Hip, knee, sports, injections, revision.Call (808) 439-6201

Hip condition guide

Avascular necrosis of the hip needs early diagnosis and honest treatment timing.

Avascular necrosis can damage the femoral head and eventually lead to collapse or arthritis. Symptoms, stage, imaging, age, and activity goals all influence treatment choices.

Practical guidance

The key is staging. Early AVN and collapsed AVN are very different conversations.

01

Confirm the stage

X-rays and MRI can help determine whether the femoral head is intact, collapsing, or already arthritic.

02

Review risk factors

Steroid exposure, alcohol use, trauma, blood disorders, and other conditions can affect the discussion.

03

Compare treatment timing

Some patients discuss observation or joint-preserving options, while advanced collapse may lead toward hip replacement.

When to slow down or call

Recovery guidance should make warning signs easier to recognize.

Rapidly worsening groin pain should be evaluated
Loss of walking tolerance can signal progression
Do not assume all hip pain is AVN without imaging
Treatment depends on stage and patient factors

Need a plan for your case?

A guide is helpful. A diagnosis makes it personal.

Bring your symptoms, imaging, prior treatment, and goals into a focused visit so the next step fits your body and your life.

Written for patients by the practice

Orthopedic guidance should be clear enough to help you make a real decision.

Dr. Paul Norio Morton created Joint Replacement Hawaii to help patients understand hip pain, knee pain, arthritis, sports injuries, robotic joint replacement, revision surgery, injections, and recovery before they come in for a visit.

Recognition

Awards, focused training, and Hawaii-specific care planning help patients compare trust before they schedule.

US News High Performing in Hip and Knee Replacement
2025 Top Doctors
Best of West 2023
40 Under 40
First Hawaii orthopedic surgeon fellowship-trained in robotic joint replacement
ACGME-accredited fellowship training in hip and knee replacements
Minimally invasive, muscle-sparing approaches when appropriate
Concierge-style coordination for travel and neighbor island patients
CallBook Online