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Treatment options for avascular necrosis include conservative management, joint replacement, core decompression (to relieve pressure in the bone), and osteotomy (cutting and reshaping of the bone). Conservative management involves bed rest, partial weight bearing with crutches, weight bearing as tolerated, and the use of nonsteroidal anti-inflammatory agents for pain management. This approach generally does not help stop the progression of disease. Joint replacement, such as total hip replacement for a patient with avascular necrosis of the femoral head, has been used with mixed results. Some patients who undergo joint replacement experience poorer outcomes compared with patients who have joint replacement for other reasons. Total joint replacement of the shoulder for avascular necrosis has been shown to be more successful than hip or knee joint replacement.
Q. can necrosis in a brain tumor kill you? If so, how? husband has seems under control at this point as much as they can tell but sounds like there is a lot of necrosis. He has lots of tumor progression symptoms but since he has had the tumor for so long == 6 years = I guess the necrosis is there moreso than the actual tumor == how dangerous can this be? A. Tumors and not only in the brain tend to develop necrosis the longer they exist because the tumor cells divide so rapidly so the blood supply can't keep up with its' own cells demands, so some cells within the tumor die (therefore are seen as necrotic). This does not usually predict prognosis, but only means that the tumor is longstanding.