I am suffering by AVN (avascular necrosis) followed by excessive steroids-dexamethasone (in chemotherapy treatment for breast Cancer in my left breast) since last three years, taking homeopathic remedies such as Calcareous Hypophos, but still to much pain & my bone shape is changed. please suggest me better remedies.

Dr. Sajeev KumarGeneral Physician32yrs exp

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Avascular necrosis (AVN), also called osteonecrosis, aseptic necrosis, or ischemic bone necrosis, is a condition that occurs when there is loss of blood to the bone. Because bone is living tissue that requires blood, an interruption to the blood supply causes bone to die. If not stopped, this process eventually causes the bone to collapse. Avascular necrosis most commonly occurs in the upper leg. Other common sites are the upper arm, knees, shoulder, and ankles.The goals of treatment for AVN are to improve or ensure function of the affected joint, stop the progression of bone damage, and reduce pain. The best treatment will depend on a number of factors, including: Your age Stage of the disease Location and amount of bone damage Cause of AVN If the cause of your avascular necrosis is identified, treatment will include efforts to manage the underlying condition. For example, if AVN is caused by blood clots, your doctor will prescribe medications to dissolve clots. If inflammation of the arteries is responsible, your doctor may prescribe anti-inflammatory medicines. While these nonsurgical treatments may slow the progression of avascular necrosis, most people with the condition eventually need surgery. Surgical options include: Bone grafts, which involve removing healthy bone from one part of the body and using it to replace the damaged bone Osteotomy, a procedure that involves cutting the bone and changing its alignment to relieve stress on the bone or joint Total joint replacement, which involves removing the damaged joint and replacing it with a synthetic joint Core decompression, a procedure that involves removing part of the inside of the bone to relieve pressure and allow new blood vessels to form Vascularized bone graft, a procedure that uses the patient's own tissue to rebuild diseased or damaged hip joints; the surgeon first removes the bone with the poor blood supply from the hip and then replaces it with the blood-vessel-rich bone from another site, such as the fibula, the smaller bone located in the lower leg. 

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