 Hi again and welcome to Leaky Bath. Many times as we had told you earlier, pain in the knee is caused by problems of the hip joint. Today we are going to talk about avascular necrosis of hip joint which unfortunately is becoming more and more common with the onset of problems imposed by the recent COVID pandemic. So what exactly is avascular necrosis of the hip? It is when the ball of the hip joint loses its blood supply. Now why should this happen? About half the cases we don't even come to know why it happens. But increasingly with COVID and people in ICUs, people have been having a lot of steroid drugs to counteract the reactions of COVID and this causes problems with blood supply to parts of the body where blood supply is a little precarious. Now the hip joint is very different in the sense the blood which comes down from our heart to the hip has to go down and make a U-turn to come to the ball of the hip. So when during this U-turn there is some thickening in the blood or a problem with the blood, part of the blood supply to this bone, the ball gets blocked and the part of this ball, not the entire ball, part of the ball, the bone starts dying. That is when it collapses and can cause arthritis of this central joint at a very, very young age. We will be telling you a little more about modern treatments and how if detected early we can actually prevent the arthritis from getting worse. Namaskaram, I am Dr. Fahas, associate consultant of the Hip Endi Center in KMC Hospital. Already sir has said that the avascular necrosis of the hip joint is our topic. Avascular necrosis is a condition that causes blockage of the blood in the hip joint. As it is in the heart, the blood in the hip joint is also leaving. When the blood in the hip joint is stopped, the blood in this part of the hip joint is stopped. That is the condition that causes loss of that part. Usually it causes pain in the hip joint or in the middle of the hip joint. That is the condition that causes pain in the head and in the middle of the hip joint. In the beginning, it is a rare condition that causes pain in the X-ray. Sometimes the MRI does that. In the case of Covid and Covid-19, the use of steroids is easily visible. Even some Ayurvedic patients have seen this condition for a long time. In this case, early detection can be done as a treatment. As I said, early detection can be seen in the MRI. We can do early detection with that. We can inject blood from the middle of the hip joint with stem cell therapy. If you see in the beginning, it can be done as a treatment. If you see in the late stages, there is a need to keep the blood full. That is what the pre-placement is saying. As I have already discussed, this part is cut and a metal like this is kept in the beginning. Even now, new ceramic metals are available. Ceramic metals like this are light weight and are very compatible. It is available here in Jigelsar. This hip replacement is not like other replacements. It will last for a long time. It will last for 40-50 years. That is all for today's informative videos. We will meet again in the next session. Thank you.