Limping child

Why is my child limping?

We see many children who have been brought to the Emergency Department because they have developed a limp (or pain somewhere in the affected leg) for no clear reason. Usually, no tests are required. Sometimes, X-rays of the hip or lower limbs are performed, especially if there has been a recent fall or injury to exclude any bone abnormalities.

Most cases are not serious and the most likely cause is ‘irritable hip’ (transient synovitis).

What is an irritable hip?

Irritable hip (or transient synovitis) is the commonest cause of limp in childhood. It is due to inflammation (not infection) of the hip joint. The exact cause is not known but it often happens after a viral illness or an injury. Your child may complain of pain in the hip, groin, thigh or knee and may have difficulty walking or crawling. Usually only one side is affected. It is generally a mild condition which gets better on its own after one or two weeks.

What can I do to help my child at home?

You should encourage your child to rest the affected leg as much as possible over the next few days. This may mean that your child does not attend school or nursery. Your child will naturally adopt the most comfortable position for themselves.

When can I expect my child to be back to normal?

Allow your child to gradually go back to their usual activities as they improve. They should avoid sport and strenuous activities until symptoms have completely gone away.  It may take up to 2 weeks for symptoms to fully resolve. Your child may still need pain relief medicine during this time. Gradually reduce the number of times you give it in a day as they get better.

Does my child need to be seen again urgently?

What if my child continues to limp?

If there is no improvement at 7 days or symptoms have not fully gone away by 14 days, you may need to be seen again at the Emergency Department.

For more information on limping children visit the Healthier Together or NHS.uk websites.