With the child on his or her back and legs extended out straight, parents should roll the entire leg inward and outward.Ĭasting and bracing. Parents should place their hands on the child's knees to assist with reaching a greater range of motion. He or she will push the knees out and then squeeze the knees together. The child lies on his or her back, keeping knees bent and feet flat. Parents or other caregivers are often needed to help the child complete the exercises. These exercises often focus on hip abduction and internal rotation. Hip stiffness is common in children with Perthes disease and physical therapy exercises are recommended to help restore hip joint range of motion. On occasion, your doctor may also recommend crutches or a walker to prevent your child from putting too much weight on the joint. Avoiding high-impact activities, such as running and jumping, will help relieve pain and protect the femoral head. As your child progresses through the disease stages, your doctor will adjust the dosage or discontinue the medication. Anti-inflammatory medicines, such as ibuprofen, are used to reduce inflammation, and your doctor may recommend them for several months. Painful symptoms are caused by inflammation of the hip joint. Your doctor will regularly monitor your child using x-rays to make sure the regrowth of the femoral head is on track as the disease runs its course.Īnti-inflammatory medications. For very young children (those 2 to 6 years old) who show few changes in the femoral head on their initial x-rays, the recommended treatment is usually simple observation. How far along your child is in the disease process affects which treatment options your doctor will recommend. The stage of disease at the time your child is diagnosed.If more than 50% of the femoral head has been affected by necrosis, the potential for regrowth without deformity is lower.
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