Basic Information

Patient name: C. P.
Age: 45 years old
Gender: Male
Occupation: Engineer

Medical History

Anamnesis: The patient presents with aseptic necrosis of the right femoral head. The patient has undergone 2 x 15 sessions of hyperbaric therapy (mild hyperbaric therapy) in a monoplace chamber at another location, but without any noticeable effect.
Family history: None known.

CLINICAL PRESENTATION:

Symptoms: Dull pain in the right hip.
Duration: For approximately several months.
Aggravating factors: None.
Alleviating factors: None.

Treatment History:

Current medications: Sildenafil, Tramadol as needed.
Previous treatments: Mild, cosmetic hyperbaric therapy.

Investigations:

Results: MRI of the pelvic bone.
Diagnosis: Aseptic necrosis of the right femoral head.

Treatment Plan:

Recommended medication: Nonsteroidal anti-inflammatory drugs.
Therapeutic interventions: 20 sessions of hyperbaric therapy.

EVOLUTION AND PROGNOSIS:

Evolution: Mr. C states that, after a session of 20 treatments, the pain has significantly improved. However, in the last week, he noticed a slight increase in pain. The sessions were well tolerated, and imaging evaluation indicates an improvement of approximately 80-90%.
Prognosis: The prognosis is favorable. The patient underwent an additional course of therapy on his own initiative.
At reassessment, Mr. C presented without pain. The follow-up MRI at one year shows a stable situation, without bone edema, and his general condition is good.

FINAL OBSERVATIONS:

The follow-up MRI at one year shows a stable situation, without bone edema, and his general condition is good.