A Teen Hockey Player From The North Pole with Shoulder AVN Consults Dr. Lox

A Teen Hockey Player From The North Pole With Shoulder AVN Consults With Dr. Lox

Shoulder AVN

MRI image showing AVN of the shoulder.

Causes Of AVN

A teen hockey player with traumatic induced shoulder Avascular Necrosis (AVN), consulted with Dr. Lox to treat with Stem Cells.  He flew in from the North Pole after hearing about Dr. Lox’s work and experience in AVN and athletes.  Dr. Lox saw the patient and his family in his Beverly Hills, California office.  The teen dislocated his shoulder resulting in the development of post traumatic Avascular Necrosis (AVN).  Trauma is the leading cause of shoulder AVN.  Idiopathic is an unknown cause and is second to trauma.

What Is Shoulder AVN?

Shoulder AVN occurs when the blood flow to the shoulder bone, typically the humeral head, is impaired.  This loss of blood flow results in bone cell death, known as Necrosis.  So, to break this down, loss of blood flow is termed Avascular and bone cell death is termed as Necrosis, thus the term Avascular Necrosis.  It is typically abbreviated as AVN.  Other terms for AVN are osteonecrosis, aseptic necrosis and bone infraction.  All of these terms mean the same thing.  Shoulder AVN is probably second to Hip AVN in frequency.  Trauma to the shoulder is the leading cause of shoulder AVN.  Idiopathic or unknown cause is the second most frequent reason for being diagnosed with shoulder AVN.  Idiopathic or an unknown cause is often frustrating for patients, as patients want answers.  Telling a patient “we don’t know what caused this”, is a stressful reaction commonly seen after being told you have idiopathic shoulder AVN.  Other causes may be excessive Cortisone use, and excessive alcohol use.  There is not a good understanding why some people who take excessive cortisone or alcohol get AVN, while others do not.

Symptoms Of AVN

Shoulder pain is the usual first symptom that a patient experiences.  After trauma it may be misleading as just part of the trauma.  A specialist like Dr. Lox, can aid in early diagnosis of shoulder AVN.  Loss of shoulder range of motion and stiffness may also occur as a symptom.

Shoulder Pain

Shoulder pain is often the first sign of shoulder AVN.  After trauma it is normal to hurt, so when shoulder pain persists longer than expected for the injury or out of proportion to the injury, a higher index of suspicion for shoulder AVN should be considered.  Dr. Lox has treated many athletes and non-athletes alike for AVN afflicted many different problems involving the shoulder.  These include rotator cuff tears, supraspinatus tears, impingement syndrome, labral tears, avascular necrosis (AVN) and shoulder joint arthritis with Regenerative Therapy and Stem Cell Therapy.  The concern with shoulder AVN and AVN of any other joints is that the necrotic area may collapse leading to a rapid destruction of the shoulder joint.  This often leads to a recommendation for total shoulder replacement.

Shoulder Stem Cell Therapy

Shoulder stem cells are being considered for a variety of shoulder pain problems, including shoulder AVN.  Patients are often interested in Regenerative Medicine and Stem Cell Therapy for shoulder AVN, as they wish to avoid shoulder replacement surgery.  Alternatives to shoulder replacement surgery is a frequent reason patients research Regenerative Medicine.  The age of the patient, severity and type of injury and type of sport are all important pieces of the puzzle when evaluating a patient.  No two patients are the same, and it is essential to evaluate each patient separately.  There is no pre-set treatment plan for each patient when considering Regenerative Medicine and Shoulder Stem Cell Therapy.  Patients like the simplicity of shoulder stem cell therapy, as there is no general anesthesia.  It is done using a local anesthetic and it is a simple injection.  Patients can even go back to work the same day.  Patients should ask questions and have an experienced Regenerative Medicine specialist address their questions and concerns to achieve optimal results.  By taking such a patient specific approach, each patient will get their specific needs, desires and goals addressed.

Dr. Lox takes this approach to each patient.  Dr. Lox treats patients in the Tampa Bay, Florida area as well as the Los Angeles Metropolitan area, Beverly Hills, California.

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