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Avascular necrosis and post- Covid 19 in India

Avascular necrosis is commonly seen nowadays. Many patients who have recovered from Covid19 complain of joint pain, which makes doctors worry about bone death, medically called avascular necrosis, which may be another devastating post-complication such as mucormycosis. This condition means bone death. Avascular Necrosis is a disease that occurs when the blood supply to the bone is temporarily or permanently cut off, according to Johns Hopkins University School of Medicine.

This most commonly affects the long bone ends which cause small breaks in the bone and cause the bone’s collapse eventually.

Because of inadequate blood supply.  The Chief Doctor explains the new Covid complications. According to doctors, the cause of this unnatural bone damage is the excessive use of steroids during Covid19 treatment. 

Although avascular necrosis may have multiple causes, cases are now being reported. If the pain persists, it is recommended that the patient undergo an MRI scan to determine whether it is bone death. 

Bone and joint replacement surgery said,  “Bone death is not new, but it is now regarded as a post-Covid effect19. The femoral head is due to the use of many steroids in Covid treatment. The hip and shoulder are areas that can’t be ignored when it comes to pain.

According to doctors, Covid was due to the use of steroids. Doctors pointed out that due to long-term use of corticosteroids, many patients will develop fungal infections, such as mucormycosis, and now, avascular necrosis is a health complication that leads to bone death. Long-term overdose of steroids can suppress the natural immunity of hypoxic patients. Many patients taking steroids suffer from avascular necrosis and other problems. Use steroids. 

Vascular necrosis, also called osteonecrosis, can be called bone death due to insufficient blood supply. Small fractures may occur, leading to bone destruction. It interferes with blood flow to the bones," said Dr. Anand Jadhav, an orthopedic surgeon at Apollo Spectra Pune, who receives approximately 1,015 AVN patients for treatment every month. 

However, if diagnosed early Avascular necrosis does not require surgery. Therefore, it is recommended that Covid patients who take steroids and have groin or hip pain undergo MRI or X-ray to check the AVN of the hip," Dr Jadaf."Limit alcohol, control cholesterol levels, don't abuse steroids without the doctor's knowledge, and avoid smoking to control AVN," said the doctor. Kotra.

In non-medical terms, it is the death of bone tissue due to insufficient blood supply. According to the Johns Hopkins University School of Medicine, avascular necrosis is a condition that occurs when the blood supply to bones is temporarily or permanently cut off. Long bones, leading to small fractures and eventually bone collapse.

Not all patients taking steroids will develop Avascular necrosis because it only occurs in patients who are sensitive to or susceptible to certain steroids.

It can also be caused by traumatic events, such as fractures, joint dislocations, or exposure to radiation during cancer treatment. "About 20 years ago, an AVN patient with severe hip pain approached me," said the former doctor. Agarwala and colleagues at PD Hindu Hospital recently published an article in the British Medical Journal entitled "Avascular Necrosis is Part of the Long-Term Covid19". It pointed out that widespread use of corticosteroids in Covid19 cases may trigger AVN recurrence in Covid survivors.

 

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