Basic Information

Patient name: T.K.
Age: 41 years old
Gender: Male
Occupation: Entrepreneur

Medical History

Anamnesis: The 40-year-old patient presents with pain in the left hip for several months, confirmed by MRI.
Family history: None known.

CLINICAL PRESENTATION:

Symptoms: Pain in the hip area.
Duration: Several months.
Aggravating factors: Obesity.
Alleviating factors: None.

Treatment History:

Current medications: None
Previous treatments: None

Investigations:

Results: Pelvic MRI.
Diagnosis: Avascular necrosis of the left femoral head, stage 2/3.

Treatment Plan:

Recommended medication:
Therapeutic interventions: HBOT therapy is recommended for 20 sessions as well as radiological screening.

EVOLUTION AND PROGNOSIS:

Evolution: After 2 months, the patient presents for reassessment, subjectively the pain has decreased from 7-8/10 to 2-3/10, and imaging shows that bone edema has decreased by approximately 40%, the patient is satisfied and wishes to continue therapy.
After another 40 sessions of HBOT, the patient presents for reassessment with an MRI after one year and reports that the pain has disappeared, occurring only in cold weather and with extensive movements, the pain at the beginning was 7-8/10, mobility was only possible with a crutch.
Prognosis: Good.

FINAL OBSERVATIONS:

Almost complete healing (approximately 100% remission). Maintenance sessions are recommended, only as needed.