seen from Slovenia
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seen from China
seen from Israel
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seen from Colombia
seen from United States
seen from Türkiye
seen from Spain
seen from Pakistan
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The price of misdiagnoses and permanent damage
"I respond to grief with action" - JTP and friends
Between 2015 and 2025, I've had four misdiagnoses
Usually always taking at least 2 years at a time for it
Both hips (torn labrum + avascular necrosis)
And back, twice (spinal infarctions + coccyx injury)
A decade's worth of damage that could've been prevented or at least treated at an earlier date ✨️
Can Stem Cell Therapy Help Reverse Bone Death in Avascular Necrosis? Avascular necrosis (AVN), also called osteonecrosis, occurs when the bl
When Hip Pain Is More Than Just Joint Pain: Understanding AVN in Sickle Cell Disease
Most people associate sickle cell disease with episodes of anemia and painful blood vessel blockages, but fewer realize that it can also affect the health of bones and joints. One of the most serious orthopedic complications linked to this condition is Avascular Necrosis (AVN) of the hip. This condition develops when the blood supply to the ball of the hip joint becomes insufficient, causing bone tissue to weaken over time.
Unlike a sudden injury, AVN usually develops gradually. In its early stages, patients may notice only mild discomfort after walking long distances or climbing stairs. Because the symptoms can be subtle, many individuals delay seeking medical attention until the condition has progressed significantly.
The hip joint depends on a constant blood supply to remain healthy. In sickle cell disease, abnormal red blood cells can temporarily block tiny blood vessels, reducing blood flow to the femoral head. Repeated episodes of reduced circulation may eventually damage the bone, increasing the risk of collapse if treatment is delayed.
The earliest symptoms are often easy to overlook. Patients may experience occasional groin pain, stiffness after sitting for long periods, discomfort while bearing weight, or a slight limp that gradually becomes more noticeable. Some people also report reduced flexibility while putting on shoes or climbing stairs.
READ MORE ABOUT AVN IN SICKLE CELL
Because these symptoms overlap with many other hip conditions, proper evaluation by an orthopedic specialist is important. A physical examination combined with imaging studies such as X-rays and MRI can help identify AVN and determine its stage. MRI is particularly valuable because it can detect changes before they become visible on standard X-rays.
Treatment depends largely on how early the condition is diagnosed. During the initial stages, preserving the natural hip joint is often the primary goal. As the disease advances and the femoral head begins to collapse, more extensive surgical treatment may become necessary to restore mobility and relieve pain.
Patients who want to understand the relationship between sickle cell disease and hip AVN can explore this detailed guide on AVN of Hip Joints in Sickle Cell Disease:
Another important aspect of care is long-term monitoring. Individuals living with sickle cell disease should not ignore persistent hip discomfort, even if the pain appears mild. Regular follow-up allows doctors to detect changes early and recommend appropriate treatment before permanent joint damage develops.
Dr. Anupam Khandelwal specializes in the diagnosis and management of complex hip disorders, including avascular necrosis associated with sickle cell disease. Through detailed clinical assessment and individualized treatment planning, patients receive guidance based on the stage of the disease, overall health, and functional needs.
Although AVN is a serious orthopedic condition, early recognition greatly improves the range of available treatment options. Paying attention to persistent hip pain, seeking timely orthopedic evaluation, and understanding the underlying cause can help protect joint function and support a better quality of life for people living with sickle cell disease.
AVN of the Hip: Why Early Treatment Matters More Than Most Patients Realize
Hip pain can affect every aspect of daily life. Walking, climbing stairs, getting out of bed, and even sitting comfortably can become difficult when the hip joint is not functioning properly. While many people assume hip pain is simply a sign of aging or arthritis, some patients may be suffering from a more serious condition known as Avascular Necrosis (AVN) of the Hip.
AVN is a progressive disorder that occurs when the blood supply to the femoral head—the ball-shaped portion of the hip joint—is disrupted. Without adequate blood flow, the bone tissue begins to weaken and may eventually collapse, causing significant pain and loss of mobility.
Understanding the Warning Signs
One of the reasons AVN often progresses unnoticed is that symptoms may initially appear mild. Many patients continue their normal routine despite discomfort, believing the pain will eventually improve.
Common symptoms include:
Groin pain
Hip pain while walking
Difficulty climbing stairs
Stiffness in the hip joint
Limping
Reduced range of motion
As the condition advances, these symptoms usually become more frequent and more severe.
Why Delaying Treatment Can Be Risky
AVN is not a condition that should be ignored. Unlike temporary muscle pain or minor joint discomfort, AVN tends to worsen over time if left untreated.
The earlier the diagnosis, the greater the opportunity to explore treatment options that may help preserve the natural hip joint. Once significant collapse of the femoral head occurs, treatment becomes more complex and recovery may be more challenging.
This is why orthopedic specialists often recommend advanced imaging studies, especially MRI scans, when AVN is suspected.
Every AVN Patient Is Different
A common misconception is that all patients diagnosed with AVN require hip replacement surgery.
In reality, treatment depends on several important factors, including:
Stage of disease
Severity of bone damage
Patient age
Activity level
Symptoms and functional limitations
A personalized treatment plan is essential because the most appropriate treatment for one patient may not be suitable for another.
Why Patients Are Seeking AVN Treatment in Indore
Indore has become an important center for advanced orthopedic care, attracting patients from across Madhya Pradesh and neighboring regions.
Many individuals diagnosed with AVN travel to Indore because of access to specialized orthopedic expertise, advanced diagnostic facilities, and modern treatment options. Early evaluation by an experienced orthopedic surgeon can help determine the stage of AVN and identify the most appropriate treatment pathway.
For many patients, timely intervention can make a significant difference in preserving mobility and maintaining quality of life.
AVN Treatment by Dr. Anupam Khandelwal
Dr. Anupam Khandelwal is an Orthopedic Surgeon and Joint Replacement Specialist who regularly evaluates and treats patients suffering from Avascular Necrosis of the Hip.
His approach focuses on accurate diagnosis, detailed staging of the disease, and individualized treatment planning. Rather than following a one-size-fits-all approach, treatment recommendations are based on the patient's condition, symptoms, and long-term mobility goals.
Patients from Indore, Bhopal, Ujjain, Gwalior, Ratlam, Khandwa, Shivpuri, Ashoknagar, and other parts of Central India frequently consult Dr. Khandelwal for AVN evaluation and management.
The primary goal is always to help patients reduce pain, improve mobility, and preserve joint function whenever possible.
Take Action Before Hip Damage Progresses
Many AVN patients wait until walking becomes extremely painful before seeking treatment. Unfortunately, by that stage, the disease may have already caused significant damage to the hip joint.
If you have persistent hip pain, difficulty walking, stiffness, or have already been diagnosed with AVN, seeking expert orthopedic evaluation at an early stage can help you better understand your treatment options.
Protecting your hip joint today may help preserve your mobility for years to come.
AVN of the Hip: The Silent Condition That Can Lead to Hip Replacement If Ignored
Many people ignore hip pain until it starts affecting their daily life. What begins as mild discomfort while walking can gradually progress to severe pain, limping, and difficulty performing simple activities. In some cases, the underlying cause is a condition called Avascular Necrosis (AVN) of the Hip.
AVN occurs when the blood supply to the femoral head (the ball of the hip joint) becomes reduced or interrupted. Without adequate blood flow, the bone tissue starts to weaken and may eventually collapse, leading to arthritis and significant joint damage.
Why Early Diagnosis Matters
One of the biggest challenges with AVN is that the condition often develops silently. During the early stages, patients may experience occasional groin pain, stiffness, or discomfort while walking. Because these symptoms can appear minor, many people delay seeking medical attention.
Unfortunately, AVN does not usually improve on its own. As the disease progresses, the chances of preserving the natural hip joint become lower.
This is why early diagnosis through clinical evaluation and MRI imaging is extremely important.
Can AVN Be Treated Without Hip Replacement?
The answer depends on the stage of the disease.
When AVN is diagnosed early, joint-preserving procedures may help slow disease progression and support bone healing. Various advanced treatment options are available depending on the patient's age, bone condition, and severity of damage.
However, if the femoral head has already collapsed and the joint surface is significantly damaged, Hip Replacement Surgery may become the most effective solution for restoring mobility and eliminating pain.
Advanced AVN Treatment in Indore
Patients from Indore and surrounding regions are increasingly seeking specialized treatment for AVN before the condition reaches an advanced stage.
Dr. Anupam Khandelwal has extensive experience in evaluating and treating AVN of the hip using a stage-based treatment approach. Every patient undergoes a detailed assessment to determine whether the natural hip joint can be preserved or whether surgical intervention is required.
The goal is always to identify the most suitable treatment option while helping patients maintain mobility and quality of life.
Common Symptoms That Should Not Be Ignored
If you are experiencing any of the following symptoms, an orthopedic evaluation may be necessary:
Persistent hip or groin pain
Pain while walking or climbing stairs
Stiffness in the hip joint
Difficulty sitting cross-legged
Limping during walking
Reduced range of motion
These symptoms may indicate AVN or another serious hip condition that requires timely treatment.
Don't Wait Until the Damage Becomes Permanent
Many AVN patients regret delaying treatment until daily activities become extremely difficult. The earlier the condition is diagnosed, the greater the opportunity to explore treatment options that may help preserve the joint and prevent further deterioration.
If you have been diagnosed with AVN or are experiencing unexplained hip pain, seeking expert evaluation can make a significant difference in long-term outcomes.
Your hip joint works hard every day. Giving it timely attention today may help protect your mobility for years to come.
Read More
This image presents a clear and professional overview of Avascular Necrosis Treatment Without Surgery. It features a detailed 3D illustration of the human hip joint, subtly highlighting early-stage avascular necrosis in a non-graphic way. The soft blue and white medical design conveys trust, clarity, and clinical expertise, making it ideal for hospital brochures, medical websites, and patient awareness content. The overall focus is on early diagnosis, non-surgical care, and expert guidance through the HipXpert+ by Sahaj approach.
Hip avascular necrosis happens when blood flow to the hip bone decreases, causing pain and stiffness. Non-surgical treatment helps reduce pain, improve blood circulation, and support natural healing-without surgery. With the right medical care, patients can regain movement and improve their quality of life safely and effectively.
Non-Surgical Treatment for Avascular Necrosis – HipXpert
HipXpert specializes in advanced non surgical treatment for avascular necrosis, offering effective care aimed at reducing pain, improving hip joint movement, and slowing the progression of bone damage. Our treatment approach focuses on preserving the natural hip joint through modern, evidence-based therapies and personalized rehabilitation plans. By avoiding surgery, patients experience faster recovery, minimal risk, and better long-term joint function, helping them return to daily activities with improved comfort and mobility.
