Therapy of femoral head necrosis

Hip Pain

You are looking for the cause of your hip pain or you do not know exactly what is causing your hip pain? Then let us guide you through our hip pain diagnostics and come to the most likely diagnosis. In the case of necrosis of the femoral head, there is usually no treatment for the cause.

At best, the early stages of the disease can be limited or the necrosis process slowed down, or even stopped altogether. Possible therapeutic goals always depend on the stage of the disease. Thus, the supposed goals in the treatment of femoral head necrosis are: limiting the ischemic necrosis, delaying the destruction of the femoral head, alleviating pain, improving mobility, walking performance and thus, to a considerable extent, quality of life.

There are different therapeutic optionsConservative treatment of adult femoral head necrosis is limited to symptomatic measures and is usually limited to cases that must be considered non-operable or to patients with advanced femoral head necrosis. Conservative treatment may be indicated in the early stages of femoral head necrosis. Part of a conservative treatment are analgesic drugs and prostaglandins.

Prostaglandins with the active substance iloprost are said to have a beneficial effect on the blood flow in the femoral head. In addition, physiotherapeutic measures can be considered, as well as walking aids and orthoses, which should relieve the affected hip. The drug therapy of femoral head necrosis is symptomatic and serves to reduce pain.

It can be carried out with various peripherally acting analgesics or anti-inflammatory drugs. Circulation-enhancing drugs such as ASS 100 can be given on a trial basis. Physical therapy is symptomatic and serves in a special way to maintain muscle and joint functions.

For this purpose can be used:

  • Physiotherapy
  • Mobilization, muscle strengthening, muscle stretching
  • Thermotherapy
  • Electro-, hydro- and balneotherapy
  • Shockwave therapy

In the case of femoral head necrosis, targeted physiotherapy serves the purpose of relieving the diseased hip and maintaining its mobility and mobility as far as possible. This can help to slow down the progression of the disease and help those affected to improve their quality of life. Physiotherapists work a lot with passive movements of the joint to promote mobility. At the same time, the surrounding muscles and ligaments are stabilized with targeted exercises.

  • Cane or forearm crutches, so-called buffer heels
  • Relief orthoses (orthopedic support aids to relieve the femoral head)