When is paediatric physiotherapy recommended for Perthes disease?

Perthes disease affects the developing ball of the hip joint. Stiffness, limping, reduced hip rotation, or difficulty keeping up with normal activities can appear as the condition changes. A paediatric physiotherapist assesses movement without forcing a painful range, then adapts exercises to the child’s symptoms and the orthopaedic plan. The aim is to preserve useful movement while the hip heals and to prevent avoidable loss of strength.

Arrange an assessment through the child’s orthopaedic team or healthcare professional, especially if walking, dressing, stairs, or play has become harder. Follow weight-bearing and activity instructions carefully. Home exercises may include gentle mobility, muscle strengthening, posture work, and ways to move safely at school. The programme should be adjusted when pain, stiffness, or medical treatment changes.

Seek prompt medical advice if hip or groin pain suddenly worsens, the child cannot bear weight, develops fever, or has a new marked change in walking. Contact the treating team if exercises repeatedly increase pain, movement becomes more restricted, or the child is avoiding everyday activities.

Ask which hip movements and activities are currently encouraged, whether crutches or other support are needed, and how physiotherapy goals will change during follow-up imaging. Ask how to recognise an exercise response that needs the programme reviewed.