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Dr. Andrew Rynne

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Exp 50 years

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Will Running Further Damages Avascular Necrosis Of The Knee?

I am a 48 year old female and am avid runner. I was just diagnosed with avascular necrosis of my knee following an accident tripping over my dog. I was told to never run again. Questions:
1) If I run, will it damage my knee worse.
2) Would long term use of birth control pills cause this disease?
3) I used hydrocortisone every day on various areas of my body due to try skin. Would this be a factor?
Thanks.
Tue, 28 Apr 2020
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Orthopaedic Surgeon 's  Response
Hello,

Running damages already avsacular area at knee. You should avoid this. Using steroid like hydrocortisone is one of the major cause to cause avascular necrosis of knee and hip.

Although there are no frequent reports that OCP does lead to avascular necrosis but there are some case reports which shows that progesterone pills does lead to this so on safe side this should be avoided.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Mukesh Tiwari, Orthopedic Surgeon
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Will Running Further Damages Avascular Necrosis Of The Knee?

Hello, Running damages already avsacular area at knee. You should avoid this. Using steroid like hydrocortisone is one of the major cause to cause avascular necrosis of knee and hip. Although there are no frequent reports that OCP does lead to avascular necrosis but there are some case reports which shows that progesterone pills does lead to this so on safe side this should be avoided. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon