Hip Dysplasia: Rehabilitation and Support Options for Your Child - Rehabilitation

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Hip Dysplasia


Hello Dr.
Lai, my daughter was diagnosed with developmental dysplasia of the hip and femoral dislocation at just over one year old.
She underwent surgical reduction at the age of two, and since then, we have been consistently following up with the hospital for three years.
The doctors have indicated that there are no significant issues.
However, her appearance shows that her hip is asymmetrical, with one side of her waist higher than the other, one buttock larger than the other, and one leg thicker than the other.
While it is not extremely severe, it is still visibly noticeable.
I would like to know if she needs to undergo any rehabilitation, and whether she should wear corrective shoes or braces for assistance.
Thank you.

Jamie, 40~49 year old female. Ask Date: 2009/07/27

Dr. Lai Yanting reply Rehabilitation


It is recommended to first discuss with the original surgeon.
Generally, rehabilitation training for the hip muscles can be considered.
Thank you for your question!

Reply Date: 2009/07/27

More Info


Understanding hip dysplasia, particularly in children, is crucial for ensuring proper development and function of the hip joint. Your daughter's history of developmental dysplasia of the hip (DDH) and subsequent surgical intervention at the age of two indicates that she has received appropriate medical care. However, the visible asymmetries you describe—such as the uneven hips, waist, and legs—can be concerning for both aesthetic and functional reasons.


Rehabilitation and Support Options
1. Rehabilitation Therapy:
It is advisable to engage in a structured rehabilitation program. Physical therapy can be beneficial in strengthening the muscles around the hip joint, improving stability, and enhancing overall mobility. A physical therapist can design a personalized exercise program that focuses on flexibility, strength, and coordination. Exercises may include hip abduction and adduction, leg raises, and gentle stretching to promote muscle balance.

2. Orthotic Devices:
Depending on the specific alignment issues and the recommendations of your orthopedic specialist, the use of corrective shoes or braces may be beneficial. These devices can help in redistributing weight and providing support to the hip joint, potentially improving alignment and reducing discomfort. However, the necessity of such devices should be evaluated by a healthcare professional who can assess your daughter's specific needs.

3. Regular Monitoring:
Continued follow-up with your orthopedic surgeon is essential. Regular check-ups can help monitor the development of the hip joint and any changes in alignment. If there are concerns about her growth or the progression of her condition, your doctor may recommend further imaging studies or interventions.

4. Activity Modification:
While it is important for children to remain active, certain high-impact activities may need to be limited to prevent undue stress on the hip joint. Activities such as running, jumping, or sports that involve sudden changes in direction should be approached with caution. Instead, low-impact activities like swimming or cycling can be excellent alternatives that promote fitness without excessive strain on the hips.

5. Pain Management:
If your daughter experiences discomfort, it is important to address this with her healthcare provider. They may recommend over-the-counter pain relief options or specific therapies to alleviate discomfort.

6. Education and Support:
Educating yourself and your daughter about her condition can empower both of you. Understanding the nature of hip dysplasia, its implications, and the importance of rehabilitation can foster a proactive approach to her health. Additionally, connecting with support groups or communities of families dealing with similar issues can provide emotional support and practical advice.


Conclusion
In summary, while your daughter's condition appears to be stable, the visible asymmetries and any discomfort she may experience warrant a proactive approach to rehabilitation and support. Engaging in physical therapy, considering orthotic devices, and maintaining regular follow-ups with her orthopedic specialist are crucial steps. It is also important to encourage activities that promote her overall well-being while being mindful of her hip health. Always consult with her healthcare providers to tailor a plan that best suits her individual needs and circumstances.

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