Teen Baseball Player with Hip Pain and Hip AVN Consults Dennis M. Lox M.D.
A teen baseball standout being scouted by colleges, developed hip pain and was found to have hip AVN. He researched alternatives to hip replacement surgery, Hip AVN, and found other patients Dennis M. Lox M.D. has treated. One was an Orlando news story of another teen soccer player diagnosed with ankle (navicular bone) AVN. The soccer player treated her AVN with stem cell therapy, after consulting Dr. Lox. She was told she would need an ankle fusion and would never be able to play soccer again. After her ankle stem cell therapy, she returned to play soccer, and was the leading scorer on her high school team as a freshman. Serial MRI scans of her ankle kept showing improvement in her AVN. 4 years later, the AVN was gone on her MRI. She got a college scholarship in soccer. A true AVN success story, and she was interviewed again for a news story with Dr. Lox and some professional athletes he treated on ABC action news in Tampa.
Not all AVN Cases are the Same
This teen baseball player had unfortunately had hip surgery with plates and had gotten worse after the surgery. He was playing Baseball 2 days before the hip surgery.
After surgery he limped so bad he needed crutches, even months later. Not all surgery is successful. Sometimes, with avascular necrosis (AVN), surgical procedures can further impair blood flow to the area of dead bone, and makes the AVN worse.
Avascular necrosis is also referred to as osteonecrosis. Both names refer to loss of blood flow resulting in bone cell death or necrosis. Hip AVN patients often are told they need hip replacement surgery. Teen athletes will most likely not return to their sport after hip replacement, therefore hip stem cell therapy is an appealing option, as an alternative to hip replacement surgery. The amount of the hip involved with AVN is important for treatment options. The thigh bone or femur is usually affected with AVN at the hip socket. This portion of the femur is called the head of the femur. Small focal areas of hip avascular necrosis or osteonecrosis, and early diagnosis are of course easier to treat. However, not all medicine is easy. Some cases of AVN are diagnosed late, some AVN cases are large areas of necrosis, and some osteonecrosis is patchy or diffused along the femur. Dr. Lox has treated many cases of AVN that is complicated by multi-joint involvement or associated with disease states, not just simple trauma. Trauma is the most common cause of hip AVN and is typically just one hip. Osteonecrosis can be seen in both hips, a hip and a knee or various combinations. Dr. Lox once treated a patient the AVN was diagnosed in both ankles. The underlying risk factor for her was excessive cortisone for lung disease. Osteonecrosis or AVN from large excessive doses of cortisone, especially given intravenously can lead to multi-joint symptoms. This woman later developed pain in both of her hips. Dr. Lox ordered an MRI the MRI confirmed AVN of both hips. Soon thereafter she complained of knee pain and was diagnosed with knee AVN. The AVN was patchy throughout her femur and tibia not just her ankles, knees, and hips. This was a bad case of AVN. She was kept walking without crutches for several years with ankle and hip stem cell injections. Not all cases of AVN or osteonecrosis are alike, and each patient needs special attention to their condition, goals and aspirations. Frequently improved quality of life, decreased hip pain, and an alternative to hip replacement surgery are goals patients seek. Athletes of course want to play their sport again.
HIP AVN or Osteonecrosis Symptoms
If trauma is not involved, it may develop slowly as hip pain, groin pain or stiffness. Trauma induced osteonecrosis can be confusing, as hip trauma often hurts. So people think the pain will go away. It’s when the hip pain persists or is out of normal for the injury a high index of suspicion for early diagnosis of hip AVN or osteonecrosis should be entertained. This is why an experienced expert in AVN and Sports and Regenerative Medicine, such as Dennis M. Lox M.D. Should be consulted. If AVN progresses, a limp may occur, loss of hip range of motion. Hip joint collapse is typically extremely hard to walk with. Although Dr. Lox has treated some very advanced cases of Osteonecrosis with hip stem cell therapy that could walk fine afterwards, despite bad x-Rays.
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