Association between avascular necrosis (AVN) and corticosteroid use is not entirely clear. AVN is seen with trauma, can be idiopathic, with disease states, and can have unknown etiology. It is hard to be certain when or whom will be afflicted by AVN, but risk of AVN has a definite increased risk after using cortisone compounds. High doses and intravenous administration of cortisone compounds increase the frequency of AVN occurrence. Autoimmune disorders such as lupus or rheumatoid arthritis (RA) and steroid treated asthma or pulmonary conditions are often treated with high doses of corticosteroids. It is not clear what causes certain individuals treated with corticosteroids to get AVN while others remain unaffected. It is best to use caution when treating with high dose cortisone and be attentive to possible early indications of avascular necrosis (AVN) to be preemptive of secondary degenerative arthritis changes associated with AVN. Regenerative medicine treatments such as Stem Cell Therapy have been used to treat Avascular necrosis (AVN). Early measures may be more effective in preventing joint collapse and the need for total joint replacement.
Dr. Dennis Lox serves patients in the greater Tampa Bay area, including, Clearwater, St. Petersburg, Tampa, New Port Richey, Sarasota, Orlando and Spring Hill. He has been pleased to accommodate the needs of patients throughout Florida, the United States, the Western Hemisphere, and Europe, as well. Located in the 33765 area, our office can be reached at (727) 462-5582.