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AVN Patient -- Guide me

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Hello

I am a patient suffering from AVN and need your advice.

The problem is with my left hip joint. The damage in femer head is clearly

visible in X-rays since last 4 years. Intially the damage was very less and

bone was in good condition. But two years later, damage increased alot.

Though no change is avescular area of femer head could be identified since

last two years.

I am 25 year old male, height 5.8 " , weight 72, tea-totaller, pure vegetarian

and take normal diet. I have consulted 5-6 surgeons in last 4-years. Some

suggested THR, some bone grafting, some suggested only exercise. Some

doctors also say that wait for the worst then go for THR. While few doctors

say that don't do any exercise. No body talks about BHR.

Till date I am not having regular pain and I have never taken a pain killer.

Sitting in Yoga position and some wide movements are somewhat restricted or

remain painfull. Also on walking long distances or after holding some weight

I realize some light pain near my hip joint that i am not able to locate

exactly.

Right now I am not doing any kind of exercise nor I am taking any medicine.

I am totally confused and not able to decide as what to do. Opinions of

doctors are themselves contradictory. Can you advise me on following issues?

1. Can I do sex regularly or I have to take some precautions?

2. Hip excercises are advisable or not?

3. Is swimming good for hip in my case?

4. Loss in body weight will be effective?

5. Can some medicines play an important role?

6. What is advisable in food?

7. Is BHR(metal on metal hip resurfacing) advisible at this stage?

8. Is another hip is secure or it can also suffer in future?

9. How long I have to take rest after BHR surgery?

10. I am a software engineer and having 8-9 hrs of sitting job.Is it OK or I

must look for another type of job?

I will be highly thankful to you if you could answer my querries and take me

out of this dilemma.

Eagerly waiting for your kind reply.

Warm regards,

Sumit Agarwal

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