 Good day to you. I am Dr. Shankar Kurpad, Consultant Orthopaedic Surgeon at Kolumbia Shreferal Hospital Sehwantpur, unit of the Manipal Hospital Group. Today we have had a number of patients coming to us off late in the past few days regarding the pains in the hip joints and we have found a large number of these people presenting with avascular necrosis of the hip joints probably related to their recent COVID infections. You have surely heard of these problems in the news. In the past few weeks there have been many reports both in medical literature as well as in the regular newspapers and television and other social media complaining about these avascular necrosis or dead bone phenomenon occurring a few weeks to months after somebody has recovered from COVID-19 infection. Now, various people have tried to pinpoint why they are having this particular problem. This sudden spate of increased number of avascular necrosis may be related to COVID-19 itself is one theory or may be it is related to the use of steroids in trying to keep these patients of COVID-19 safe bringing them out of this horrible disease that they were hospitalized for. The reality is probably that it is a combination of these two factors combined together giving us a situation where the blood supply to certain specific areas of the bone in our skeleton is landing up in trouble and this results in the problem that we refer to medically as avascular necrosis which very simply put is basically the bone dying because of a lack of blood supply that has its own problems of course initially there is pain but later on if that hip joint which has this avascular necrosis loses its shape because the bone is no longer strong enough to take the load then the hip would eventually become or not or arthritic and eventually may need more complicated solutions such as surgery. Apart from the hip joint this problem can also occasionally happen in the shoulder and in the bones around the knee as well. We have seen a couple of patients with these problems but yes agreed it is far far rarer than the complication that is seen around the hip joints avascular necrosis of the hips. Now why should we worry about this in terms of management it's extremely important to try and pick up this problem early so if somebody you know has had COVID has come out of COVID successfully that's great but in case they start complaining of pain around the hip joints they have a limp when they are walking they find it difficult to attend to the routine activities because of the pain in the hip area the groin area or buttock area then it may be a good idea to bring them across and meet our orthopedic team and consult and take it from there it is not something that requires very complicated investigations it's usually a relatively simple set of investigations that are required an x-ray sometimes is a good idea it helps us find out if there is a problem and the MRI is probably the best method to pick up whether somebody has avascular necrosis of the hip joints if they do have this problem then it's always a good idea to pick it up early and treat early so that the complications are minimized and like everybody else I also believe it is a good idea to try and minimize the need for surgical intervention for anybody with this problem I do hope that with this message passed out in your social media circles it will be an extremely beneficial point to note and would help people to become aware of this silent problem which is not a killer but is definitely a pain in the you know what thank you