sofidexFor patientsAre you a clinician? Clinical site

Warning-sign checks

Avascular necrosis of bone: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency care for chest pain, sudden shortness of breath, fainting, or coughing up blood, as these can be signs of a blood clot in the lungs.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact the surgical team promptly for increasing wound redness, drainage, fever, or worsening pain.

    Sudden calf swelling or pain also needs urgent medical assessment.

  3. 3

    Does any of this apply?

    Book an appointment

    Regular follow-up helps the healthcare team assess pain, movement, and changes on imaging.

    The schedule depends on the affected joint, disease stage, and treatment plan.

    Report increasing pain, new pain at rest, a worsening limp, or reduced joint movement rather than waiting for the next routine visit.

    People with risk factors for disease in more than one joint should mention any new bone or joint pain during follow-up.

    New symptoms do not necessarily mean that another area is affected, but they may need assessment.

The article also says

Early osteonecrosis may be monitored with repeat examinations and imaging.

After surgery, follow instructions about wound care, activity, physical therapy, and weight-bearing.

Recovery time varies by procedure.

Every sign above is quoted from the sofidex article on Avascular necrosis of bone. If you are not sure, err upward — it is always reasonable to be checked.