Avascular Necrosis

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Dear Girish and Namita,

 

Namaste.

 

Thank you for your email.

 

If the patient and his medical doctor's opinion is

that medical operation is important, then it must be

undertaken. Apply pranic healing as complementary

treatment.

 

Medical Background:

 

Avascular necrosis is a disease resulting from the

temporary or permanent loss of the blood supply to the

bones. Without blood, the bone tissue dies and causes

the bone to collapse. If the process involves the

bones near a joint, it often leads to collapse of the

joint surface. This disease also is known as

osteonecrosis, aseptic necrosis, and ischemic bone

necrosis.

 

Although it can happen in any bone, avascular necrosis

most commonly affects the ends (epiphysis) of long

bones such as the femur, the bone extending from the

knee joint to the hip joint. The disease may affect

just one bone, more than one bone at the same time, or

more than one bone at different times. Avascular

necrosis usually affects people between 30 and 50

years of age; about 10,000 to 20,000 people develop

avascular necrosis each year.

 

The amount of disability that results from avascular

necrosis depends on what part of the bone is affected,

how large an area is involved, and how effectively the

bone rebuilds itself. The process of bone rebuilding

takes place after an injury as well as during normal

growth. Normally, bone continuously breaks down and

rebuilds—old bone is torn away and reabsorbed, and

replaced with new bone. The process keeps the skeleton

strong and helps it to maintain a balance of minerals.

In the course of avascular necrosis, however, the

healing process is usually ineffective and the bone

tissues break down faster than the body can repair

them. If left untreated, the disease progresses, the

bone collapses, and the joint surface breaks down,

leading to pain and arthritis.

 

Avascular necrosis has several causes. Loss of blood

supply to the bone can be caused by an injury

(trauma-related avascular necrosis) or by certain risk

factors (non-traumatic avascular necrosis), such as

some medications (steroids) or excessive alcohol use.

Increased pressure within the bone also is associated

with avascular necrosis. The pressure within the bone

causes the blood vessels to narrow, making it hard for

the vessels to deliver enough blood to the bone cells.

 

 

a. Injury

 

When a joint is injured, as in a fracture or

dislocation, the blood vessels may be damaged. This

can interfere with the blood circulation to the bone

and lead to trauma-related avascular necrosis. Studies

suggest that this type of avascular necrosis may

develop in more than 20 percent of people who

dislocate their hip joint.

 

b.) Steroid Medications

 

Corticosteroids such as prednisone are commonly used

to treat diseases in which there is inflammation, such

as systemic lupus erythematosus, rheumatoid arthritis,

and vasculitis. Studies suggest that long-term,

systemic (oral or intravenous) corticosteroid use is

associated with 35 percent of all cases of

non-traumatic avascular necrosis. However, there is no

known risk of avascular necrosis associated with the

limited use of steroids. Patients should discuss

concerns about steroid use with their doctor.

 

Doctors aren't sure exactly why the use of

corticosteroids sometimes lead to avascular necrosis.

They may interfere with the body's ability to break

down fatty substances. These substances then build up

in and clog the blood vessels, causing them to narrow.

This reduces the amount of blood that gets to the

bone. Some studies suggest that corticosteroid-related

avascular necrosis is more severe and more likely to

affect both hips (when occurring in the hip) than

avascular necrosis resulting from other causes.

 

c.) Alcohol Use

 

Excessive alcohol use and corticosteroid use are two

of the most common causes of non- traumatic avascular

necrosis. In people who drink an excessive amount of

alcohol, fatty substances may block blood vessels

causing a decreased blood supply to the bones that

results in avascular necrosis.

 

Other Risk Factors

 

Other risk factors or conditions associated with

non-traumatic avascular necrosis include Gaucher's

disease, pancreatitis, radiation treatments and

chemotherapy, decompression disease, and blood

disorders such as sickle cell disease.

 

Avascular necrosis strikes both men and women and

affects people of all ages. It is most common among

people in their thirties and forties. Depending on a

person's risk factors and whether the underlying cause

is trauma, it also can affect younger or older people.

 

 

In the early stages of avascular necrosis, patients

may not have any symptoms. As the disease progresses,

however, most patients experience joint pain—at first,

only when putting weight on the affected joint, and

then even when resting. Pain usually develops

gradually and may be mild or severe. If avascular

necrosis progresses and the bone and surrounding joint

surface collapses, pain may develop or increase

dramatically. Pain may be severe enough to limit the

patient's range of motion in the affected joint. The

period of time between the first symptoms and loss of

joint function is different for each patient, ranging

from several months to more than a year.....

 

Appropriate treatment for avascular necrosis is

necessary to keep joints from breaking down. If

untreated, most patients will suffer severe pain and

limitation in movement within 2 years.

 

Several treatments are available that can help prevent

further bone and joint damage and reduce pain. To

determine the most appropriate treatment, the doctor

considers the following aspects of a patient's

disease:

 

 

The age of the patient.

The stage of the disease—early or late.

The location and amount of bone affected—a small or

large area.

The underlying cause of avascular necrosis—with an

ongoing cause such as corticosteroid or alcohol use,

treatment may not work unless use of the substance is

stopped.

The goal in treating avascular necrosis is to improve

the patient's use of the affected joint, stop further

damage to the bone, and ensure bone and joint

survival. To reach these goals, the doctor may use one

or more of the following treatments:

 

Reduced Weight Bearing—If avascular necrosis is

diagnosed early, the doctor may begin treatment by

having the patient remove weight from the affected

joint. The doctor may recommend limiting activities or

using crutches. In some cases, reduced weight bearing

can slow the damage caused by avascular necrosis and

permit natural healing. When combined with medication

to reduce pain, reduced weight bearing can be an

effective way to avoid or delay surgery for some

patients. Most patients eventually will need surgery,

however, to repair the joint permanently.

 

Core Decompression—This surgical procedure removes the

inner layer of bone, which reduces pressure within the

bone, increases blood flow to the bone, and allows

more blood vessels to form. Core decompression works

best in people who are in the earliest stages of

avascular necrosis, often before the collapse of the

joint. This procedure sometimes can reduce pain and

slow the progression of bone and joint destruction in

these patients.

 

Osteotomy—This surgical procedure reshapes the bone to

reduce stress on the affected area. There is a lengthy

recovery period, and the patient's activities are very

limited for 3 to 12 months after an osteotomy. This

procedure is most effective for patients with advanced

avascular necrosis and those with a large area of

affected bone.

 

Bone Graft—A bone graft may be used to support a joint

after core decompression. Bone grafting is surgery

that transplants healthy bone from one part of the

patient, such as the leg, to the diseased area. There

is a lengthy recovery period after a bone graft,

usually from 6 to 12 months. This procedure is complex

and its effectiveness is not yet proven. Clinical

studies are under way to determine its effectiveness.

 

Arthroplasty/Total Joint Replacement—Total joint

replacement is the treatment of choice in late-stage

avascular necrosis and when the joint is destroyed. In

this surgery, the diseased joint is replaced with

artificial parts. It may be recommended for people who

are not good candidates for other treatments, such as

patients who do not do well with repeated attempts to

preserve the joint. Various types of replacements are

available, and people should discuss specific needs

with their doctor.

In addition to the above treatments, doctors are

exploring the use of medications, electrical

stimulation, and combination therapies to increase the

growth of new bone and blood vessels. These treatments

have been used experimentally alone and in combination

with other treatments, such as osteotomy and core

decompression.

 

For most people with avascular necrosis, treatment is

an ongoing process. Doctors may first recommend the

least complex and invasive procedure, such as

protecting the joint by limiting movement, and watch

the effect on the patient's condition. Other

treatments then may be used to prevent further bone

destruction and reduce pain. It is important that

patients carefully follow instructions about activity

limitations and work closely with their doctors to

ensure that appropriate treatments are used.

 

-Information provided by the

National Institute of Arthritis and Musculoskeletal

and Skin Diseases

 

Pranic Healing:

 

1. Invoke and scan before, during and after

treatment.

 

2. Teach patient proper abdominal pranic breathing.

Instruct patient to do 12 cycles before start of

healing and to continue pranic breathing during

treatment.

 

3. General sweeping two to three times.

 

4. Apply pranic psychotherapy for trauma.

 

5. Cleanse the affected areas and both legs

alternately with LWG and ordinary LWV.

 

6. Energize the affected area with LWB for localizing

effect.

 

7. Energize the affected areas and both legs with

LWG, LWO and then LWR or gold.

 

8. Localized thorough sweeping on the basic chakra,

perinium minor chakra, the hip minor and knee minor

chakras alternately with LWG and LWO.

Energize them thoroughly with LWR.

 

If the patient has fever or venereal disease, do not

energize the basic chakra. Just apply thorough

sweeping on it.

 

9. Localized thorough sweeping on the sex chakra and

the navel chakra. Energize with LWR.

 

10. Localized thorough sweeping on the spine and both

sides of the spine alternately with LWG and ordinary

LWV.

 

11. This step is used only by experienced, proficient

advanced pranic healers.

Scan the meng mein chakra frontally and sideways.

Apply localized thorough sweeping on the meng mein

chakra. Energize it with White or LWR.

Rescan the meng mein chakra.

 

12. Localized thorough sweeping on the front, sides

and the back of the lungs. Energize through the back

of the lungs with LWG, LWO and ordinary LWV. Point

your fingers away from the patient's head when

energizing with O.

 

13. Stabilize and release projected pranic energy.

 

14. Repeat treatment three times per week until

necessary.

 

15. Regular proper practice of the Meditation on Twin

Hearts unless other medical or health conditions

prevent the practice of the meditation.

 

16. Pranic breathing for 5 minutes several times each

day.

 

Source - Pranic Psychotherapy and Advanced Pranic

Healing by Master Choa Kok Sui.

 

Love,

 

Marilette

 

 

 

 

=====================================================

" namita koradia " <namu_39in Add to

Address Book

treatment for asvascular necrosis

" marilette " <marilette_ph

 

 

dear marilette,

namaste!i have a patient named Farsheed Rohintan

Bamboat,age 21,diagnosed for asvascular necrosis of

the right hip joint, i.e,no blood circulation in that

part of the joint.Could be due to infaret(small

fracture) or prolonged use of steroids.Whwther there

is a cystic lesion on the femurhead or not has a

differece of opinion.Doctors confirm that

99%,malignancy is ruled out.Surgeons wants to scoop

out the tissue in the femur head,undertake bone

grafting and provide a channel for the blood to flow

through,so that circulation in that area is

restored.As of now,there is pain in the left hip as

well.so pls guide me the treatment as soon as

possible.thanks.

 

 

 

 

 

luv,

namita.

 

 

 

 

--- girish desai <girishpranic wrote:

 

> namaste!i have a patient named Farsheed Rohintan

> Bamboat,age 21,diagnosed for asvascular necrosis of

> the right hip joint, i.e,no blood circulation in

> that

> part of the joint.Could be due to infaret(small

> fracture) or prolonged use of steroids.Whwther there

> is a cystic lesion on the femurhead or not has a

> differece of opinion.Doctors confirm that

> 99%,malignancy is ruled out.Surgeons wants to scoop

> out the tissue in the femur head,undertake bone

> grafting and provide a channel for the blood to flow

> through,so that circulation in that area is

> restored.As of now,there is pain in the left hip as

> well.so pls guide me the treatment as soon as

> possible.thanks.

>

>

>

>

>

> luv,

> girish.

>

>

>

>

> Discover all that’s new in My

 

 

 

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