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International Patient CareBest Core Decompression Surgery Hospital with Advanced Care
Core decompression at Medicover Hospitals is performed using an open surgical approach by our experienced orthopaedic surgeons with qualifications like MS and DNB. This procedure helps relieve pain and improve joint function, often resulting in a shorter hospital stay for patients.
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What is Core Decompression?
Core decompression is a surgical procedure aimed at relieving pressure and improving blood flow in the femoral head (the ball of the hip joint). This is achieved by drilling a hole into the bone to reduce pressure and stimulate healing. The procedure is often used to treat avascular necrosis (AVN), a condition where bone tissue dies due to lack of blood supply.
This surgery is necessary when AVN threatens the integrity of the hip joint. If left untreated, the condition can lead to severe arthritis or joint collapse. Core decompression helps prevent these complications. Modern surgical approaches include minimally invasive techniques and the use of bone grafts to enhance healing. These methods aim to restore function and alleviate pain effectively.
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Complete Guide To Core Decompression
Everything you need to know about the procedure, preparation, and recovery
Core decompression surgery Indications
Core decompression surgery is recommended when blood supply to the bone is compromised, leading to bone tissue death. It is often considered when conservative treatments fail to relieve symptoms or halt disease progression.
Early-stage Avascular Necrosis (AVN)
Patients may experience joint pain, particularly in the hip, that worsens with activity. Imaging tests like MRI reveal reduced blood flow and early bone changes. Surgery is suggested when pain persists despite medication and physical therapy.
Persistent Hip Pain
Individuals report ongoing hip discomfort that limits daily activities. Physical exams show tenderness and limited range of motion. When pain relief from medications and lifestyle changes is inadequate, core decompression may be advised.
Bone Marrow Edema
Patients often feel deep, aching pain in the affected joint. MRI scans show fluid accumulation in the bone marrow. If symptoms do not improve with rest and anti-inflammatory drugs, surgery might be necessary.
Progressive Joint Stiffness
There is a gradual increase in joint stiffness, making movement difficult. Clinical assessments reveal decreased joint flexibility. Surgery is considered when stiffness progresses despite conservative management.
Failed Non-surgical Treatments
Patients have tried medications, physical therapy, and lifestyle modifications without relief. Imaging shows ongoing bone damage. Core decompression is an option when non-surgical treatments fail to stop disease progression.
How to Prepare for Core decompression?
Proper preparation for core decompression is crucial to ensure a smooth procedure and recovery. It helps minimize risks and enhances the effectiveness of the surgery.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements as advised by your doctor.
- Fasting: Fast for at least 8 hours before the procedure due to general anaesthesia.
- Health Assessment: Complete any required blood tests or imaging studies as instructed.
- Clothing: Wear loose, comfortable clothing on the day of the surgery.
- Transportation: Arrange for someone to drive you home post-surgery.
- Medication List: Bring a list of all medications with dosages to the hospital.
- Smoking and Alcohol: Avoid smoking and alcohol for a few days before the surgery.
- Pre-Surgery Instructions: Follow any specific instructions given by your surgeon or healthcare team.
Core decompression surgery (Step-by-Step)
Core decompression is performed by orthopaedic surgeons. The procedure typically lasts 1-2 hours. It is usually done under general or regional anaesthesia.
- Preparation: The patient is positioned on the operating table. Anaesthesia is administered to ensure comfort and pain-free experience.
- Incision: A small incision, about 1-2 cm, is made over the affected area. This allows access to the bone.
- Drilling: A surgical drill is used to create a channel into the affected bone. This relieves pressure and improves blood flow.
- Core Removal: A curette is used to remove a core of bone. This helps to reduce pain and promote healing.
- Bone Grafting (if needed): In some cases, a bone graft is placed into the drilled area to support new bone growth.
- Closure: The incision is closed with sutures or staples. A sterile dressing is applied to protect the site.
- Recovery: The patient is monitored as they wake from anaesthesia. Pain management and mobility instructions are provided.
Who Performs Core decompression surgery?
Core decompression surgery is performed by orthopaedic surgeons. These specialists have expertise in diagnosing and treating bone-related conditions. They are skilled in using surgical instruments like curettes and drills to perform the procedure safely and effectively.
Recovery After Core Decompression Surgery
Recovery from core decompression surgery involves a gradual return to normal activities. It's essential to follow your doctor's advice to ensure proper healing and avoid complications.
Day 1-3:
- Rest is crucial. Limit movement and keep the affected leg elevated to reduce swelling.
- Use crutches to avoid putting weight on the operated leg.
- Consume light meals like curd and dal-rice to aid digestion and provide energy.
Day 4-7:
- Continue using crutches. Gradually increase light activities as advised by your doctor.
- Include soft foods like khichdi and moong dal in your diet for easy digestion.
- Attend follow-up appointments to monitor healing progress.
Week 2-4:
- Begin physical therapy exercises to improve mobility and strength.
- Introduce soups and nutrient-rich foods to support recovery.
- Most people can return to work or school by the end of this phase, depending on the nature of their activities.
Week 5-8:
- Gradually resume normal activities, avoiding high-impact exercises.
- Continue with a balanced diet to maintain health and energy levels.
- Regular physiotherapy sessions are recommended for optimal recovery.
When to Seek Urgent Help
- Severe pain unrelieved by prescribed medication.
- Signs of infection such as fever, redness, or discharge at the incision site.
- Sudden swelling or inability to move the leg.
Benefits of Core decompression surgery
Core decompression surgery is a procedure aimed at relieving pain and improving mobility in patients with avascular necrosis of the bone.
- Pain Relief: Helps reduce pain by decreasing pressure within the bone.
- Improved Blood Flow: Promotes new blood vessel growth, enhancing bone healing.
- Delay in Joint Replacement: May postpone the need for joint replacement surgery.
- Increased Mobility: Aims to restore movement and function in the affected joint.
Risks and Complications of Core decompression surgery
While core decompression can offer significant benefits, it is important to be aware of potential risks and complications.
- Infection (Common): Risk of infection at the surgical site.
- Bleeding (Common): Possibility of bleeding during or after the procedure.
- Fracture (Rare): The bone may fracture during or after surgery.
- Nerve Damage (Rare): Potential for nerve injury leading to numbness or weakness.
- Non-Union (Rare): The bone may not heal as expected, requiring further treatment.
Cost of Core decompression surgery
The cost of core decompression surgery at Medicover Hospitals ranges from Rs. 425,500 to Rs. 680,800. The price varies depending on the ward category chosen, such as general, twin sharing, private, or deluxe suites.
We offer transparent pricing and support for insurance and TPA, including CGHS, ESI, and major TPAs. Cashless facilities are available to ease the financial process for patients. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Core decompression surgery cost at Medicover Hospitals?
The cost for Core decompression surgery at Medicover Hospitals ranges from Rs. 425,500 to Rs. 680,800, depending on room type and other factors.
2. Is Core decompression surgery covered under health insurance at Medicover?
Core decompression surgery may be covered under CGHS, ESI, and major TPAs. Please contact the hospital for current panel details.
3. Will I need crutches after Core decompression?
Yes, crutches are often needed to reduce weight on the affected joint. This helps in promoting healing and preventing further damage.
4. Can I resume sports after Core decompression?
Returning to sports is generally advised after a full recovery, which may take several months. Consult your doctor for a personalised timeline.
5. Will my hip pain go away after Core decompression?
Core decompression aims to relieve hip pain by improving blood flow. Pain relief varies and may take weeks to become noticeable.
6. Can Core decompression prevent hip replacement?
Core decompression can delay or prevent the need for hip replacement in early stages of avascular necrosis. Success depends on the extent of bone damage.
7. What foods help recovery after Core decompression?
A balanced diet with protein-rich foods like dal-rice and calcium-rich foods like curd can aid recovery. Avoid excessive weight-bearing activities during healing.
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