Non-surgical treatment of femoral head necrosis

  Femoral head necrosis is a chronic disease that has long plagued young and middle-aged patients, especially those who have been drinking alcohol or using glucocorticoids for a long time. Because of its young age, insidious onset and lack of targeted treatment, patients, once clinically diagnosed, often take the path of “seeking medical help for their illness”. As most patients lack in-depth understanding of the pathological process of femoral head necrosis, they often unknowingly fall into certain traps.  First, patients with necrosis of the femoral head because of different causes, different pathological stages, different patient age and physique, etc., will have different responses to the same treatment methods, the end will be different. Therefore, clinical treatment should not be a cloud of clouds, not to copy the methods used by others.  In addition to artificial joint replacement surgery for patients in the middle and late stages of necrosis, and can obtain excellent long-term clinical results (the excellent rate of 10-year follow-up after surgery can reach 98% or more), any other surgical methods have a certain failure rate. At present, the hip preservation surgery methods with more certain efficacy are early decompression surgery and bone graft surgery with blood vessels for specific patients.  Third, Chinese herbal medicine for the treatment of femoral head necrosis is a major clinical advantage in China. There has been evidence that herbal medicine has positive efficacy for certain patients. However, the following points affect the reasonable judgment of the effect of Chinese medicine in the treatment of femoral head necrosis: 1, the essence of Chinese medicine treatment is to exclude the “one side of a thousand people”. Chinese medicine focuses on the identification and treatment of the patient’s physique, and the use of medicine depends on the individual and the treatment of the disease, which is different from Western medicine.  2. At present, different hospitals in China use different Chinese medicine prescriptions, and even the prescriptions of different doctors in the same hospital vary greatly.  3. The evaluation standard of efficacy is not as strict as that of western medicine, and most of them only take the degree of pain relief as the main index.  4, . There is a lack of double-blind, large specimen, multi-center cooperative studies.  Especially there is a lack of long-term follow-up studies of a certain kind or class of drug treatment. So if you take herbal treatment, you should follow up regularly to prove through time whether herbal medicine is suitable for your condition.  Fourth, the more common over-exaggerated efficacy or simply unreliable treatment methods are the following, which can be interpreted as a “trap” in treatment. Femoral head necrosis patients should pay attention to.  1, ancestral secret recipes, ancestral plasters. Femoral head necrosis disease is recognized is also a matter of decades, although ancient Chinese medicine has a similar description of the disease (bone erosion), in many cases is the modern interpretation. So similar ancestral or secret recipes are basically unreliable.  2, look at the disease to see the advertising. Look at the tabloid media now, advertising is flying. “Retired old Chinese medicine”, “old military doctors”. Filled with a variety of “special treatment”, “special effects”, “invalid refund”. If the efficacy is that good, need to spend money to buy shouting?  3, acupuncture treatment. Acupuncture has a positive effect on many chronic diseases, but there is no evidence that acupuncture can improve the blood supply to the femoral head and can promote bone tissue repair. If acupuncture has any effect on the treatment of osteonecrosis of the femoral head, it can relieve some pain and muscle spasm.  4.Medicinal bath. Bathing can also treat osteonecrosis of the femur, think about it also feel mysterious.  5, qigong. Purely fooling people.  6, stem cell transplantation. This technology has very strict technical requirements and implementation conditions, not the general medical institutions can carry out. At present, there is not enough international data to show that the technology can be used freely for patients with femoral head necrosis, no long-term follow-up results for humans.  7, intra-articular injection. Another unreliable method.  8, gene therapy, nanotechnology. The Western medical community holds the standard of access technology is very strict, that the value of human life is paramount. Never allow a therapy or technology to be used for clinical patients before it has been proven to be definitively effective. If someone tells you how mysterious his technology is, you should be careful.  9, magnetic therapy mattress, magnetic therapy pants. Too esoteric methods.