Hip pain that slowly worsens should never be taken lightly. Many patients visiting my clinic in Indore initially assume it is a muscle strain or an age-related problem. However, after proper evaluation, the underlying cause often turns out to be Avascular Necrosis (AVN), a condition that needs timely medical attention.
The good news is that the Treatment of Avascular Necrosis (AVN) has advanced significantly in recent years. With early diagnosis and the right treatment approach, patients from Indore, Bhopal, and nearby areas of Madhya Pradesh can now preserve their natural hip joint and avoid long-term disability.
In this blog, I will explain AVN in simple terms and, more importantly, describe Core Decompression, BMAC, and AALCO techniques, which are modern joint-preserving treatment options.
Treatment of Avascular Necrosis (AVN): Stage-Based Approach
Treatment is not the same for every patient. Instead, it depends on:
- Stage of AVN
- Age and activity level
- Pain severity
- Bone condition
In early and mid stages, joint preservation is always our priority.
Core Decompression: The Foundation of AVN Treatment
Core Decompression is a minimally invasive surgical procedure used in the early stages of AVN. In this procedure, a small channel is made inside the affected hip bone to reduce internal pressure. This helps improve blood circulation to the damaged area. As blood flow improves, pain reduces and further bone damage can be slowed or prevented. It is mainly done to save the natural hip joint and delay hip replacement.
How Core Decompression Works
During the procedure:
- A small channel is drilled into the affected part of the femoral head
- This reduces internal bone pressure
- It stimulates healing and blood circulation
As a result, pain decreases and disease progression slows significantly.
Who Benefits Most from Core Decompression?
Core decompression is most effective in:
- Early-stage AVN
- Patients without femoral head collapse
- Younger individuals
When done at the right time, it can delay or completely avoid hip replacement surgery.
BMAC: Enhancing Healing with Your Own Stem Cells
BMAC is an advanced biological treatment that uses the patient’s own bone marrow stem cells. Bone marrow is collected from the pelvic bone and processed to concentrate healing cells. These cells are then injected into the affected area after core decompression. BMAC helps regenerate damaged bone and increases the success rate of AVN treatment. Since it uses the patient’s own cells, it is safe and well tolerated.
Bone marrow is rich in :-
- Stem cells
- Growth factors
- Healing cells
These elements help repair damaged bone tissue.
How BMAC Is Used in AVN Treatment
During surgery:
- Bone marrow is taken from the patient’s pelvic bone
- It is processed to concentrate healing cells
- This concentrate is injected into the decompressed area
Because the cells come from the patient’s own body, the procedure is safe and well tolerated.
AALCO Technique: Advanced Assisted Core Decompression
AALCO is an advanced and precise technique used in the treatment of AVN. It allows accurate targeting of the diseased portion of the bone while preserving healthy bone structure. This technique improves the effectiveness of core decompression and enhances placement of BMAC or bone graft. AALCO helps achieve better joint preservation and long-term results, especially in young and active patients.
How AALCO Is Different
Unlike conventional drilling:
- AALCO allows accurate targeting of the diseased bone
- It preserves healthy bone structure
- It improves graft and BMAC placement
This precision reduces complications and improves long-term joint survival.
When Is AALCO Recommended?
AALCO is particularly useful in:
- Early to mid-stage AVN
- Young, active patients
- Patients aiming to delay hip replacement
It represents the future of joint-saving AVN surgery.
When Is Hip Replacement Needed?
Despite advanced techniques, hip replacement becomes necessary when:
- Femoral head collapse has occurred
- Joint surface is damaged
- Pain severely limits daily activity
In such cases, modern hip replacement surgery offers excellent mobility and long-term relief.
Cost & Affordability of AVN Treatment in Indore
The cost of Treatment of Avascular Necrosis (AVN) depends mainly on the stage of the disease and the type of treatment required. Early-stage AVN can often be treated with joint-saving procedures like Core Decompression and BMAC, which are more affordable than hip replacement surgery. In Indore, AVN treatment is generally more cost-effective compared to metro cities, while maintaining high medical standards. Patients from nearby areas like Ujjain, Dewas, Ratlam, and other parts of Madhya Pradesh prefer Indore for quality care at a reasonable cost.
Why Patients Choose Indore for AVN Treatment
Indore has emerged as a major center for advanced Treatment of Avascular Necrosis (AVN) in Madhya Pradesh. The city offers experienced orthopedic specialists, modern surgical techniques, and well-equipped hospitals. Patients from Bhopal, Ujjain, Ratlam, Khandwa, Jabalpur, and surrounding regions travel to Indore for reliable AVN care. Under the guidance of Dr. Anupam Khandelwal, patients receive stage-based, ethical treatment focused on saving the natural hip joint whenever possible.
Free 100 Hip and Knee Surgeries in Madhya Pradesh for Poor Patients
Dr. Anupam Khandelwal is offering 100 free hip and knee surgeries in Madhya Pradesh for financially weaker patients who need surgical treatment but cannot afford it. Under this initiative, eligible patients from Indore, Bhopal, Ujjain, Ratlam, Khandwa, Jabalpur, and other parts of MP can receive free hip replacement or free knee replacement surgery after proper medical evaluation and financial screening. To register for free, please click on this link and fill out the form.
About Dr. Anupam Khandelwal
Dr. Anupam Khandelwal is a senior orthopedic and joint replacement surgeon based in Indore. He specializes in advanced hip preservation techniques, including Core Decompression, BMAC, and AALCO procedures.
His treatment philosophy focuses on ethical advice, early intervention, and personalized care, helping patients across Madhya Pradesh regain mobility and confidence.
हिंदी में संक्षेप (Hindi Summary)
एवस्कुलर नेक्रोसिस (AVN) में हिप की हड्डी तक खून की सप्लाई कम हो जाती है। शुरुआती अवस्था में कोर डिकम्प्रेशन, BMAC, और AALCO तकनीक से हड्डी को बचाया जा सकता है।
डॉ. अनुपम खंडेलवाल, इंदौर में AVN का इलाज मरीज की स्टेज के अनुसार किया जाता है ताकि हिप रिप्लेसमेंट को टाला जा सके।
Muhtasari kwa Kiswahili (Swahili Summary)
Matibabu ya Avascular Necrosis (AVN) hufanywa kulingana na hatua ya ugonjwa.
Teknolojia kama Core Decompression, BMAC, na AALCO husaidia kuhifadhi kiungo cha nyonga na kuzuia upasuaji mkubwa mapema.
FAQ
Is Core Decompression painful?
No. It is a minimally invasive procedure with manageable post-operative pain.
Can AVN return after treatment?
If treated early and followed properly, progression can be effectively controlled.
Is BMAC safe?
It uses the patient’s own bone marrow, making it highly safe.
What is Core Decompression?
It is a minimally invasive surgery that reduces pressure inside the hip bone and improves blood supply in early AVN.
What is BMAC in AVN treatment?
BMAC uses your own bone marrow stem cells to support bone healing after Core Decompression.
What is AALCO technique?
AALCO is an advanced, precise method of Core Decompression that targets only the damaged bone.
Is Advanced hip AVN treatment available in Indore?
Yes. Advanced AVN treatments are available in Indore under expert orthopedic Dr. Anupam Khandelwal
When is hip replacement necessary?
Hip replacement is needed only when the joint has already collapsed.
Can I get hip surgery for free in Indore / Madhya Pradesh?
Yes . Dr. Anupam Khandelwal is offering 100 free hip and 100 free knee replacement surgeries in 2026 for economically weaker patients in Madhya Pradesh.