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Slow blood flow
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willhen posted:
I am told I need hip replacement surgery because my ability to walk has become very poor. Am also told that major cause of my problem is the blood is flowing too slow to my leg. Have interest in learning what measures or medications to suggest to improve my blood flowing speed and amount of blood flowing into my right leg through the hip. Also told ball in hip socket is worn out. All sounds bad, anyway to improve any of this prior to surgery?
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susiemargaret responded:
hello, W --

i did some -- admittedly -- quickie internet research tonight, and altho i am not a medical person (see PS1), it sounds to me as if you are suffering from osteonecrosis (also called avascular necrosis, aseptic necrosis, and ischemic necrosis), which is the death of bone tissue due to temporary or permanent lack of blood supply (PS2). the cause of this impairment of blood supply is not always known.

bones normally break down continuously and then rebuild. without sufficient blood, however, the rebuilding process cannot keep up with the deterioration of the bone, and eventually the bone tissue dies and collapses. if the bone is near or part of a joint, the joint surface often collapses as well. i think this is what happened to the ball part of your hip joint.

several treatments are available if your hip joint has not been so injured that surgery is necessary. these include anti-inflammatory drugs, blood thinners, cholesterol-lowering meds, reduced activity, range-of-motion exercises, and electrical stimulation.

if there has been so much damage that surgery is necessary, several surgical procedures are possible. these include core decompression (removal of the inner cylinder of bone, allowing the growth of new blood vessels), osteotomy (reshaping the bone), a bone graft, and total joint replacement if the bone has already been destroyed.

you may want to check out the knee/hip replacement community, http://exchanges.webmd.com/knee-and-hip-replacement-exchange .

if your dr has given you a different name for your diagnosis, please write back, and i will give it another shot! i send you caring thoughts and hope that whether or not you have surgery, you have a quick recovery. please keep us posted on how you are doing.

-- susie margaret

PS1 -- i welcome, solicit, and indeed beg for correction, amendment, or replacement of inaccuracies in this post.

PS2 -- the national institute of arthritis and musculoskeletal and skin diseases, part of the national institutes of health, has a very thorough article on osteonecrosis at http://www.niams.nih.gov/health_info/osteonecrosis . the mayo clinic has additional info at http://www.mayoclinic.com/health/avascular-necrosis/DS00650 .
what good is gold, or silver too, if your heart's not good and true -- hank williams, sr.
 
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willhen responded:
Thank you for the info you sent me. I will look into it and see what luck I have with my doctor with these suggestions.


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