What is necrosis? And how is it treated? Necrosis disease, which is also known as the blackening of bone heads, is a general word to express the loss of bone tissue, which is caused by various factors and occurs in different parts of the body, including the hip joint. Usually, various factors cause necrosis, in fact, it can be said that the presence of necrosis can increase the probability of getting arthritis, and these two problems are almost similar in terms of joint damage. And the method of diagnosing these two cases is very complicated and should be done by professional doctors like Dr. Gurbanzadeh. Dead tissue or necrosis can cause serious injuries and diseases. Cells that die by necrosis must be treated as soon as possible, because the existence of these cells is such that the body's immune system will not react to them and will not take the necessary measures to repair the damaged tissue. If left untreated, necrosis can cause many diseases, among which blackening and darkening of bones can be mentioned. Necrotic disease Avascular necrosis is caused by the lack of hematopoiesis, which means the death of bone tissue and can cause small fractures in bones. It can be said that one of the important causes of this problem is the long-term use of some steroid drugs. Usually, this problem can occur at any age, which is mostly seen in people between 30 and 50 years old. What are the symptoms of necrosis? Usually, the first stages of the discussion of the diagnosis of necrosis are difficult. Because it has no symptoms But with the increase in intensity and amount of pressure on the joint, the feeling of pain gradually increases. Even sometimes, a person may feel pain while lying down, which can be mild to severe depending on the condition of the patient. It should also be noted that necrotic pain can also occur in other parts such as the groin or buttocks. It may cause joint deformity or muscle wasting. - In the early stages, it is usually without symptoms. Pain in the pelvic bone that increases over time. - Causing pain in the groin and the front part of the thigh, which is small at first and gradually increases in pain. - Limitation of the patient's range of motion Touching the affected part may cause pain. Joint dislocation or joint stiffness are common signs of necrosis. This disease will be felt in the early stages and the intensity of the pain varies from mild to severe in everyone. The pain caused by necrosis may occur in the thigh, hip, and groin area and it may be felt in other parts of the body, such as the knees, shoulders, arms, and legs. Some people suffer from necrosis and experience this disease bilaterally, for example, they may feel this pain on both sides of their pelvis and on both sides of their knees. If you have constant pain in your joints and you think they are fractured or dislocated, you should see an orthopedic doctor. Necrosis occurs when the blood flow in a part of the bone is cut off or the amount is reduced. The reduction of blood supply in the bone is very different. One of the reasons is damage to the bones and joints, some of which, for example, are caused by sprains in the joints. It also causes damage to the surrounding tissue. The use of X-rays for those with cancer may identify bones and damage their blood vessels. One of the reasons for the occurrence of necrosis from fat can lead to the blockage of blood vessels and eventually reduce the blood flow in the bone parts. Certain diseases such as anemia and various diseases can cause a decrease in blood flow and for some people it may be one of the reasons for the occurrence of the disease. Some diseases can increase the possibility of necrosis. If you have permanent fractures in your thighs and joints, the blood vessels and tissues of that area may be damaged and the blood flow in the area will decrease. Alcohol consumption can cause fat deposits in the blood vessels over time and reduce the blood flow. Long-term use of Fesphonate can reduce bone density and lead to osteoporosis. Certain treatments, such as radiation treatments for cancer, weaken bones. Kidney transplant is one of the things that can lead to necrosis. Other diseases such as pancreatitis, sickle cell disease, HIV and AIDS, lupus are all aggravating factors. causes necrosis Many people may experience necrosis in different areas of the body, but the first question is how and by what factors such a problem occurs. You should know that the presence of a tissue of dead cells can be external factors such as infection, cancer, consumption of toxins, injury or various types of inflammation. For example, if a person experiences various injuries in his muscles and experiences a lack of oxygen, eventually necrosis may occur for the bones in the desired area. Another reason for the occurrence of necrosis in different parts of the body is the use of tobacco and alcoholic beverages. Congenital diseases, bone fractures, dislocation of joints and any damage to blood vessels are other causes of necrosis. Of course, you should know that those who have blood diseases and also patients with rheumatoid will be exposed to such complications. What is the cause of avascular necrosis? The main cause of this problem is the problem of blood production in the bones that various factors can reduce the blood flow in the bones. For example, suffering from some diseases such as anemia that causes a decrease in hematopoiesis. Also, the fats in the blood cause less blood flow to reach the bones Also, the presence of tumors in the joint, dislocation and damage, fracture, high pressure are among the things that can with the occurrence of avascular necrosis. What are the different models of necrosis? ### Coagulative necrosis Dead cells remain firm and look normal for several days after death. Lack of blood flow to any part of the body except the brain can cause dead tissue to coagulate. ### liquid dead tissue Dead cells dissolve a few hours after death. Then they turn into a thick and viscous liquid. Sometimes they turn yellow because an infection is forming. ### fat necrosis Damaged cells release enzymes that cause them to liquefy. Cell fluid combines with calcium and creates chalky white deposits on the cells. ### fibrinoid necrosis In this type of necrosis, we have amorphous pink cells that leak plasma proteins (fibrin) from the walls of your blood vessels. This condition occurs when an autoimmune disease or infection damages your blood vessels. What should be done to prevent necrosis? You should minimize alcohol consumption because it is one of the main causes of blood flow disruption and necrosis. Lowering the level of cholesterol and controlling it plays an essential role in the occurrence of necrosis, because as blood fats increase, as a result, hematopoiesis to the bones decreases. Also, taking some drugs such as steroids may cause problems in the domestication process And in addition to the above, excessive use of tobacco is another symptom that increases the possibility of developing necrosis. Diagnosis and treatment of necrosis For the diagnosis and treatment of necrosis, you should consult a specialist and professional doctor, and in this case, the treatment steps will be done in the best possible way is done Among them, we can mention Dr. Gurbanzadeh, who is the most suitable option for the treatment of necrosis due to his high experience and expertise in this field. After visiting a specialist doctor, the necessary tests are performed in relation to the diagnosis of necrosis In fact, early diagnosis of this problem by Dr. Ghorbanzadeh can lead to quick and complete treatment which is usually done to diagnose and treat the following steps. ### X-rays to detect necrosis This is usually the first test recommended for diagnosis after a doctor's recommendation. ### Scan or MRI to detect necrosis MRI is usually the most sensitive option for detecting necrosis because it can detect chemical changes in the bone easily diagnose and provide more complete and detailed images of the damaged area to the doctor. ### Do a CT scan to detect necrosis CT scan is another method for detecting necrosis, which is used to detect it from images Three-dimensional bone is used and the booklet is suitable and useful methods for accurate diagnosis of necrosis. ### Bone scan to detect necrosis Bone scan is another method to detect necrosis, in which a complete scan of the bone can be obtained using X-rays. ### Hisping to detect necrosis Tissue removal is a surgical method that can detect necrosis by taking bone samples. Also, examination of bone function, in addition to photography and the mentioned cases, can diagnose necrosis. Necrosis treatment Necrosis is treated, but on the condition that it is noticed quickly so that the doctors can take the necessary measures to heal the bone and remove the damaged part. In general, necrosis is one of the serious injuries related to bones and joints, which causes the loss of the main bones of the body, which usually many people experience knee necrosis or pelvic fracture. Of course, other bones are also exposed to necrosis, but it is more common and dangerous in the knee area. If knee necrosis is not treated, the person will definitely lose all the joints and bones of his knee and will no longer be able to move properly. Specialists perform different methods to treat necrosis, of which drug therapy can be mentioned as the most practical and common one. Using drug therapy, specialists can control the necrosis that has occurred and after stopping this disease, they can perform appropriate methods for recovery. Usually, drug therapy will be a very short and intensive period so that they can limit the progression and blackening of the bone until it stops completely. The bone that turns black due to necrosis could no longer be used, and specialists use different methods to separate the damaged part and place a suitable replacement on the desired area. For example, if the knee area becomes necrotic, specialists will surgically remove the damaged and blackened part of the bone and replace them with specific joints. According to the physical condition of the patient and his age, the operation performed for necrosis varies. Usually, young people have a shorter recovery period after the operation and their recovery process is faster. Specialists have no restrictions for transplanting the damaged part, and of course, this condition must be done with sufficient expertise. Sometimes, many people don't know that they are facing problems like necrosis, and they may notice damage in different areas of the bones in the event of initial symptoms such as continuous and severe pains as well as throbbing pains. In any case, you should know that despite the progress of science, specialists have discovered different methods to treat various diseases and can easily fix the damage that occurred in different parts of the body and give you the assurance that they can restore your health and prevent the recurrence of damage such as necrosis. There are different treatment methods for necrosis, some of the most important ones are described below: - Changing lifestyle and not using crutches and not carrying heavy objects or performing heavy movements and activities such as special martial arts. - Drug treatments are another method for necrosis, in which case anticoagulants are used - which in this case can increase hematopoiesis and depending on the severity of necrosis, these drugs can have different effects. - Rich plasma treatment is a new treatment method for necrosis, which usually uses growth factors to repair tissues. ### Ozone therapy Ozone therapy is also a treatment method that consists of 3 oxygen atoms. And it is used for the purpose of rebuilding and restoring damaged joints. And it is an anti-inflammatory treatment method that is performed by injecting collagen into the connective tissues and with the help of ultrasound devices. Usually, these materials are injected in the damaged parts or around the joint and in a way, it causes regeneration and improvement of the damaged part. ### Physiotherapy Other treatment methods for necrosis include physiotherapy, which uses high frequencies and a high-pressure oxygen chamber to improve joint problems. Also, doing special exercises that can increase a person's range of motion, in fact, special sports exercises are recommended to the person according to the patient's condition. Necrosis treatment Perhaps few people are familiar with necrosis, which refers to bone tissue necrosis that occurs due to lack of blood supply to the bones. This condition can lead to partial fractures in parts of the bone and ultimately the loss of the entire bone. Bone fractures or joint dislocations can cut off the blood flow in parts of the bone. Often times, due to long-term use of a series of high-dose steroid drugs and excessive alcohol consumption, people develop necrosis. There is a possibility of developing this disease in every person, but it is observed more often between 30 and 50 years of age. ### Method to treat necrosis When someone is faced with necrosis disease, specialists start using non-steroidal anti-inflammatory drugs to treat them, of course, you should know that osteoporosis drugs and drugs that reduce cholesterol are also suitable for treating necrosis. Blood thinners can also have a positive effect on the treatment of necrosis, but you should know that it is the experts who decide what type of treatment is right for the individual. Sometimes drug treatment may not have a positive result and the person has to use surgery to fix the damage. ### The best way to treat necrosis Today, many people may experience problems such as necrosis as they pass through middle age. Necrosis is called bone and joint death, which is very painful and will cause blackness and loss of bone in different parts of the body. Necrosis or blackening of the bone head is a dangerous disease that must be treated immediately. The occurrence of any symptoms such as pain, dryness of the knee and feeling of pressure in this area can indicate the presence of necrosis. If you feel that there is a very deep and continuous pulsating pain in the knee area and can be felt up to the groin and hip, you should know that the relevant bone is involved and may have suffered necrosis. Due to the progress of science and technology, devices have been put on the market that many specialists and doctors use to treat complications such as necrosis and can achieve the best results with the least amount of damage. If a person with symptoms of necrosis goes to the specialists, the doctors first perform the necessary physical examinations and photographs and can start the treatment based on the severity of the condition. In the first stage, specialists use drug therapy and it is very effective and can help people recover. However, if drug therapy does not have a positive and definitive effect, specialists using the physiotherapy method can send magnetic pulses to stimulate the nerves to the necrotic area and stimulate the necrosis point using such devices, and can increase blood flow and ultimately help rebuild bones. In more acute stages, specialists use surgery to treat bone head necrosis. In this method, the damaged part of the bone is separated and, if necessary, an artificial bone of a specific type and according to the needs of the body will be placed on it. Also, in some cases, specialists are forced to completely replace the joint and prevent further blackening of the bone, so that the damaged part is completely separated from the relevant tissues in order to prevent the progression of this disease. In general, when a person goes to a medical center for the treatment of necrosis, the specialists do their best to remove the central pressure from the damaged bone, and according to the severity of the condition and the physical condition of the person, the specialists take different methods to improve the condition. It goes without saying that the blackening of the bone head eventually leads to its disintegration and crushing, which, of course, if not treated, can progress to other parts and cause necrosis in more parts. Any pain and different symptoms in different parts of the body can be a sign of various injuries and diseases and you should never be indifferent to them. **Consequences of not treating knee necrosis in the long term** All doctors and specialists who are active in the field of joints, bones and movement organs consider the health of sensitive organs to be very important for people and believe that their health should be properly protected until the end of life. Because if the health of these sensitive and useful organs like the knee is compromised, a person may face serious and irreparable complications in their youth and middle age. Doctors consider knee necrosis as a cause of people's immobility and believe that this condition should be treated as soon as possible, because it may turn into a bigger disease in the long run and bring many risks to people. You should always know that people with necrosis may have to do activities such as surgery in addition to drug therapy to continue the treatment. It is better to go through the treatment process well under the supervision of a specialist so as not to face its side effects. In general, knee necrosis means blackening of the bone head, which will cause serious and irreparable damage over time. Experts usually consider the cause of this condition to be the lack of proper blood supply to sensitive areas, which over time leads to black bones. If this condition is not treated in the early stages, it brings many risks for people and the knees may lose their main function. Doctors believe that if this complication occurs, it is better to perform the fastest treatment methods and completely stop using any alcohol and drugs. Doctors believe that pain is a serious sign of internal injuries and diseases, and you should not be indifferent to the existence of pain. However, it is better to take the pain in the knee area seriously and see a doctor before it gets worse so that the necessary measures can be taken. If the doctor determines that the cause of pain and inflammation in the knee area is knee necrosis, this bone damage should be removed as soon as possible. Because if the necrosis remains for a long time, it will cause the definitive death of the knee bone tissue, and over time, the cartilage and joints will also lose their efficiency and health. If the knees are damaged and diseased, other movement organs will not function properly and may cause many complications for the health of the patients. However, you should know that failure to treat knee necrosis and other similar injuries in time has many consequences for a person. Note that the main cause of knee necrosis is usually traumatic knee injuries and osteoporosis or knee meniscus damage and even surgery in this organ can lead to black knee bone. But the problem is that this complication must be treated quickly, otherwise this vital organ may lose its function forever. Doctors and specialists are trying to check the knee necrosis with accurate methods and as quickly as possible and will determine the extent of the damage and thus the treatment processes will start and the person will be safe from the very dangerous side effects of this silent complication. causes necrosis Many people may experience necrosis in different areas of the body, but the first question is how and by what factors such a problem occurs. You should know that the existence of a tissue of dead cells can be external factors such as infection, cancer, consumption of toxins, injury, or various types of inflammation. For example, if a person experiences various injuries in his muscles and experiences a lack of oxygen, eventually necrosis may occur for the bones in the desired area. Another reason for the occurrence of necrosis in different parts of the body is the use of tobacco and alcoholic beverages. Congenital diseases, bone fractures, dislocation of joints and any damage to blood vessels are other causes of necrosis. Of course, you should know that those who have blood diseases and also patients with rheumatoid will be exposed to such complications. Arthroplasty or joint replacement Most patients should be treated with arthroplasty, in fact, in this treatment method, the problem is solved by using artificial joints and surgery. #### Bone grafting In this treatment method, a sample is taken from another part of the person's body and then bone grafting is done. #### Osteotomy To change the shape of the bone to reduce the pressure of the damaged part, which is a method of treating necrosis. It takes a long time to heal. You may be interested in: bone tissue The right way to prevent necrosis You can keep your physical health in good condition and you will not face diseases like necrosis. Specialists advise people to take care of their health and put the blood cholesterol level in a proper state, this will make blood supply to all tissues and bones in a correct way. —————————————————————– Ways of communication with Dr. Majid Ghorbanzadeh The Instagram page of Dr. Majid Ghorbanzadeh Aparat channel of Dr. Majid Ghorbanzadeh The show channel of Dr. Majid Ghorbanzadeh —————————————————————-