Hello...I have cirrohosis and suspected lupis...I was recently told that the problem with my hips is known as AVN. what happens now...are there any useful web sites I am being seen at Lahey clinic in Boston, MA. They are hard to get information out of....

I am so very sorry to hear about your diagnosis.

This site may prove helpful. It was my online home for many years, pre and post hip replacements. http://avnsupport.org/

I ha ve just learned that my humerous bone is showing small area of AVN & Dr. says that rules out ever getting my shoulder replaced, which is in bad shape. The prednisone issue was mentioned as a "suspected" cause but was told no one is sure why the bone decides to die. Does this affect the amount of pain in my shoulder joint?

The amount of necrotic areas is reflected in your pain level. I am so sorry to hear what you are going through.

I disagree with the doctor that AVN in the humerous means that you will not be able to replace the shoulder. You CAN still replace the joint. The doctor may not want to do it and you may not benefit by achieving pain relief.

I am also having a lot of pain in my shoulders and both were diagnosed with AVN via MRI. My surgeon has left the decision up to me as to the timing of surgery. I have opted not to. I replaced both hips already, pain is persistent and my femurs are dying around the prosthesis. I fear the same would be the result of my shoulder replacements.

Prednisone has been found to be tied to AVN. It is theorized that the medication affects the microcirculatory system, such as the tiny feeder vessels that keep our joints alive.

Write back if you are in need of more answers or assistance.