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Hi funnybonepain, I am so sorry to see that you have that much pain and the doc's know nothing about it. All you can do here is learn from what others have gone through, and hopefully get good advice, but I wouldn't count on the answer. Everyone is unique, and your case is one of the more severe that I have seen here. I hope that the SCS trial goes well, and you get relief. Please come back and share what you are going through, as I am interested in how the implant works. Your pain is debilitating, so your chances of getting relief, in my opinion, is pretty good. If you find that doesn't help, you could always try and work to repair all the damaged tissue in your back from all the procedures. Ligaments and tendons suffer a great deal, and barely have time to repair themselves and maintain the strenth to support your back, hips, and pelvis. For now I am going through a round of prolotherapy - will let you know how it turns out for me - and I have seen many success stories for people in a similar situation as you. A pretty good site: www.getprolo.com or www.nashvilleprolotherapy.com ; the second is one of a physician, but I have found that it really breaks down the procedure simply...let me know how you are doing- - best of luck, B
AVN is usually caused by 3 different things the first one is blunt force trauma which is what happened to you. 2nd is alcoholism and the 3rd and most common is long term prednisone (steroid) use, there are some other factors that can cause AVN but these are the most common.it's a progressive disease that keeps coming back so if you replace one joint there is a good chance you will do it again. There are only a couple of treatments that can be done and replacement is the most effective and relieves most of your pain the second is a bone graft which is crazy to me, I've checked it out and core decompression which has about a 5% chance of working and is a waste of time and money about $10,000 I did it outpatient and it just sped up my problem in my left hip..Feel better RB
If the AVN were due to systemic changes due to long term steroid use or alcoholism I can see where other joints may also be affected, but not with trauma if the trauma only injured the one joint.
I totally agree with you that the treatments short of a joint replacement do not seem to have much of a success rate. My husband has had great releif from his pain since he had the THR and can walk without a cane or any assistance. He could barely walk prior to his surgery, with a lot of pain (in spite of good drugs) and a cane.
This is a serious problem with few treatment options. Best of luck to you.
Take care, Annette
I wouldn't wish what you are going through on anyone. I hope that you have the support, finances, and will to keep plugging away. Best wishes to you all, B
My husband fell on his hip and damaged the neck of the femur between the head and the shaft. That caused a lack of blood flow to the head of the femur and it just died and collapsed in on itself. The xray was just a mess, his doctor did not know how he was walking, much less working. Thank God for joint replacement surgeries, if he had lived a generation ago, he would have been unable to walk and in terrible pain for the rest of his life.
I have been a nurse for 40 years, so much has happened in that time that are just medical miracles to me, I can't even count them. My nephew was born with orthopedic problems that would have meant he would never have walked at all just a couple of decades ago. He is just fine, thanks to a great orthopedic surgeon.
As a nurse there are a few chronic pain conditions that I would not wish on anyone, AVN, RSD, and trigeminal neuralgia are the three that most scare me. I am so glad to have what I do and not have any of these.
My heart goes out to all of you with these conditions.
Take care, Annette
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