Increase muscle strength in the muscles in the leg and around the hip.
Physiotherapy treatment at .uk will be tailored to your child and will aim to: Most children with Perthe’s disease are treated with physiotherapy including exercises and hydrotherapy.Īt .uk we provide specialist rehabilitation programs for children with Perthes’ disease in order to enhance the movement of the joint, increase muscle strength and keep the femoral head in an optimal position in the hip socket. Surgery may be another option in some cases and can improve the shape and function of the hip joint and provide stability of the femoral head in the hip socket.Ĭonventional physiotherapy for Perthes’ disease Some children are treated with plaster casts or special braces to keep the femoral head in a good position and are worn for many months. Physiotherapy for Perthes’ disease will promote healing and ensure that the femoral head is positioned well in the hip socket as it heals and regrows.
The affected leg may eventually become shorter than the other leg.
Over time the muscles in the affected time may become weaker due to pain and inactivity.
Stiffness and reduced range of movement of the affected hip.
The pain may be referred to the thigh or knee.
Limping which may gradually become worse over a few weeks.
Symptoms tend to develop over a period of time and may include: What are the symptoms of Perthes' disease? A confirmed diagnosis is then made following a physical examination of the hip, an X-ray or an MRI scan. Your GP will refer your child to a specialist if it is suspected your child has Perthes’ disease. This results in a flattened rather than rounded femoral head, which can fail to fit properly inside the hip socket and affects movement of the hip.ĭiagnosis of Perthes’ can be made by a specialist. A lack of blood supply means there is not enough oxygen and nutrients to the bone and so the bone cells die. Perthes’ disease is caused by a reduced blood supply to the femoral head but the reason for this is unknown. Above: Strengthening and toning exercises for the hip and pelvis supervised by a paediatric physiotherapist