I had a liver transplant five years ago, and have no complications at the moment. However, I developed Avascular Necrosis in both shoulders and had also a hip replacement. Is this common in transplant patients, and was it caused by the steroids? Also, recently I have serious pain in the front part of both my ankles. It feels like the tendons. I can hardly walk. Is this related? NSAIDS relieve the pain but are obviously toxic to my liver and kidneys. what pain relief can I safely take. Please. They all seem damaging. Please advise me. thank you. Vanessa
AVN can definitely occur post-transplantation and is in part related to the steroid use. NSAID are relatively contraindicated because of their propensity for causing renal problems while taking the immunosuppressive medications. You should see a rheumatologist. Acetaminophen can be used up to 2gms a day for analgesia
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