The typical treatment for hip necrosis is surgery because diagnosis of the condition is usually relatively late, and bone degeneration is advanced, Mayo Clinic says. This surgery can include bone transplant, hip replacement, core decompression and bone reshaping. When doctors find the condition before extensive damage occurs, they can treat the symptoms with medications, such as osteoporosis drugs, blood thinners, nonsteroidal anti-inflammatory drugs and drugs that lower cholesterol levels. Certain exercises, electrical stimulation and rest can help in early stages.
Bone transplant, or grafting, done to treat advanced hip necrosis is a procedure where doctors take a healthy piece of bone from elsewhere in the body to reinforce the hip, Mayo Clinic says. Hip replacement uses a prosthetic to replace the joint completely with plastic or metal parts. Core decompression is a procedure where surgeons remove the inner layer of the bone, which both relieves pain and stimulates the production of new bone and blood vessels. Bone reshaping removes a wedge of bone to shift the distribution of weight onto the undamaged hip.
Nonsteroidal anti-inflammatory drugs treat both the pain and the inflammation of a mildly necrotic hip, explains Mayo Clinic. Osteoporosis drugs can slow the progression of bone damage. Exercises can help preserve or restore range of motion in the hip joint.