Irritable Hip In Children

Key points about irritable hip

• irritable hip (transient synovitis) is one of the most common causes of limping in tamariki
• you can look after your child at home
• it usually takes 2 weeks until tamariki fully recover
• medicine (ibuprofen) and rest help with healing

What is irritable hip?

Transient synovitis is inflammation (swelling) in the lining of the hip joint. It can cause pain in the hip joint. 

Causes of irritable hip

No one knows exactly what causes irritable hip. It can happen in tamariki who have recently had a viral infection, but there is no infection in the hip joint itself.

Who gets irritable hip

Tamariki who get irritable hip are usually between 3 to 8 years old. 

Signs and symptoms of irritable hip

Usually only one hip is affected.

Your child may:

• have a limp or difficulty crawling or standing
• complain of pain in the hip, groin, thigh, or knee
• have a low fever up to 38°C, but usually they have a normal temperature

When to get help for irritable hip

You can usually look after your child with irritable hip at home. You won't usually need to see a doctor.   

Take your child to the doctor if your child:

• develops a fever above 38°C
• has redness or swelling anywhere on the affected leg
• has increasing pain that cannot be controlled with pain relief medicine
• is complaining of pain when sitting or lying still
• has pain or swelling in any other joints
• has been unwell for a week or more

Take your child to the doctor if you:

• are worried your child's pain might have been caused by an injury
• feel concerned that your child is becoming more unwell

Possible tests to rule out infections or injuries

Tamariki with irritable hip usually do not need tests. But if you need to see a doctor, they may suggest your child has some of the following to rule out infections or injuries:

• blood tests
• an x-ray
• in some cases, an ultrasound

X-rays & Scans

Treatment for irritable hip

Irritable hip is not a serious condition. You can usually look after your child at home. Things usually start to improve after a few days. Most tamariki are back to normal before 2 weeks. 

You don't need antibiotics because irritable hip is not caused by a bacterial infection.

There are some things you can do at home to help.

Giving regular pain relief

Paracetamol
If your child has pain, you can give paracetamol to make them more comfortable. You must follow the dosage instructions on the bottle. It is dangerous to give more than the recommended dose.

Safe Use Of Paracetamol In Children

Other medicine
If your doctor gives your child ibuprofen (such as Nurofen or Fenpaed), or if you buy it at the pharmacy, follow the dosage instructions carefully. It is dangerous to give more than the recommended dose.

Never give aspirin
Never give your child aspirin as this may increase the risk of Reye syndrome, which is a rare and serious illness.

Encouraging your child to rest and to drink plenty of liquid

Encourage your child to rest and to limit their activity. Most tamariki will do this themselves while they are sore.

Encourage your child to drink plenty of fluid.

Are there any long-term problems from irritable hip?

No. Tamariki who have had irritable hip do not develop long-term problems in their hips.