You'll probably first bring your concerns to the attention of your child's doctor. After an initial evaluation, your child may be referred to a doctor who specializes in bone problems in children (pediatric orthopedist).
What you can do
Before your appointment, you may want to write a list of answers to the following questions:
- When did these symptoms begin?
- Does any particular leg position or activity make the pain worse?
- Did any of your relatives have similar symptoms when they were children?
- Does your child have any other medical problems?
- What medications or supplements does your child take regularly?
What to expect from your doctor
Your doctor may ask some of the following questions:
May 30, 2014
- What are your child's symptoms?
- Have they gotten worse over time?
- Do the symptoms seem to come and go?
- Is your child active?
- Has your child experienced an accident or injury that might have caused hip damage?
- If your child's symptoms include pain, where is the pain located?
- Does activity make your child's symptoms worse?
- Does resting ease your child's discomfort?
- Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed July 10, 2013.
- Nigrovic PA. Overview of hip pain in childhood. http://www.uptodate.com/home. Accessed July 10, 2013.
- Perthes disease. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00070. Accessed July 10, 2013.
- DeLee JC, et al. DeLee & Drez's Orthopaedic Sports Medicine: Principles and Practice. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-1-4160-3143-7..X0001-2--TOP&isbn=978-1-4160-3143-7&uniqId=230100505-57. Accessed July 11, 2013.
- Ferri FF. Ferri's Clinical Advisor 2013: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2013. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-08373-7..00002-9&isbn=978-0-323-08373-7&about=true&uniqId=343863096-23. Accessed July 11, 2013.
- Canale ST, et al. Campbell's Operative Orthopaedics. 12th ed. Philadelphia, Pa.: Mosby Elsevier; 2013. http://www.mdconsult.com/das/book/body/208746819-4/0/1584/0.html. Accessed July 11, 2013.
- Larson AN (expert opinion). Mayo Clinic, Rochester, Minn. July 11, 2013.
- AskMayoExpert. Perthes disease. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- Baghdadi YM, et al. Total hip arthroplasty for the sequelae of Legg-Calve-Perthes disease. Clinical Orthopaedics and Related Research. In press. Accessed July 11, 2013.
- About IPSG. International Perthes Study Group. http://community.tsrhc.org/page.aspx?pid=529. Accessed July 12, 2013.