What is Avascular Necrosis?

Bones in every part of our body are living tissue. With the decrease in blood flow, the tissue gradually begins to decrease its vitality. The blood contains oxygen and the substances it contains according to the region it is directed to. It is also essential that the blood flow to the area where the bone is located occurs properly. Bones must move in order to maintain their vitality. Since the muscles and ligaments provide the movement of the bone first, the muscles and ligaments (connective tissue that connects the muscle and bone) that provide support to the bone should not be stiff in order for the bone to continue its movement and the blood flow to be smooth.
The loss of vitality of this tissue is called avascular necrosis. It may also be called ischemic bone necrosis or osteonecrosis. 
The hips and knees are among the most affected areas. 

What Causes Avascular Necrosis?

* Trauma and fracture formations.
* Alcohol use.
* Metabolic diseases.
* Long-term use of cortisone.
* Receiving radiotherapy or chemotherapy treatment.
* HIV infection.
* Decompression sickness.
* Stiffness of muscles, ligaments (connective tissue connecting muscle and bone).
* Veins trapped between the muscles.
* Nerves pinched between muscles.
* Slipped back.
* Lumbar flattening. 
* Hip dislocation.
* Short legs.

What are the Symptoms of Avascular Necrosis?

* Pain in the hip area.
* Decreased range of motion functionality.
* Pain that starts in the middle of the hip and shoots downwards.
* Joint pain that intensifies as the bone or joint begins to collapse.

What is Avascular Necrosis Treatment?
It is not correct to apply the same treatment method to every Avascular Necrosis patient. For Avascular Necrosis patients, a personalized treatment trajectory should be determined according to the age and gender of the person, the disease, the type, degree and stage of the disease, muscle and bone tone, with the support of functional medicine. Patients with Avascular Necrosis should be evaluated from a holistic perspective and should not stick to one point. Whatever may cause Avascular Necrosis disease, all of these should be examined, evaluated and intervened in their entirety. 

Especially if there is stiffness in the muscles and ligaments, the muscles and ligaments in and around the hip area should be softened, as this can cause pain in itself and affect the functionality of range of motion. If the patient has lumbar slippage and lumbar flattening, which manifests itself as a posture disorder, the lumbar bones should be curved inward and midline as they should be. Especially in order to ensure proper blood flow and conduction, the nerves and vessels that are squeezed between the muscles in the hip area should be intervened. Finally, if there is leg shortness, the legs should be equalized. 
It is possible to cure Avascular Necrosis without any medication, injection, surgery, etc. methods. The right treatment method for Avascular Necrosis is the manual therapy method applied in our dimension. 

- Ramazan Burak Sezen

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Anatomy Form is the maximum for all diseases requiring physical therapy. It performs 4 sessions of application. Noticeable healing process from the first session The treatment process does not interfere with the patient's social and work activity.


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