What is necrosis What is necrosis? Necrosis is also known as the blackening of bone heads. It is a general word for the loss of bone tissue. Various factors cause this problem and it occurs in different parts of the body, including the hip joint. Different factors usually cause necrosis. The presence of necrosis can increase the possibility of getting arthritis. 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. Ghorbanzadeh. Avascular necrosis is caused by the lack of hematopoiesis, which means the death of bone tissue. Necrosis 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 early stages of necrosis are difficult to diagnose because there are no symptoms. As the intensity and amount of pressure on the joint increases, the feeling of pain will gradually increase. In some cases, a person may even feel pain while lying down. Pain during daily activities can be mild to severe depending on the patient's condition . It should be noted that necrotic pain can also occur in other parts such as groin or buttocks. Other signs of necrosis: - It causes joint deformation 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. - Discharge of gray and foul-smelling liquid from the wound - The presence of a skin blister - Excessive sweating - Numbness - Increasing redness Necrosis underlying factors There are some cases that increase the incidence of necrosis. such as: - Increasing age - Presence of an open wound - Excessive consumption of alcohol - Existence of heart, kidney and HIV diseases Types of necrosis **avascular necrosis** This happens when blood flow to the bone tissue is blocked. **necrosis of the jaw** It is a type of avascular necrosis and it is called when jaw bone cells are destroyed. Pancreatic necrosis When the blood flow to the pancreas stops and the pancreatic tissue dies, the person has pancreatic necrosis. **breast fat necrosis** A condition where the breast fat tissue is damaged. **Acute tubular necrosis** It is when kidney cells are damaged and a person suffers from acute kidney failure. **radiation necrosis** One of the rare and most dangerous types of necrosis is caused by high-dose radiation to the head and neck. **Kidney papillary necrosis** When the kidney papillae die, a person has renal papillary necrosis. **skin necrosis** A hematoma that does not reach the body tissue due to reasons such as bacterial infection of the blood. **Necrosis Bite** **Spider** The result of a spider bite is isolated. **pulp necrosis** It is when the tooth decays and its soft flesh rots and dies. **What is the cause of avascular necrosis?** The main cause of this disease is the problem in blood production of bones. Various factors can reduce the blood flow in the bones. Having some diseases such as anemia causes a decrease in hematopoiesis. Fats in the blood cause less blood flow to the bones. Other causes will cause this disease, including: - Taking some drugs such as steroids may cause problems in the domestication process. As a result, it will cause necrosis. - Getting lost and damaged - fracture - High pressure - Excessive use of tobacco - Presence of tumors in the joint - Infarction is a condition in which tissue dies due to lack of blood supply - Bacterial, fungal and parasitic infection can be the causes of this disease - Poisons, poisons and some drugs are also causes of this condition - Autoimmune diseases may cause this disease **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. - As blood fats increase, as a result, blood production to the bones decreases. **Diagnosis and treatment of necrosis** To diagnose and treat necrosis, you should see a specialist doctor. In this case, the treatment steps are carried out in the best possible way. Dr. Gurbanzadeh is one of the skilled specialists in this field. Due to his high experience and expertise in this field, he is the most suitable option for curing this disease and treating necrosis. After visiting a specialist doctor, the necessary tests are performed in relation to the diagnosis of necrosis. In fact, early diagnosis of this problem can lead to quick and complete treatment. The following steps are usually performed for diagnosis and treatment. **X-ray photography 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. It can easily detect chemical changes in the bone and provide the doctor with more complete and detailed images of the damaged area. **Do a CT scan to detect necrosis** CT scan is another method for detecting necrosis, which is used to detect three-dimensional bone images. And the pamphlet is suitable and useful methods for accurate diagnosis of necrosis. **Bone scan to detect necrosis** Bone scan is another way to detect necrosis. In this method, 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** 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. - In this case, it 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. Usually, in this method of treatment, growth factors are used to repair tissues. **Ozone Therapy** Ozone therapy is also a treatment method that consists of 3 oxygen atoms. It is used for the purpose of rebuilding and restoring damaged joints. It is an anti-inflammatory treatment method that is performed by injecting collagen into the connective tissues with the help of ultrasound devices. Usually, these substances are injected in the affected parts or around the joint. In a way, it restores and improves the damaged part. **Physiotherapy** Physiotherapy can be mentioned among other treatment methods of necrosis. Using high frequencies and a high-pressure oxygen chamber, it is used to improve joint problems. Also, doing special exercises that can increase a person's range of motion. In fact, specific sports exercises are recommended to the individual according to the patient's condition. Arthroplasty or joint replacement Most patients should be treated with arthroplasty. In fact, in this method of treatment, the problem of the person 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 takes place. **Osteotomy** To change the shape of the bone to reduce the pressure of the injured part. which is a method of treating necrosis that requires a long time for treatment. —————————————————————– 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 —————————————————————–