Many people have no symptoms in the early stages of avascular necrosis. As the condition worsens, your affected joint may hurt only when you put weight on it. Eventually, the joint may hurt even when you're lying down.
Pain can be mild or severe and usually develops gradually. Pain associated with avascular necrosis of the hip may be focused in the groin, thigh or buttock. In addition to the hip, the areas likely to be affected are the shoulder, knee, hand and foot.
Some people develop avascular necrosis bilaterally — for example, in both hips or in both knees.
When to see a doctor
See your doctor if you have persistent pain in any joint. Seek immediate medical attention if you believe you have a broken bone or a dislocated joint.
Mar. 21, 2015
- Ferri FF. Ferri's Clinical Advisor 2015: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2015. https://www.clinicalkey.com. Accessed Jan. 23, 2015.
- Jones LC, et al. Osteonecrosis (avascular necrosis of bone). http://www.uptodate.com/home. Accessed Jan. 19, 2015.
- Firestein GS, et al. Kelley's Textbook of Rheumatology. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2013. http://www.clinicalkey.com. Accessed Jan. 23, 2015.
- AskMayoExpert. Who gets avascular necrosis of the hip? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
- Questions and answers about osteonecrosis (avascular necrosis). National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Osteonecrosis/default.asp. Accessed Jan. 23, 2015.
- Chang-Miller A (expert opinion). Mayo Clinic, Phoenix/Scottsdale, Ariz. Jan. 29, 2015.
- Issa K, et al. Osteonecrosis of the femoral head: The total hip replacement solution. Bone & Joint Journal. 2013;95-B:46.
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