
The condition has various causes, including trauma (e.g., fractures or dislocations that damage blood vessels), long-term use of corticosteroids, excessive alcohol consumption, or certain medical conditions such as sickle cell disease. In some cases, the cause is idiopathic, meaning it is unknown. Symptoms often progress from mild discomfort to severe joint pain and stiffness as the bone damage worsens.
Treatment for osteonecrosis depends on the stage and severity of the condition. Early-stage osteonecrosis may be managed with non-surgical treatments, such as medications, physical therapy, or lifestyle modifications, to slow disease progression and manage symptoms. In some cases, procedures like core decompression (removing a portion of the inner bone to relieve pressure and promote new blood vessel growth) or bone grafting may be performed.
For advanced stages where significant bone and joint damage have occurred, joint-preserving surgeries like osteotomy or vascularized bone grafts may be options. However, in severe cases, total joint replacement (e.g., hip replacement) is often required to restore function and alleviate pain.
Early diagnosis and treatment are crucial in preventing joint collapse and preserving mobility, making it important for individuals with persistent joint pain to seek medical evaluation promptly.