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Osteonecrosis.

Last updated Monday, December 27, 2004

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Management and treatment

Treatment

Aspirin and the newer nonsteroidal anti-inflammatory drugs (NSAIDs) can help relieve the pain of osteonecrosis. Heating pads, warm baths, and an electric blanket can relieve muscle spasms and pain. These measures may provide some relief, but do not change the underlying process.

In the early stages of osteonecrosis, you must avoid stress to the affected area. If your hips or knees are involved, reduce standing and walking as much as possible. While sitting, elevate your legs. Your doctor will probably order crutches or a cane to help take some of the weight off the affected joint or joints. He or she may advise that you avoid or reduce weight-bearing activities such as unprotected walking, standing, and carrying.

Keep in mind that it is up to you to keep your doctor informed of any increase in pain or decrease in mobility. This way, he or she can work with you to keep you as comfortable and functional as possible.

In later stages, if the area of bone has been severely damaged, artificial joint replacement surgery called arthroplasty is needed to replace the damaged bone.


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