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by Dr Umang Khanna (BHMS)
Osteonecrosis is a degenerative bone condition characterized by the death of cellular components of the bone secondary to an interruption of the subchondral blood supply. Also known as avascular necrosis, it typically affects the epiphysis of long bones at weight-bearing joints. The most common sites for AVN are the femoral head, knee, talus, and humeral head. The hip is the most common location overall. Advanced disease may result in subchondral collapse, which threatens the viability of the joint involved. Therefore, early recognition and treatment of osteonecrosis are essential. This activity discusses the etiology and pathogenesis of the disease, presentation, and treatment options of the most common forms of osteonecrosis.
Syphillinum is well known for its beneficial action on body tissues wherever the destructive process is present. Apart from this, it is of great help in treating bone necrosis. This homeopathic remedy is very useful in the case of AVN when pain worsens at night. Such a patient remains comparatively well the whole day. Another marked symptom in the case of AVN is a specific pattern regarding the appearance and disappearance of pains. The pattern followed is a gradual increase in bone pains and in the same way, a gradual disappearance of pains. The third symptom is worsening of pains because of heat and some relief by applying cold water. A history of excessive alcoholism may be present in the patient.
Silicea is effectively used for cases of AVN of the femoral bone. Patients have worsening pain in cold air. Besides AVN, it is a prominent medicine to deal with cases of weak and brittle bones prone to breaking easily.
Acid hydroflouricum is most effective for the necrosis of long bones. The bones include the humerus (bone in the upper arm), femur (bone in the thigh), and tibia (bone in front of the leg). This is mainly used to halt necrosis appearing in long bones. The patient has excess body heat and the external heat worsens the condition. Apart from long bones, necrosis of the bones of the ear (which are rarely involved) is also covered under this remedy, which helps in improving blood circulation and preventing further necrosis of bones.
Aurum mett is very beneficial in the treatment of necrosis in the nasal, palatine bones, and mastoid bones. The patient complains of pains at night and may suffer from an extremely offensive odor from the mouth and nose along with pain. The patient may also feel depressed with a high degree of sadness.
Symphytum is very beneficial for bone-related complaints. This remedy can be considered in all cases where the bone has suffered damage following fractures. It helps in the proper knitting of the bone. This is helped by providing the necessary callous material needed for bone reformation. So, in every case of fracture, it acts as a preventive agent against necrosis as the bone is very neatly and efficiently woven by this remedy.
Natrum sulph should always be considered in cases of AVN of the hip joint. This remedy is one of the most beneficial medicines when dealing with hip joint AVN. The patient mainly complains of pain during movement or when stooping.
Stronitum is recommended for cases of AVN of femoral bone. Those needing it have worsening pain in cold air. Besides AVN, it is a prominent remedy to deal with cases of weak and brittle bones prone to breaking easily.
Phosphorus is an effective remedy for treating lower jaw AVN. It is of great help when the lower jaw is affected due to a lack of blood supply. This remedy is used in match-box-making factories and some persons may acquire AVN there inhaling Phosphorus fumes for a long duration.
Hekla lava is an effective remedy for Avascular Necrosis of the jaw when jaw destruction is accompanied by marked facial nerve pains.
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This clinic is not about giving medicines. This clinic is about curing with medicines rapidly, gently and permanently to the whole extent in the shortest, most reliable and most harmless way.