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Preparing for your appointment

By Mayo Clinic staff

Although you may initially bring your signs and symptoms to the attention of your family doctor, he or she may refer you to a rheumatologist — a doctor who specializes in disorders of the joints — or to an orthopedic surgeon.

What you can do
Before your appointment, you may want to prepare a list that answers the following questions:

  • Where exactly does it hurt?
  • Does any particular joint position make the pain better or worse?
  • How long have you had this pain?
  • Have you ever injured this joint in the past?
  • What other medical conditions, if any, do you have?
  • Are there health problems that tend to run in your family?
  • What types of medications and supplements do you take?

What to expect from your doctor
During the exam, your doctor will press around your joint, checking for tenderness. He or she may also move your joints through a variety of positions to see if your range of motion has been reduced.

References
  1. What is osteonecrosis? National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Osteonecrosis/osteonecrosis_ff.asp. Accessed Oct. 26, 2009.
  2. Donohue JP. Osteonecrosis (avascular necrosis of bone). http://www.uptodate.com/home/index.html. Accessed Oct. 26, 2009.
  3. McKown K. Osteonecrosis. American College of Rheumatology. http://www.rheumatology.org/public/factsheets/diseases_and_conditions/osteonecrosis.asp?aud=pat. Accessed Oct. 26, 2009.
  4. Osteonecrosis of the hip. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfmtopic=A00216. Accessed Oct. 26, 2009.
  5. Chang C, et al. Osteonecrosis. In: Firestein GS, et al. Kelley's Textbook of Rheumatology. Philadelphia, Pa.: W.B. Saunders Co.; 2008. http://www.mdconsult.com/das/book/body/167338938-3/908256960/1807/704.html#4-u1.0-B978-1-4160-3285-4..10094-4_3424. Accessed Oct. 27, 2009.
  6. Goytia RN, et al. Bisphosphonates and osteonecrosis: Potential treatment or serious complication? Orthopedic Clinics of North America. 2009;40:223.
  7. Dabov G. Osteonecrosis. In: Canale ST, et al. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa.: Mosby Elsevier; 2007. http://www.mdconsult.com/das/book/body/167687025-3/909040867/1584/174.html#4-u1.0-B978-0-323-03329-9..50028-3--cesec56_987. Accessed Oct. 28, 2009.
DS00650 Jan. 29, 2010

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