Femoral Head Necrosis Quiz
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Have joint pain
I have hip pain
Knee does not move
Difficulty rising from the sitting position
Painful joint
Have pain in the hip joint
Hip joint does not move
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What is Femoral Head Necrosis?
A condition where the top of the hip bone is damaged and dies due to poor blood supply. It can be caused by direct injury to the bone (e.g., a fracture or dislocation) or indirect injury (e.g., alcohol, smoking, medications, or radiotherapy).
Typical Symptoms of Femoral Head Necrosis
- Taking steroids
- Hip pain
- Difficulty standing up from sitting position
- Personal history of lupus / SLE
- Pain when exerting physically e.g. climbing the stairs
- Joint pain, swelling, or discomfort
- Hip joint hurts when walking
- On medications that suppresses the immune system
Diagnostic Questions for Femoral Head Necrosis
Your doctor may ask these questions to check for this disease:
- Are you currently taking steroids?
- Are you experiencing hip pain?
- Is it hard for you to get up from a chair by yourself?
- Have you ever been diagnosed with systemic lupus erythematosus (SLE)?
- Does pain improve with rest but worsen with movement?
Treatment of Femoral Head Necrosis
Early cases may be treated with medications. However, most patients will need surgery to repair the damage and regain their walking ability.
Reviewed By:
Saqib Baig, MD, MS (Pulmonology, Critical Care, Internal Medicine)
Dr. Baig graduated from Army Medical College (NUST) Pakistan in 2007. He did his internal medicine training from Baltimore, Maryland, USA during the years 2009-2013. He joined the internal medicine faculty practice at Medical College of Wisconsin in USA for 2 years before pursuing advanced training. He completed his pulmonary disease and critical care medicine fellowship from Rutgers Robert Wood Johnson Medical School from 2015-2018. | | During his fellowship, Dr. Baig completed his master's in health care services management through Rutgers Business School. He currently serves as the medical director of respiratory therapy and pulmonary function lab and the clinical director of the COPD program at the Jane and Leonard Korman Respiratory Institute at Thomas Jefferson University. He holds the Assistant Professor of Medicine rank at Sidney Kimmel Medical College at Thomas Jefferson University. Dr. Baig's interests lie in respiratory physiology, airways disease, and data science.
Tomohiro Hamahata, MD (Orthopedics)
Dr. Hamahata graduated from the Jikei University of Medical Science. After working at Asanokawa General Hospital and Kosei Chuo Hospital, he joined the Department of Orthopedics at Asakusa Hospital in April 2021, specializing in general orthopedics and joint replacement surgery.
Content updated on Feb 19, 2025
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Hip pain when sleeping
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- Difficulty standing up from sitting position
- I feel discomfort in my hip joint
- Hip aches when I walk
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- Hip pain worsens when I sleep
- Muscle weakness
- Hip joint pain whenever I go for a stroll
- Pain in the right hip
- Joint stiffness
- Pain in the left hip
- Hip pain
- Hip aches when resting
- Sleeping is difficult because of hip pain
See full list
Symptoms Related to Femoral Head Necrosis
Diseases Related to Femoral Head Necrosis
FAQs
Q.
Femur Pain? Why Your Thigh is Aching and Medically Approved Next Steps
A.
Femur or deep thigh pain can stem from simple muscle strain or contusion, but also from stress fractures, hip joint disorders, infection, or tumors; there are several factors to consider. See below to understand more, including red flags like severe pain after trauma, inability to bear weight, fever, deformity, or sudden hot swelling that need urgent care. Medically approved next steps include rest, ice, cautious use of NSAIDs, a gradual return to activity, and timely medical evaluation with imaging if pain persists or worsens; full guidance on diagnosis, risks, and when to escalate is outlined below.
References:
* Ponnarasu A, Dydyk AM. Differential Diagnosis of Thigh Pain. Pain Physician. 2010 Jan;13(1):E1-9. PMID: 20111585.
* Arendt EA. Femoral Stress Fractures. Clin Sports Med. 2018 Oct;37(4):551-562. doi: 10.1016/j.csm.2018.06.002. Epub 2018 Aug 21. PMID: 30201168.
* Cibulka MT, Bloom NJ, Enseki KR, MacDonald CW, Woehrle J, Philippon MJ. Diagnosis and Conservative Management of Hip Osteoarthritis: A Systematic Review. J Orthop Sports Phys Ther. 2017 Jun;47(6):449-462. doi: 10.2519/jospt.2017.7289. Epub 2017 May 17. PMID: 28514931.
* Kreiner DS, Matz BS, Bono CM, Cho CH, Easa JE, Ghiselli G, Ghogawala Z, Green BN, Mazanec DJ, Palmer DK, Rechtine GR, Rihn JA, Roberts S, Shaffer WO, Toton JF. Lumbar radiculopathy: Current concepts for diagnosis and management. Spine J. 2014 Nov 1;14(11):2575-86. doi: 10.1016/j.spinee.2014.08.006. Epub 2014 Sep 23. PMID: 25257921.
* Tyler TF, Nicholas SJ, Schmitt BM, Mullaney MJ, McHugh MP. Thigh Muscle Strains: Management and Risk Factors for Recurrence. Sports Health. 2017 Jul/Aug;9(4):310-318. doi: 10.1177/1941738117711419. Epub 2017 Jun 12. PMID: 28605252; PMCID: PMC5503463.
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Ubie’s symptom checker demonstrated a Top-10 hit accuracy of 71.6%, surpassing the performance of several leading symptom checkers in the market, which averaged around 60% accuracy in similar assessments.
Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Goncharov EN, Koval OA, Nikolaevich Bezuglov E, Aleksandrovich Vetoshkin A, Gavriilovich Goncharov N, Encarnación Ramirez MJ, Montemurro N (2021). Conservative Treatment in Avascular Necrosis of the Femoral Head: A Systematic Review. Medical sciences (Basel, Switzerland).
https://pubmed.ncbi.nlm.nih.gov/39051378/Petek D, Hannouche D, Suva D (2019). Osteonecrosis of the femoral head: pathophysiology and current concepts of treatment. EFORT open reviews.
https://pubmed.ncbi.nlm.nih.gov/30993010/Konarski W, Poboży T, Śliwczyński A, Kotela I, Krakowiak J, Hordowicz M, Kotela A (2021). Avascular Necrosis of Femoral Head-Overview and Current State of the Art. International journal of environmental research and public health.
https://pubmed.ncbi.nlm.nih.gov/35742595/