as 20000 to 30000 people develop aseptic necrosis each year with approximately 10% of the 250000 total hip arthroplasties in the United States. [1]

-Can happen to males and females.
-Can occur at any age.
-People may or may not feel pain so medical diagnosis is required.
-Lab tests or imaging is always needed.
-This condition can't be cured.
-It is chronic that can last for years or be lifelong.
-Other medical terms for this condition are avascular necrosis (AVN), osteonecrosis, or ischemic bone necrosis

With idiopathic aseptic necrosis of bone, the causes are unknown as there are many underlying conditions that can cause in the interrupted blood flow to the bone. Many cases there is no early sign of symptoms. Risk factors include trauma, steroid abuse, excessive alcohol consumption, bisphosphonate abuse, certain medical treatments, pancreatitis diabetes, gaucher disease, HIV/AIDS, systemic lupus erythematosus and sickle cell anemia among others.

Ages affected - between 0 - 2 - Often; between 3- 30 - more often; 30 and above - most often


There may be no early symptoms but eventually the affected bone may hurt when lying down or when weight/strain is put on it.

People may experience:
Pain affected areas: hip, buttocks, groin, knee, or thigh
Also common: collapse, joint stiffness, or limping


Self Care: Limiting alcohol, keeping cholesterol levels in check, monitoring steroid medication use and smoking can minimize the risk factors.

Medications: Over-the-counter painkiller like analgesic or nonsteroidal anti-inflammatory drug decreases inflammation, reduces fever and help in minimizing pain but should get checked by specialists.

Specialists: Contact Orthopaedic surgeon or Rheumatologist to diagnose. There may be several reasons of underlying aseptic necrosis, come on board with mfine to get proper diagnosis and treatment program. Download the mfine app and see a doctor in 60 seconds.

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