rest – your doctor may advise rest using crutches, a walker or a wheelchair for a period of time.short term bed rest – may be required when the pain is especially bad.a brace, splint or plaster – may be used if your child’s range of movement in the hip is affected, or if X-rays show that the femoral head is losing its rounded shape.avoidance of high impact activities such as running and jumping.physiotherapy to help keep the hip joint moving and to help maintain muscle strength.regular monitoring by your doctor, including physical examinations and x-rays.Treatment depends on your child’s age and the severity of their condition, but may include: Treatment of Perthes’ disease aims to make sure the femoral head remains as round as possible, and to reduce joint pain and stiffness. During this critical period, the bone is soft and vulnerable to damage. This can take anywhere between two and five years. In most cases, the blood supply to the hip joint returns and the femoral head regenerates by itself. These will give your doctor a picture of what’s happening inside your child’s joints. Other tests may also be required and include: This will help identify any positions that cause pain or stiffness. your doctor will also conduct a physical exam, which will involve moving your child’s legs through their range of movement.medical history – to get a better understanding of the situation your doctor will ask you when you first noticed the symptoms, what makes the symptoms worse, what makes them better, if there are any other health issues.Your doctor will do a number of examinations and tests to work out what’s causing your child’s symptoms. Without enough oxygen and nutrients, the bone cells of the femoral head die. It is not known what causes this to occur. In children with Perthes’ disease blood supply to the femoral head is disrupted. Blood provides your bones with oxygen and other nutrients. Your bones needs a regular supply of blood to stay healthy. worsening pain and limping as time goes by.shortening of the affected leg, leading to uneven leg length.thinner thigh muscles on the affected leg.pain in the knee, thigh or groin when putting weight on the affected leg or moving the hip joint.
stiffness and reduced range of movement in the hip joint.an occasional limp in the earlier stages.The symptoms of Perthes' disease include: Perthes' disease is also known as Legg-Calve-Perthes disease or coxa plana. Most children with Perthes' disease eventually recover, but it can take anywhere from two to five years for the femoral head to regrow and return to normal, or close to normal. In most cases only one hip joint is affected. Boys are more likely to develop Perthes’s disease than girls. In the case of Perthes' disease, this ball (femoral head) is softened and eventually damaged due to an inadequate blood supply to the bone cells. The top end of the thigh bone (femur) is shaped like a ball so that it can fit snugly into the hip socket. Perthes' disease is a condition of the hip joint that tends to affect children between the ages of three and 11 years.