Is there a link between Avascular Necrosis and Hypothyroidism?

[Tintin0202]

Hi everyone

I have had left hip pain since May which has gradually worsened and had X-rays a couple of months ago. My consultant could not find much evidence of arthritic hip and sent me for an MRI scan. I saw him last week for the results and he said there was clear evidence of Avascular Necrosis in the femoral head which was now causing arthritis - a clearly visible 3cm lesion on the scan. I had never heard of AVN - I understand it is caused by lack of blood supply to the bone, probably from a blood clot, and the bone subsequently dies. He told me that before Covid it was very rare with 1 - 2 cases a year and now they are seeing 1 - 2 cases a week! It seems that the hip is affected more than other joints, but all joints can be affected. They think that it is most likely caused by Covid and/or possibly jabs, but little research has been done yet. I had Covid quite badly last October and at the time was under medicated as had recently started on liquid thyroxine. Having done some research online I read that there could be a connection with being hypo. I have now been booked in for a total hip replacement in November and I want to get the operation done as soon as I can as the pain is very bad, particularly at night and affecting my mobility. My worry is that this condition could be found in my knees as they are sometimes painful. Should I be thinking of having a full body MRI scan to check before it gets worse and are there other consequences I should know about that might affect my health? I would be most grateful to hear from anyone on this forum who is hypo and has had any experience of this condition and what the outcome was. Many thanks in advance for any advice and knowledge.

[mrskiki]

Hi, I cant offer any wisdom but really interested in replies to you as I also have a bad left pain, both front of the hip bone and back. I don't know if it will clear at all when/if I get to better levo dose but it feels bruised at the front but sharp at the back, hurts when I turn over in bed. I had an MRI a few yrs ago but it was nhs and although covered a large area I think they only look for specific things so a lot if the scan was wasted!

[Star13]

I’m not sure that what you have been told is all strictly true. It may well be true that your particular Dr only sees 1-2 cases a year but other specialties see much more.

Antiphospholipid Syndrome is an autoimmune disease which can have AVN as a manifestation because of the blood issues. I’m not sure if you know but there is a connection between APS and autoimmune thyroid disease.

Rather than getting a full bodied MRI I would be thinking about being tested for APS to see if that is what’s causing your AVN. If you do have it, then it’s extremely important that you are treated and under the care of a heamatologist BEFORE any surgery and that all those Dr’s work together at the time of any surgery or treatment.

Please feel free to PM me if you need further information.

[Tintin0202 in reply to Star13]

Thank you for your helpful reply and I will get a blood test for APS before the operation. I am hoping I might get more replies to my post, but maybe this really is quite a rare condition - or was until recently.

[Star13 in reply to Tintin0202]

You may find this article useful:

the-rheumatologist.org/arti...

[Tintin0202 in reply to Star13]

Interesting article - thank you

[Hafa]

I wish you well and hope that you post an update for us. I too have hip pain and take liquid thyroxine and had 3 Covid vaccinations. After the 3rd vaccination I've needed to adjust my medication levels and I feel that I have more immune system related problems, such as allergies and frequent colds, that I didn't have before.

[Tintin0202 in reply to Hafa]

Thank you for your reply - I hope your problems are resolved . I can't help feeling Covid and jabs have a lot to answer for! I will post an update in due course.

[Hafa in reply to Tintin0202]

Take care!

[Batty1]

My mother started having horrible hip pains shortly after her jabs and it hasn’t let up she swears its the jab that lead to this since she had no hip pains until the jabs (she never had covid)… Over the next couple of years they are going to discover lots of stuff caused by covid/jabs.

[Tintin0202 in reply to Batty1]

I agree!