I am 32 year old. From delhi, india. I had met with road accident n have kind of disease name. Avn in my hip joints. Got operated in january 2014. It was kind of regrowth regenerate process related surgery of joints head. But still I am feeling pain near lower back. Obviously, not a natural walk now. Not as smooth. I consulted with my doctor that day he said 2 points. 1. It taken this year and bone is regenerate well. 2. You must have to decide when you willing to get operation n we will fix the artificial joints. I am confused abt the answer. When I ask him abt the previous followup conversation. He denied abt the points he made in past. What kind of treatment I should take? please. Give me guidance.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Avascular necrosis is a condition in which the head of the femur due to lack of blood supply become non viable, collapses and may lead to arthritic changes in the joint. Also progressively as the disease progresses, it can lead to a limping way of walking and subsequently diminished movements and pain. Your earlier surgery must have been an attempt for re vascularization of the head but it seems that has not worked and that is common. I can advise you if I have the following information: - latest x ray pelvis with both hips-ap view - you examination of affected hip with note of movements present - your previous surgery details and if possible, follow up doctor's notes. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.  

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