The second wave of Covid-19 in India was ruthless. Aside from a spike in the volume of deaths caused by a coronavirus, there was also an increase in the complications observed in recovered coronavirus patients, such as the potentially fatal mucormycosis or black fungus. According to the most recent research, avascular necrosis (AVN) or osteoporosis may also be a cause for concern post-Covid.
What is avascular necrosis?
Avascular Necrosis also known as osteonecrosis, causes the death of bone tissue owing to a lack of blood flow. It produces little cracks in the bone, causing the bone to fall. In general, a broken bone or a detached joint will cut off the blood supply to a piece of bone. When there is a temporary or exceptionally long-term lack of blood flow deep within, the bone tissues die, which is why it is referred to as bone passing. It is a serious degenerative bone ailment that is becoming more common in people these days. This disorder can occur in any bone but is more common at the end of a long bone. It impacts one bone, several bones at one time, or even different bones at different times.
This syndrome can be caused by a fracture, long-term corticosteroid usage, blood vessel damage, injury, chronic medical disorders, and alcohol. When a person feels pain in his or her hip and is unable to move, he or she should consult an orthopaedic doctor. An orthopaedic surgeon is an ideal person to identify whether this is AVN or another pathology.
AVN and COVID-19
One of the newest is avascular necrosis or osteonecrosis, which is now troubling people. AVN is a Covid-related complication. Avascular necrosis of the femoral head in the bone and joint segment, like other post-Covid complications, has become a common occurrence as a result of steroids used in the treatment of Covid-19. When used for individuals with low oxygen levels, excessive and continuous usage of steroids to combat Covid-19 may impair natural immunity. Many patients who used steroids developed AVN. Pain linked with avascular necrosis of the hip may also be felt in the pelvic, thigh, or buttock. It may also affect the shoulder, knee, hand, and foot, in addition to the hip.
Following mucormycosis, AVN is arguably the most distressing symptom that post-Covid patients are suffering. It is uncontrolled in patients and requires immediate therapeutic attention. It is dangerous for the patients if it is not treated as soon as possible. If you are recovering from Covid-19 and have a history of steroid usage, you should get yourself evaluated by an orthopaedic specialist. A patient who has recovered from Covid-19 may get AVN symptoms after 3-4 months and may require therapeutic care.
Diagnosis
If a patient is experiencing hip pain, regardless of whether it is caused by Covid-19, they should not wait for the pain to intensify. Make an appointment with an orthopaedic surgeon for a complete examination. The specialist will take a call whether an MRI is necessary. When the AVN is in its early and second phases, core decompression surgery is undertaken. Furthermore, in the third and fourth phases of this condition, joint replacement surgery is the only way to alleviate discomfort. Surgery, on the other hand, is not necessary if the AVN is detected early.
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