AVN and Mental Health: Coping with Chronic Pain

“The pain isn’t just in my hip it’s in my mind, too.”
That’s how Renu, a 42-year-old AVN patient from Pune, described her daily struggle. Like many others with Avascular Necrosis (AVN), her life was transformed not just physically but emotionally. While doctors and caregivers often focus on treating the bone, the burden on the mind is just as real and often overlooked.

In this blog, let’s shine a light on the mental and emotional toll of AVN and explore ways to manage chronic pain, emotionally and mentally.

What Is AVN, and Why Does It Affect Mental Health?

Avascular Necrosis (AVN) is a condition where blood flow to a bone (often the hip) is reduced or blocked, causing bone cells to die. Over time, this can lead to pain, reduced mobility, and even joint collapse.

What many people don’t realize is that the physical symptoms of AVN are only one part of the journey. Chronic pain can:

• Disrupt sleep

• Limit independence

• Reduce ability to work or socialize

• Trigger anxiety and depression

It's more than discomfort it’s a constant mental battle.

The Vicious Cycle: Pain, Stress, and Emotion

Pain causes stress.
Stress worsens pain.
And round and round it goes.

Chronic pain affects how the brain processes emotions. It can:

• Shrink your emotional resilience

• Lead to irritability, mood swings, and frustration

• Make everyday decisions feel overwhelming

This cycle can isolate AVN patients, making them feel misunderstood or “trapped” in their bodies.

Real Story: The Silent Struggle

Take Rohit, a 34-year-old marketing executive from Bengaluru. Diagnosed with Stage 2 AVN in both hips, he began walking with a limp. His productivity dipped, social life faded, and even his marriage felt strained.

“I was so tired of explaining why I couldn’t do things. I started avoiding people altogether,” he shared.

Rohit’s story isn’t unique. Many AVN warriors suffer in silence, putting on a brave face while battling anxiety, self-doubt, and fear of the future.

How to Cope Mentally and Emotionally

While AVN may not disappear overnight, your mindset and coping strategies can evolve.

1. Talk About It

• Speak to friends, family, or a mental health professional.

• Bottling it up only increases emotional pressure.

• Even a support group (online or offline) can be a safe space to vent.

2. Practice Mindfulness & Meditation

• 10 minutes a day can reduce stress and improve your pain perception.

• Apps like Headspace or Calm can help guide you.

• Breathing techniques ground you when pain spikes or emotions feel overwhelming.

3. Set Small Goals

• Celebrate progress: getting out of bed, walking to the gate, or going a day without painkillers.

• This builds momentum and boosts confidence.

4. Prioritize Sleep Hygiene

• AVN pain can disturb sleep, which worsens mental health.

• Create a calming bedtime routine: dim lights, no screen time 30 minutes before bed, supportive mattress and cushions.

• Melatonin or herbal teas can aid if sleep is a challenge (consult your doctor).

5. Don’t Compare Your Journey

• Social media can make it seem like everyone else is running marathons.

• Focus on your milestones, no matter how small they seem.

• Healing looks different for everyone.

When to Seek Professional Help

If you experience any of the following for more than 2 weeks, it’s time to speak to a mental health expert:

• Persistent sadness or hopelessness

• Loss of interest in activities

• Panic attacks or excessive worry

• Thoughts of self-harm or feeling like a burden

Therapy isn’t weakness. It’s strength in action. Many AVN patients benefit from counseling alongside their medical treatment.

Family & Caregivers: Your Role Matters

If you’re caring for someone with AVN:

• Listen without judgment

• Avoid saying “It’s all in your head” or “Just be positive”

• Encourage them to speak to a counselor if needed

• Offer help, but also preserve their dignity and independence

Small acts of empathy go a long way in making patients feel supported and heard.

Final Thoughts: Healing Is Holistic

AVN affects bones but the mind and soul take a hit too.

You’re not weak if you feel anxious. You’re not dramatic if you’re sad. You’re human.
It’s okay to mourn your mobility. It’s okay to be scared.
But it’s also possible to adapt, cope, and even thrive with the right support and mindset.

You are not your diagnosis.
You are not alone.
And with care physical and emotional you can find your way forward.

You’ve got this. And if you stumble, it’s okay. You’re still moving.
Reach out. Speak up. Let healing happen on all levels.