cbd oil for avascular necrosis

Non Surgical-Treatments -Avascular Necrosis – Osteonecrosis In Early Stage

If osteonecrosis is diagnosed while damage is limited to a small area of bone sometimes doctors can try PRP injections, A2M injections, or Stem cell injections which is said to be the gold standard of injections.

I will get into those treatment options another day . And it may also be effective in up to stage 3 of AVN-ON but the faster you get it treated the better the outcome. It also depends on how you got your avn that will determine the outcome.

Let’s be real here

Avascular Necrosis –Osteonecrosis can be incredibly painful. And only those who have it understand the pain.

Medication to treat osteonecrosis may not be effective in people who have medical conditions that require treatment using corticosteroids, immunosuppressant medications, or chemotherapy. These medications may counteract osteonecrosis treatment.

During treatment with medication to stop the progression of osteonecrosis, your doctor monitors bone damage by taking periodic images of the affected bone for six months to a year or more. Some doctors may also recommend using crutches or a brace to remove stress from the affected bones.

As the bone starts to heal, physical therapy can help you maintain joint mobility, strengthen muscle groups that support the joint, and make changes to the way you walk to protect the affected bones. If the disease does not progress and putting weight on the joint becomes less painful, nonsurgical treatment may be all that is needed to recover from osteonecrosis.


Bisphosphonates are prescription medications that reduce bone loss by destroying cells that contribute to the degeneration of bone. This helps preserve healthy bone tissue.

Your doctor may recommend that you take this medication by mouth or injection for six months or more, depending on the size of the osteonecrosis lesion or lesions and whether symptoms improve during the first six months. If an injected form of medication is prescribed, your doctor may give the injection in his or her office or show you how to administer your injections at home. Some bisphosphonates are taken by mouth or injection once a week or once a month, others less frequently.

Your doctor will continue to evaluate the effectiveness of treatment, using periodic X-rays or MRI that can reveal changes in the bone’s health. The doctor also looks for signs of side effects from bisphosphonates, which may include bone fractures outside the affected joint, and conducts regular blood tests.

Long-term use of bisphosphonates should be monitored by your doctor. And also may cause avn-on in jaw if you need on going dental work.

Nonsteroidal Anti-inflammatory Drugs

Bone loss due to osteonecrosis may be painful, especially in the hip and knee joints, which bear much of the body’s weight. Nonsteroidal anti-inflammatory drugs, or NSAIDs, sometimes work by reducing inflammation in the soft tissues surrounding the joint, relieving pain and swelling. These over-the-counter pain relievers include ibuprofen, naproxen, and aspirin. It may help in the short term but again talk to your doctor.

Long-term use of NSAIDs can cause side effects, including upset stomach or ulcers. If joint pain persists for more than a month, talk to your doctor before continuing use.


Statins are medications that lower cholesterol levels by reducing the amount of fatty substances called lipids in the bloodstream. If statins remove lipids from blood vessels leading to a diseased bone, more blood can reach the bone, allowing it to rebuild bone tissue. This may slow or stop the progression of osteonecrosis.

Statins can cause liver abnormalities and muscle damage, so your doctor takes your overall health and medical history into consideration before prescribing them for long-term use.

Medical Marijuana

No other pain relieving medication is less toxic than cannabis, even aspirin or Tylenol. This is why cannabis as medicine can be an excellent choice for pain. A proper cannabis recommendation requires more than just a few minutes of a doctor’s time, and includes information on cannabinoid content, strain selection, and delivery methods. If you’re not getting this information from your doctor, you’re not getting a real cannabis consultation and are missing information on the full value and healing potential of the plant. Cannabidiol, a nonpsychotropic component of marijuana, may enhance the healing process of bone fissures, according to a new study.

CBD oil is an entirely different compound, and its effects are very complex. It is not psychoactive, meaning it does not produce a “high” or change a person’s state of mind. Instead, it influences the body to use its own endocannabinoids more effectively and can ease pain.

Pain medication

Most pain medications for bone pain are taken by mouth, in pill or liquid form. If swallowing is difficult, pain medication can also be delivered through a patch placed on the skin, an injection,talk to your doctor or see a pain management specialist if needed . No one needs to suffer in pain

Physical Therapy

When prescribed in addition to medication, physical therapy may slow down the progression of osteonecrosis and provide some pain relief. During the early stages of treatment, if the disease has affected the hip or knee, physical may suggest using crutches or a cane to help you move around without putting any weight on the affected joint.

You may use crutches or a cane for six weeks or more, depending on your age, the location of the lesion, and the severity of the disease. This gives the lesions time to heal and may prevent further joint damage.

Rehabilitation experts also offer heat and ice therapy, which may provide temporary pain relief deep within the joint, as well as acupuncture and acupressure, in which very thin needles or massage are used to stimulate blood flow and reduce inflammation.

After you can put weight on the affected joint without pain, physical therapists can customize a routine of simple, low-impact exercises to maintain range of motion in the affected joint as well as build strength in muscles that surround and support the joint. For example, stretching exercises and movements such as leg lifts or squats can prevent the joint from becoming stiff.

In addition, adding exercise such as tai chi or or my favorite is qi gong , or using a stationary or recumbent bike another favorite of mine or add swimming to your regular workout routine can help you maintain flexibility in the joints without putting too much stress on the bones. These exercises may prevent the disease from limiting your ability to walk and participate in everyday activities. They also improve blood flow throughout the body, which may help the bone heal more quickly.

A physical therapist can also help you alter the way you walk to avoid limping or putting too much stress on the affected joint. This helps ensure that you are able to use the joint without feeling pain for the long term.

The duration of physical therapy varies depending on the location of a lesion and how quickly your body responds to medication and physical therapy. After four to eight weeks, your therapist and physician assess your progress and determine whether additional treatment is required.

The most important thing you can do is have a good ortho , talk to him or her openly and honestly about your condition, your pain, your limitations etc…. together you can work together to find the best treatment plan for you . And also remember if you are unsatisfied you can always get a second opinion and or new ortho.

Hyperbaric-Oxygen Therapy and Osteonecrosis

Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room or tube. Hyperbaric oxygen therapy is a well-established treatment for decompression sickness, a hazard of scuba diving. Other conditions treated with hyperbaric oxygen therapy include serious infections, bubbles of air in your blood vessels, and wounds that won’t heal as a result of diabetes or radiation injury.

In a hyperbaric oxygen therapy chamber, the air pressure is increased to three times higher than normal air pressure. Under these conditions, your lungs can gather more oxygen than would be possible breathing pure oxygen at normal air pressure.

Your blood carries this oxygen throughout your body. This helps fight bacteria and stimulate the release of substances called growth factors and stem cells, which promote healing.

Why it’s done

Your body’s tissues need an adequate supply of oxygen to function. When tissue is injured, it requires even more oxygen to survive. Hyperbaric oxygen therapy increases the amount of oxygen your blood can carry. An increase in blood oxygen temporarily restores normal levels of blood gases and tissue function to promote healing and fight infection.

PRP and Stemm Cells

Doctors who use PRP therapy to treat osteoarthritis theorize that the platelet-rich plasma might: Inhibit inflammation and slow down the progression of osteoarthritis. Stimulate the formation of new cartilage. Increase the production of natural lubricating fluid in the joint, thereby easing painful joint friction. It has been shown to also help Osteonecrosis in early stage 0-1-2

Stem Cell injections – Do your home work and make sure they are qualified- non-surgical option for many suffering from pain and loss of function due to a degenerative condition or orthopedic injury.

Stem cells are the body’s raw materials — cells from which all other cells with specialized functions are generated. Under the right conditions in the body or a laboratory, stem cells divide to form more cells called daughter cells.

These daughter cells either become new stem cells (self-renewal) or become specialized cells (differentiation) with a more specific function, such as blood cells, brain cells, heart muscle cells or bone cells. No other cell in the body has the natural ability to generate new cell types.

A2M Injections

Both A2M and PRP occur in the blood naturally, in fact, A2M is present in PRP. … The difference between modified plasma and platelets with the blood flowing inside the body is concentration. In blood plasma and platelets are lower than those modified because for it to be effective, it should be highly concentrate.

Alpha 2 macroglobulin (A2M) is a molecule that occurs naturally in blood. It protects the body by blocking the functions of the proteinases responsible for the destruction of important tissues. Even though they are present in the blood, they are not able to travel to areas they are needed the most due to their form of structure and this is why scientist came up with an A2M injection. The proteinase is attracted to the A2M molecules for bonding which in turn gets eliminated by the body.

According to the facts stated here, both PRP and A2M have their own unique advantages. PRP prevents the cartilage from being destroyed further by the protein inhibiting enzymes and at the same time restores the damaged tissue to its original structure.

A2M is equally as useful a treatment for chronic arthritis because it quells inflammation in an attempt to reduce pain and prevent further damage.

In chronic arthritis, the cartilage has already started getting destroyed and if there’s any medication that will correct and restore it that will be PRP. With its restoration properties, the cartilage will be able to regrow and assume its normal structure. On the flip side, A2M will capture the proteinase and prevent further cartilage damage, making it equally viable for chronic arthritis.

Both A2M and PRP occur in the blood naturally, in fact, A2M is present in PRP. It is due to this reason both of them are safe to use since they don’t present any form of adverse effect. The difference between modified plasma and platelets with the blood flowing inside the body is concentration. In blood plasma and platelets are lower than those modified because for it to be effective, it should be highly concentrated.

Administration of A2M and PRP injections is on site this enhances and speed up treatment. It is unlikely to develop a reaction to both therapies since they are prepared using the patient’s blood.

PRP has been around for quite a while, while A2M therapy is relatively new.

Causes of Hip Pain

The primary cause of hip pain is arthritis, specifically osteoarthritis. Arthritis is the most common chronic condition and is characterized by inflammation of the joints. Common causes of arthritis include wear and tear on the bones and joint cartilage, most often when the body has too much weight to support. This can be caused by carrying heavy loads consistently for years but is more commonly a byproduct of being overweight.

Common Arthritis Myths
  • Only older people have arthritis.
  • Arthritis is caused by cold, wet weather.
  • Each day is the same for an arthritis patient.
  • Arthritis is a minor physical inconvenience.


Osteoarthritis is the most common form of arthritis, affecting over 21 million Americans. Three times as many women suffer from the disease than men.

Osteoarthritis occurs when the covering on the ends of bones gradually wears away, becoming frayed and rough. It typically develops due to many years of use and affects people middle-aged and older. Osteoarthritis targets hands and weight-bearing joints, such as knees, hips, and feet.

Risk Factors
  • Age- 45 yrs or older
  • Gender- majority of sufferers are women
  • Certain hereditary conditions including defective cartilage and malformed joints
  • Joint injuries caused by physical labor or sports
  • Obesity
  • Diseases that alter normal structure and function of cartilage
Symptoms (usually come on slowly)
  • Pain and inflammation
  • Pain may develop gradually and feel like a deep ache.
  • Swelling and stiffness
  • May be worse in the morning and feel better with activity
  • Loss of range of motion
  • “Sticking” and weakness
  • Loose fragments of cartilage and other tissue can cause locking or “sticking."
  • Joint may lose strength and buckle or lock.

Our hips form and develop in mass and strength in proportion to the amount of weight our body was designed to hold. So if you are a small woman, your hips are meant to hold a smaller amount of weight than if you are a six-foot tall man. Although the body is very adaptable and can learn to hold different weights, a point can be reached where the body is simply not comfortable supporting excess weight.

In some cases, along with surgery, a lifestyle change needs to take place to keep chronic pain at bay. For instance, diet should be addressed immediately, and an exercise regime should ensue following recovery from surgery.

Avascular necrosis

Avascular necrosis occurs when the tissue in the joints literally die when the blood supply is cut off to the bones. This can be a temporary blood supply loss or a permanent loss. Causes of avascular necrosis can include alcoholism, steroids, or blood disorders.

In the early stages of avascular necrosis, pain only occurs when pressure is put on the joint. However, as the necrosis worsens the pain is present even while resting the joint. In many cases, the blood supply is lost permanently and the damage tissue must be removed and replaced with a hip replacement.

Mechanical abnormalities

Mechanical abnormalities are rare, but can stem from childhood disfigurement or fractures that never healed properly. Initially, the body will try to compensate for the abnormality. However, as time passes, this will create wear and tear on other parts of the body. Ultimately, the remedy for this can be hip replacement.


Those with fragile bones that may easily break have osteoporosis. The disease is the result of lower than average amounts of phosphate and calcium in the bones, which cases them to become porous and brittle. Bones that most commonly break are the bones in the wrist and hip.

There are both controllable and uncontrollable risk factors that increase or decrease odds of developing the disease. For instance, people of all ages, races and genders get osteoporosis, but it is a condition most commonly found in Caucasian and Asian females over the age of 60. Other uncontrollable risk factors include family history, certain diseases and hormone levels. Controllable factors encompass those things that an individual can do during their lifetimes to lower their risk for developing osteoporosis. For instance, smoking, excessive drinking (more than 7 ounces of alcohol per week), poor nutrition with low calcium intake and lack of exercise can all contribute to the development of the disease.

The best treatment for the disease is prevention by consuming the recommended amounts of calcium and phosphate throughout a lifetime. When the disease is recognized, calcium is prescribed into the diet immediately, hormone treatments may help and an exercise regimen is recommended to abate further deterioration of the bone. To find out if you have osteoporosis, an energy X-ray absorptiometry (DEXA) scanning can analyze bone density.

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Avascular Necrosis and CBD, treatments, signs and pain relief

Avascular necrosis is a disease resulting from the temporary or permanent loss of the blood supply to a bone. Without blood, the bone tissue dies and the bone collapses. If avascular necrosis involves the bones near a joint, the joint surface will probably collapse.

Avascular necrosis usually affects the ends of long bones such as the femur. It may affect just one bone, more than one bone at the same time, or more than one bone at different times.

Avascular necrosis is also called osteonecrosis, aseptic necrosis, and ischemic bone necrosis.

Signs of avascular necrosis

In the early stages of avascular necrosis, symptoms may not be present. However, as avascular necrosis advances, symptoms are present.

The most common symptoms are:

  • 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

    Causes of avascular necrosis

    Some of the common causes are:

    • Injury to the bone
      • 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
      • Corticosteroids such as prednisone are commonly used to treat diseases in which there is inflammation, such as systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, and vasculitis
      • Excessive alcohol use and corticosteroid use are two of the most common causes of nontraumatic 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.

      Risks of developing avascular necrosis

      Some diseases will increase your chance of developing avascular necrosis. If you have Gaucher’s disease, pancreatitis, radiation treatments and chemotherapy, decompression disease, and blood disorders such as sickle cell disease, your chances of developing avascular necrosis increases.

      Avascular necrosis and CBD

      CBD (cannabidiol) may help alleviate the pain associated with avascular necrosis. An interesting characteristic of CBD is its ability to increase blood flow. While increased blood flow is beneficial to healing, individuals who use CBD while taking medicine for high blood pressure may experience harmful side effects.

      If you are considering adding CBD to your treatment options, first consult with your doctor or a doctor who is experienced in prescribing medicinal cannabis.

      Can avascular necrosis be treated?

      Yes. Treatment is necessary to keep joints from breaking down. If left untreated, most patients will experience severe pain and limitation in movement within 2 years.

      Treatments will depend on the age of the patient, state of avascular necrosis, the location of the bone that is affected, and the cause.

      Some common treatments are:

      • medicines to reduce pain, fatty substances, and blood clotting
      • removal of weight from the affected bone or joint
      • bone decompression
      • electrical stimulation
      • surgery
      • bone graft

      Questions to ask your doctor

      • What is the best treatment option?
      • How long will it take for me to heal?
      • Can CBD help relieve my pain?
      • What are emergency symptoms that indicate I should visit an Urgent Care center?
      • What should I do if my symptoms worsen?
      • When should I make a follow up appointment?

      Questions to ask your doctor about CBD

      • Will CBD help alleviate my symptoms?
      • Is CBD a good treatment option?
      • Will CBD interact negatively with my other medications?
      • What is the best way to take CBD?
        • Orally (tinctures, edibles)
        • Topically
        • Smoke

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