Living with AVN? Here’s How Physiotherapy Can Make a Difference

Avascular Necrosis (AVN) of the hip—also known as osteonecrosis—is a condition where the blood supply to the head of the femur (thigh bone) is compromised, leading to the death of bone tissue. Over time, this can cause the bone to collapse, resulting in joint pain, stiffness, and difficulty walking. Living with AVN can be physically and emotionally draining, especially when daily activities become a challenge.

But here’s the good news: physiotherapy can play a key role in managing AVN and delaying—or even preventing—the need for surgical intervention. Whether you’re in the early stages or dealing with chronic symptoms, a structured physiotherapy program can help you regain control of your movement, reduce pain, and protect your joint.

Stages of AVN HIP Joint

How Physiotherapy Helps in AVN of the Hip

1. Pain Management Without Medication

Pain in AVN typically increases with weight-bearing activities. Physiotherapists use various non-invasive techniques like manual therapy, dry needling, and modalities such as ultrasound or TENS to reduce pain and muscle spasms—without relying solely on medications.

2. Improving Hip Mobility

Stiffness and reduced range of motion are common in AVN. Gentle, progressive mobility exercises can help maintain joint flexibility and reduce the risk of further limitations. Mobilisation techniques are also used to maintain joint nutrition and reduce joint stress.

3. Strengthening Muscles Around the Hip

As AVN progresses, surrounding muscles often weaken due to disuse or compensation. A targeted strengthening program focusing on the glutes, core, and thigh muscles helps stabilize the joint, reduce pressure on the femoral head, and support better weight distribution.

4. Offloading Strategies and Gait Training

Learning how to walk without aggravating the affected hip is crucial. Physiotherapists may recommend assistive devices like a cane or crutch, at least temporarily, and provide gait training to reduce joint stress while maintaining mobility.

5. Postural and Movement Corrections

Poor biomechanics can accelerate joint wear. Physiotherapists assess posture, walking patterns, and movement habits, then train patients to adopt healthier movement strategies that reduce strain on the hip.

6. Functional Rehabilitation and Lifestyle Guidance

Beyond exercises, physiotherapy also involves functional training—helping patients perform everyday tasks like climbing stairs, sitting, or standing for long periods with minimal discomfort. Lifestyle advice, including weight management and activity modifications, is also part of a holistic treatment plan.

Conclusion:

AVN of the hip can feel like a life sentence—but it doesn’t have to be. With early intervention and a consistent physiotherapy plan, many patients experience significant relief and improved quality of life. Physiotherapy empowers you to stay mobile, reduce pain, and maintain independence without jumping straight to surgical options.

At Activ Physiotherapy, we specialize in evidence-based management of complex joint conditions like Avascular Necrosis. Our expert physiotherapists design individualized rehab programs tailored to your stage of AVN, goals, and lifestyle. Whether you’re trying to stay active, delay surgery, or recover post-operatively—we’re here to support your journey to better hip health.

Book your assessment today at Activ Physiotherapy. Let’s take the next step toward pain-free movement—together.