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<div class="HwContainer HwElement" id="HwContainer"><a class="HwMainSkipNavigation" href="#HwContentTitle"><span class="HwAccessibilityText">Skip Navigation</span></a><div class="HwBlock" id="HwMain" role="main"><div class="HwRow"><div class="HwColumn" id="HwColumnSidebar1"><div class="HwCustom" id="HwCustomSidebar"> </div></div><div class="HwColumn" id="HwColumnContent"><div id="HwContentTop"> </div><div class="HwTypeSymptom HwContentWrapper HwElement" role="article" id="HwContentWrapper"><div class="HwCustom" id="HwCustomContentTop"> </div><div class="HwContentHeader"><p><a name="top" id="Hwtop"><span class="HwAccessibilityText">Top of the page</span></a>Check Your Symptoms</p></div><div class="HwContentTitle"><h1 id="HwContentTitle" tabindex="-1">Hip Problems, Age 11 and Younger</h1></div><div class="HwContentTopNavigation"> </div><div class="HwContent"><div class="HwNavigationSection HwSectionSpecialSection" id="sec-tq2990"><h2 class="HwSectionTitle" fingerprint="b4cb0a40" fingerprint-exact="e7c3d1bb">Overview</h2> <p fingerprint="b4f5c294" fingerprint-exact="b3399c1f">A hip problem can be hard to deal with, both for the child who has the problem and for the parent or caregiver. A child who has a hip problem may feel pain in the hip, groin, thigh, or knee. A child in pain may limp or be unable or unwilling to stand, walk, or move the affected leg. A baby in pain may cry, be fussy, and have other signs of pain. Hip problems may be present at birth (congenital). Or they may develop from injury, overuse, <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sti150782" data-hw-section="sti150782-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sti150782" data-hwid="sti150782" hw:section-href="sti150782-sec" href="?id=sti150782#sti150782-sec"><span class="HwLinkText">inflammation</span></a>, infection, or tumor growth.</p> <p fingerprint="17770225" fingerprint-exact="91b4f265">To better understand hip problems, it may be helpful to know how the <a class="HwLinkMultiMedia" data-hw-type="MultiMedia" data-hw-document-href="tp10193" data-hw-section="tp10193-sec" rel="MultiMedia" hw:document-type="MultiMedia" hw:document-href="tp10193" data-hwid="tp10193" hw:section-href="tp10193-sec" hw:link-type="image" href="?id=tp10193#tp10193-sec"><span class="HwLinkText">hip</span></a> works. It's the largest ball-and-socket joint in the body. The thighbone (femur) fits tightly into a cup-shaped socket (acetabulum) in the pelvis. The hip joint is tighter and more stable than the shoulder joint, but it doesn't move as freely. The hip joint is held together by muscles in the buttock, groin, and spine; tendons; ligaments; and a joint capsule. Several fluid-filled sacs (bursae) cushion and lubricate the hip joint and let the tendons and muscles glide and move smoothly. The largest nerve in the body (sciatic nerve) passes through the pelvis into the leg.</p> <h3 class="HwSubSectionTitle" fingerprint="6c63603f" fingerprint-exact="b78597d2">Hip problems</h3> <p fingerprint="bf6efd5d" fingerprint-exact="01cafe54">Hip problems may develop from overuse, infection, or a problem that was present from birth (congenital). Oddly enough, a child who has a hip problem often feels pain in the knee or thigh instead of the hip. Hip problems that affect children include:</p> <ul fingerprint="02c770d9" fingerprint-exact="de81a9a6"> <li>An inflammatory reaction, such as <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stt11443" data-hw-section="stt11443-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stt11443" data-hwid="stt11443" hw:section-href="stt11443-sec" href="?id=stt11443#stt11443-sec"><span class="HwLinkText">transient or toxic synovitis</span></a>. This often occurs after the child has had a cold or other upper respiratory infection. It's the most common cause of hip pain in children.</li> <li>A <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="th1534" data-hw-section="th1534-sec" rel="Definition" hw:document-type="Definition" hw:document-href="th1534" data-hwid="th1534" hw:section-href="th1534-sec" href="?id=th1534#th1534-sec"><span class="HwLinkText">slipped capital femoral epiphysis</span></a>. This occurs when the upper end of the thighbone (head of the femur) slips at the growth plate (epiphysis) and doesn't fit in the hip socket correctly.</li> <li> <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="tv7923" data-hw-section="tv7923-sec" rel="Definition" hw:document-type="Definition" hw:document-href="tv7923" data-hwid="tv7923" hw:section-href="tv7923-sec" href="?id=tv7923#tv7923-sec"><span class="HwLinkText">Legg-Calve-Perthes disease</span></a>. It's a disorder of the head of the femur. It's caused by decreased blood flow to this area. </li> <li>An inward twisting of the thighbone (femoral anteversion). This condition causes the knees and feet to turn inward. The child will look "pigeon-toed" and may have a clumsy walk.</li> <li> <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="ux1060" data-hw-section="ux1060-sec" rel="Definition" hw:document-type="Definition" hw:document-href="ux1060" data-hwid="ux1060" hw:section-href="ux1060-sec" href="?id=ux1060#ux1060-sec"><span class="HwLinkText">Developmental dysplasia of the hip (DDH)</span></a>. It's caused by a problem in the development of the hip joint. The top of the femur doesn't fit correctly into the hip socket (acetabulum). The femur can partly or completely slip out of the socket.</li> <li> <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="uh1906" data-hw-section="uh1906-sec" rel="Definition" hw:document-type="Definition" hw:document-href="uh1906" data-hwid="uh1906" hw:section-href="uh1906-sec" href="?id=uh1906#uh1906-sec"><span class="HwLinkText">Juvenile idiopathic arthritis (JIA)</span></a>. It causes inflamed, swollen joints that are often stiff and painful.</li> <li>Infection in the joint (<a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sti150808" data-hw-section="sti150808-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sti150808" data-hwid="sti150808" hw:section-href="sti150808-sec" href="?id=sti150808#sti150808-sec"><span class="HwLinkText">septic arthritis</span></a>), the bursa (<a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sts14516" data-hw-section="sts14516-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sts14516" data-hwid="sts14516" hw:section-href="sts14516-sec" href="?id=sts14516#sts14516-sec"><span class="HwLinkText">septic bursitis</span></a>), or the hip or pelvic bone (<a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sto167507" data-hw-section="sto167507-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sto167507" data-hwid="sto167507" hw:section-href="sto167507-sec" href="?id=sto167507#sto167507-sec"><span class="HwLinkText">osteomyelitis</span></a>).</li> <li>In rare cases, cancer of the bone, such as osteosarcoma.</li> </ul> <p fingerprint="7dda6684" fingerprint-exact="8e51d23e"> Treatment may include first aid and using a brace, cast, harness, or traction. It may also include physical therapy and medicines. In some cases, surgery is needed. Treatment for a hip problem depends on: </p> <ul fingerprint="a3554e91" fingerprint-exact="04fe804f"> <li>The location and type of injury, and how bad it is. </li> <li>The child's age, general health, and activity level.</li> </ul> </div><div class="HwNavigationSection HwSectionCYS" id="sec-tq3039"><h2 class="HwSectionTitle" fingerprint="1bc87b1b" fingerprint-exact="d719d6f6">Check Your Symptoms</h2><div><div class="HwAsset" hw:assetid="hip10"> <div id="HwSxBody" data-hw-version="1.0.0.0"><div class="HwSxQuestion HwSxTrunkQuestion HwSxTopicConfirmationQuestion" id="HwSxQuestion417" data-hw-entity-key="417" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Does your child have a hip problem?</div><div class="HwSxQuestionSubText">This includes symptoms like pain, trouble moving, and differences in the hips.</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer911" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="911" data-hw-parent-entity-key="417">Yes</div><div class="HwSxAnswerSummary">Hip problem</div></div><div class="HwSxAnswer" id="HwSxAnswer912" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="912" data-hw-parent-entity-key="417">No</div><div class="HwSxAnswerSummary">Hip problem</div></div></div></div><div class="HwSxQuestion HwSxAge" id="HwSxQuestion418" data-hw-entity-key="418" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">How old are you?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer HwSxAgeResponse" id="HwSxAnswer913" data-hw-type="HwSxDemographicsAnswer" data-hw-age-range="11"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="913" data-hw-parent-entity-key="418">Less than 1 year old</div><div class="HwSxAnswerSummary">Less than 1 year</div></div><div class="HwSxAnswer HwSxAgeResponse" id="HwSxAnswer914" data-hw-type="HwSxDemographicsAnswer" data-hw-age-range="59"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="914" data-hw-parent-entity-key="418">1 to 4 years</div><div class="HwSxAnswerSummary">1 to 4 years</div></div><div class="HwSxAnswer HwSxAgeResponse" id="HwSxAnswer915" data-hw-type="HwSxDemographicsAnswer" data-hw-age-range="143"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="915" data-hw-parent-entity-key="418">5 to 11 years</div><div class="HwSxAnswerSummary">5 to 11 years</div></div><div class="HwSxAnswer HwSxAgeResponse" id="HwSxAnswer916" data-hw-type="HwSxDemographicsAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="916" data-hw-parent-entity-key="418">12 years or older</div><div class="HwSxAnswerSummary">12 years or older</div></div></div></div><div class="HwSxQuestion HwSxNonTopic" id="HwSxQuestion30" data-hw-entity-key="30" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Are you male or female?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer HwSxGenderResponse" id="HwSxAnswer71" data-hw-type="HwSxDemographicsAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="71" data-hw-parent-entity-key="30">Male</div><div class="HwSxAnswerSummary">Male</div></div><div class="HwSxAnswer HwSxGenderResponse" id="HwSxAnswer70" data-hw-type="HwSxDemographicsAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="70" data-hw-parent-entity-key="30">Female</div><div class="HwSxAnswerSummary">Female</div></div></div><div id="SxWhyAskDiv"><button id="SxWhyAskAccordianBtn" tabindex="0" aria-expanded="false" aria-controls="SxWhyAskBodyDiv" type="button" aria-live="assertive"><div class="SxWhyAskAccordion">Why do we ask this question?</div><div class="SxWhyAskAccordion SxWhyAskAccordionArrow_Down" id="SxWhyAskAccordionArrow"> </div></button><div id="SxWhyAskBodyDiv" role="tabpanel"><div class="SxWhyAskParaChild" id="SxWhyAskHeaderDiv" tabindex="-1"><h4>The medical assessment of symptoms is based on the body parts you have.</h4></div><div class="SxWhyAskParaChild" id="SxWhyAskParaDiv" tabindex="-1"><ul><li>If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you <b>now</b> have in the area where you are having symptoms.</li><li>If your symptoms aren’t related to those organs, you can choose the gender you identify with.</li><li>If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.</li></ul></div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion419" data-hw-entity-key="419" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Has your child injured the hip in the past month?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer917" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="917" data-hw-parent-entity-key="419">Yes</div><div class="HwSxAnswerSummary">Hip injury in the past month</div></div><div class="HwSxAnswer" id="HwSxAnswer918" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="918" data-hw-parent-entity-key="419">No</div><div class="HwSxAnswerSummary">Hip injury in the past month</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion420" data-hw-entity-key="420" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Has your child had hip surgery in the past month?</div><div class="HwSxQuestionSubText">If a cast, splint, or brace is causing the problem, follow the instructions you got about how to loosen it.</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer919" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="919" data-hw-parent-entity-key="420">Yes</div><div class="HwSxAnswerSummary">Hip surgery in past month</div></div><div class="HwSxAnswer" id="HwSxAnswer920" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="920" data-hw-parent-entity-key="420">No</div><div class="HwSxAnswerSummary">Hip surgery in past month</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion795" data-hw-entity-key="795" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Does your child seem to have any hip pain?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer1712" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="1712" data-hw-parent-entity-key="795">Yes</div><div class="HwSxAnswerSummary">Appears to have hip pain</div></div><div class="HwSxAnswer" id="HwSxAnswer1713" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="1713" data-hw-parent-entity-key="795">No</div><div class="HwSxAnswerSummary">Appears to have hip pain</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion302" data-hw-entity-key="302" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?</div><div class="HwSxQuestionSubText"><a class="quickdefine HwSxDefinition" href="#tf7019">Signs of pain in a baby or toddler</a> are different than <a class="quickdefine HwSxDefinition" href="#tf7096">signs of pain in an older child</a>.</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer670" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="670" data-hw-parent-entity-key="302">5 to 10: Moderate to severe pain</div><div class="HwSxAnswerSummary">Moderate to severe pain</div></div><div class="HwSxAnswer" id="HwSxAnswer671" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="671" data-hw-parent-entity-key="302">1 to 4: Mild pain</div><div class="HwSxAnswerSummary">Mild pain</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion441" data-hw-entity-key="441" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Has the pain:</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer962" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="962" data-hw-parent-entity-key="441">Gotten worse?</div><div class="HwSxAnswerSummary">Pain is increasing</div></div><div class="HwSxAnswer" id="HwSxAnswer963" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="963" data-hw-parent-entity-key="441">Stayed about the same (not better or worse)?</div><div class="HwSxAnswerSummary">Pain is unchanged</div></div><div class="HwSxAnswer" id="HwSxAnswer964" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="964" data-hw-parent-entity-key="441">Gotten better?</div><div class="HwSxAnswerSummary">Pain is improving</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion794" data-hw-entity-key="794" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Does your child seem to have any hip pain?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer1710" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="1710" data-hw-parent-entity-key="794">Yes</div><div class="HwSxAnswerSummary">Appears to have hip pain</div></div><div class="HwSxAnswer" id="HwSxAnswer1711" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="1711" data-hw-parent-entity-key="794">No</div><div class="HwSxAnswerSummary">Appears to have hip pain</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion232" data-hw-entity-key="232" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText"><a class="quickdefine HwSxDefinition" href="#tf7096">How bad is the pain</a> on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer519" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="519" data-hw-parent-entity-key="232">8 to 10: Severe pain</div><div class="HwSxAnswerSummary">Severe pain</div></div><div class="HwSxAnswer" id="HwSxAnswer520" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="520" data-hw-parent-entity-key="232">5 to 7: Moderate pain</div><div class="HwSxAnswerSummary">Moderate pain</div></div><div class="HwSxAnswer" id="HwSxAnswer521" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="521" data-hw-parent-entity-key="232">1 to 4: Mild pain</div><div class="HwSxAnswerSummary">Mild pain</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion304" data-hw-entity-key="304" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">How long has the pain lasted?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer674" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="674" data-hw-parent-entity-key="304">Less than 2 full days (48 hours)</div><div class="HwSxAnswerSummary">Pain less than 2 days</div></div><div class="HwSxAnswer" id="HwSxAnswer675" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="675" data-hw-parent-entity-key="304">2 days to 2 weeks</div><div class="HwSxAnswerSummary">Pain 2 days to 2 weeks</div></div><div class="HwSxAnswer" id="HwSxAnswer676" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="676" data-hw-parent-entity-key="304">More than 2 weeks</div><div class="HwSxAnswerSummary">Pain more than 2 weeks</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion235" data-hw-entity-key="235" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Has the pain:</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer527" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="527" data-hw-parent-entity-key="235">Gotten worse?</div><div class="HwSxAnswerSummary">Pain is increasing</div></div><div class="HwSxAnswer" id="HwSxAnswer528" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="528" data-hw-parent-entity-key="235">Stayed about the same (not better or worse)?</div><div class="HwSxAnswerSummary">Pain is unchanged</div></div><div class="HwSxAnswer" id="HwSxAnswer530" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="530" data-hw-parent-entity-key="235">Gotten better?</div><div class="HwSxAnswerSummary">Pain is improving</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion305" data-hw-entity-key="305" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Do you think the problem may be causing a fever? </div><div class="HwSxQuestionSubText">Some bone and joint problems can cause a fever.</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer677" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="677" data-hw-parent-entity-key="305">Yes</div><div class="HwSxAnswerSummary">Possible fever</div></div><div class="HwSxAnswer" id="HwSxAnswer678" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="678" data-hw-parent-entity-key="305">No</div><div class="HwSxAnswerSummary">Possible fever</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion29" data-hw-entity-key="29" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Are there any <a class="quickdefine HwSxDefinition" href="#tf6946">symptoms of infection</a>?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer67" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="67" data-hw-parent-entity-key="29">Yes</div><div class="HwSxAnswerSummary">Symptoms of infection</div></div><div class="HwSxAnswer" id="HwSxAnswer68" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="68" data-hw-parent-entity-key="29">No</div><div class="HwSxAnswerSummary">Symptoms of infection</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion306" data-hw-entity-key="306" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Are there red streaks leading away from the area or pus draining from it?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer679" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="679" data-hw-parent-entity-key="306">Yes</div><div class="HwSxAnswerSummary">Red streaks or pus</div></div><div class="HwSxAnswer" id="HwSxAnswer680" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="680" data-hw-parent-entity-key="306">No</div><div class="HwSxAnswerSummary">Red streaks or pus</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion423" data-hw-entity-key="423" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Does your child have diabetes, a <a class="quickdefine HwSxDefinition" href="#tf6964">weakened immune system</a>, or any surgical hardware in the area?</div><div class="HwSxQuestionSubText">"Hardware" includes things like artificial joints, plates or screws, catheters, and medicine pumps.</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer925" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="925" data-hw-parent-entity-key="423">Yes</div><div class="HwSxAnswerSummary">Diabetes, immune problems, or surgical hardware in affected area</div></div><div class="HwSxAnswer" id="HwSxAnswer926" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="926" data-hw-parent-entity-key="423">No</div><div class="HwSxAnswerSummary">Diabetes, immune problems, or surgical hardware in affected area</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion424" data-hw-entity-key="424" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Is your child having trouble moving the hip or leg?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer927" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="927" data-hw-parent-entity-key="424">Yes</div><div class="HwSxAnswerSummary">Difficulty moving hip or leg</div></div><div class="HwSxAnswer" id="HwSxAnswer928" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="928" data-hw-parent-entity-key="424">No</div><div class="HwSxAnswerSummary">Difficulty moving hip or leg</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion309" data-hw-entity-key="309" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Is it very hard to move or somewhat hard to move?</div><div class="HwSxQuestionSubText">"Very hard" means you can't move it at all in any direction without causing severe pain. "Somewhat hard" means you can move it at least a little, though you may have some pain when you do it.</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer685" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="685" data-hw-parent-entity-key="309">Very hard</div><div class="HwSxAnswerSummary">Very hard to move</div></div><div class="HwSxAnswer" id="HwSxAnswer686" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="686" data-hw-parent-entity-key="309">Somewhat hard</div><div class="HwSxAnswerSummary">Somewhat hard to move</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion425" data-hw-entity-key="425" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">How long has your child had trouble moving the hip?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer929" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="929" data-hw-parent-entity-key="425">Less than 2 full days (48 hours)</div><div class="HwSxAnswerSummary">Difficulty moving for less than 2 days</div></div><div class="HwSxAnswer" id="HwSxAnswer930" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="930" data-hw-parent-entity-key="425">2 days to 2 weeks</div><div class="HwSxAnswerSummary">Difficulty moving for 2 days to 2 weeks</div></div><div class="HwSxAnswer" id="HwSxAnswer931" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="931" data-hw-parent-entity-key="425">More than 2 weeks</div><div class="HwSxAnswerSummary">Difficulty moving for more than 2 weeks</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion311" data-hw-entity-key="311" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Has the loss of movement been:</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer690" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="690" data-hw-parent-entity-key="311">Getting worse?</div><div class="HwSxAnswerSummary">Difficulty moving is getting worse</div></div><div class="HwSxAnswer" id="HwSxAnswer691" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="691" data-hw-parent-entity-key="311">Staying about the same (not better or worse)?</div><div class="HwSxAnswerSummary">Difficulty moving is unchanged</div></div><div class="HwSxAnswer" id="HwSxAnswer692" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="692" data-hw-parent-entity-key="311">Getting better?</div><div class="HwSxAnswerSummary">Difficulty moving is improving</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion427" data-hw-entity-key="427" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Have you noticed any <a class="quickdefine HwSxDefinition" href="#tf7057">differences between the two hips</a>?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer934" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="934" data-hw-parent-entity-key="427">Yes</div><div class="HwSxAnswerSummary">Difference in hips</div></div><div class="HwSxAnswer" id="HwSxAnswer935" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="935" data-hw-parent-entity-key="427">No</div><div class="HwSxAnswerSummary">Difference in hips</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion428" data-hw-entity-key="428" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Has your child had hip problems for more than 2 weeks?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer936" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="936" data-hw-parent-entity-key="428">Yes</div><div class="HwSxAnswerSummary">Symptoms for more than 2 weeks</div></div><div class="HwSxAnswer" id="HwSxAnswer937" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="937" data-hw-parent-entity-key="428">No</div><div class="HwSxAnswerSummary">Symptoms for more than 2 weeks</div></div></div></div><div class="HwSxDefinition" id="HwSxIdhealthrisks"><p>Many things can affect how your body responds to a symptom and what kind of care you may need. These include:</p><ul><li><b>Your age</b>. Babies and older adults tend to get sicker quicker.</li><li><b>Your overall health</b>. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.</li><li><b>Medicines you take</b>. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.</li><li><b>Recent health events</b>, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.</li><li><b>Your health habits and lifestyle</b>, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.</li></ul></div><div class="HwSxDisposition HwSxDisposition_green" id="HwSxIdgreen"><div class="HwDispositionTop"> </div><h3 class="HwSxDispositionHeading">Try Home Treatment</h3><div class="HwSxDispositionActionText"><p>You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.</p></div><div class="HwSxDispositionNextSteps"><ul><li>Try home treatment to relieve the symptoms.</li><li>Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.</li></ul></div><div class="HwSxDispositionLinks"><div class="HwSxHomeTreatmentLink"><a data-hw-type="Symptom" data-hw-document-href="hip10" data-hw-section="tq3243" hw:section-href="tq3243" hw:document-href="hip10" hw:document-type="Symptom" href="?id=hip10#tq3243">HomeTreatment</a></div><div class="HwSxRelatedInformationLink"><a data-hw-type="Symptom" data-hw-document-href="hip10" data-hw-section="hip10-RelInfo" hw:section-href="hip10-RelInfo" hw:document-href="hip10" hw:document-type="Symptom" href="?id=hip10#hip10-RelInfo">RelatedInformation</a></div><div class="HwSxWhereToGoLink"><a data-hw-type="Symptom" data-hw-document-href="abs1987" data-hw-section="abs1988" hw:section-href="abs1988" hw:document-href="abs1987" hw:document-type="Symptom" href="?id=abs1987#abs1988">WhereToGo</a></div></div><div class="HwDispositionBottom"> </div></div><div class="HwSxDefinition" id="HwSxIdtf7096"><p>Pain in children 3 years and older</p><ul><li><b>Severe pain (8 to 10)</b>: The pain is so bad that the child can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain. No one can tolerate severe pain for more than a few hours.</li><li><b>Moderate pain (5 to 7)</b>: The pain is bad enough to disrupt the child's normal activities and sleep, but the child can tolerate it for hours or days.</li><li><b>Mild pain (1 to 4)</b>: The child notices and may complain of the pain, but it is not bad enough to disrupt his or her sleep or activities.</li></ul></div><div class="HwSxDefinition" id="HwSxIdtf7019"><p>Pain in children under 3 years</p><p>It can be hard to tell how much pain a baby or toddler is in.</p><ul><li><b>Severe pain (8 to 10)</b>: The pain is so bad that the baby cannot sleep, cannot get comfortable, and cries constantly no matter what you do. The baby may kick, make fists, or grimace.</li><li><b>Moderate pain (5 to 7)</b>: The baby is very fussy, clings to you a lot, and may have trouble sleeping but responds when you try to comfort him or her.</li><li><b>Mild pain (1 to 4)</b>: The baby is a little fussy and clings to you a little but responds when you try to comfort him or her.</li></ul></div><div class="HwSxDefinition" id="HwSxIdtf6946"><p><b>Symptoms of infection</b> may include:</p><ul><li>Increased pain, swelling, warmth, or redness in or around the area.</li><li>Red streaks leading from the area.</li><li>Pus draining from the area.</li><li>A fever.</li></ul></div><div class="HwSxDefinition" id="HwSxIdtf6964"><p>Certain health conditions and medicines <b>weaken the immune system's</b> ability to fight off infection and illness. Some examples in children are:</p><ul><li>Diseases such as diabetes, cystic fibrosis, sickle cell disease, and congenital heart disease.</li><li>Steroid medicines, which are used to treat a variety of conditions.</li><li>Medicines taken after organ transplant.</li><li>Chemotherapy and radiation therapy for cancer.</li><li>Not having a spleen.</li></ul></div><div class="HwSxDefinition" id="HwSxIdtf7057"><p>If there is a <b>difference between the child's hips</b>, you may notice that:</p><ul><li>One leg looks shorter than the other.</li><li>There are more folds of skin on the inside of one thigh than on the other.</li><li>One hip joint seems to move differently than the other.</li></ul></div><div class="HwSxDisposition HwSxDisposition_red" id="HwSxIdred"><div class="HwDispositionTop"> </div><h3 class="HwSxDispositionHeading">Seek Care Now</h3><div class="HwSxDispositionActionText"><p>Based on your answers, <b>you may need care right away</b>. The problem is likely to get worse without medical care.</p></div><div class="HwSxDispositionNextSteps"><ul><li>Call your doctor now to discuss the symptoms and arrange for care.</li><li>If you cannot reach your doctor or you don't have one, seek care in the next hour.</li><li>You do not need to call an ambulance unless: <ul><li>You cannot travel safely either by driving yourself or by having someone else drive you.</li><li>You are in an area where heavy traffic or other problems may slow you down.</li></ul></li></ul></div><div class="HwDispositionBottom"> </div></div><div class="HwSxDisposition HwSxDisposition_yellow" id="HwSxIdyellow"><div class="HwDispositionTop"> </div><h3 class="HwSxDispositionHeading">Seek Care Today</h3><div class="HwSxDispositionActionText"><p>Based on your answers, <b>you may need care soon</b>. The problem probably will not get better without medical care.</p></div><div class="HwSxDispositionNextSteps"><ul><li>Call your doctor today to discuss the symptoms and arrange for care.</li><li>If you cannot reach your doctor or you don't have one, seek care today.</li><li>If it is evening, watch the symptoms and seek care in the morning.</li><li>If the symptoms get worse, seek care sooner.</li></ul></div><div class="HwSxDispositionLinks"><div class="HwSxHomeTreatmentLink"><a data-hw-type="Symptom" data-hw-document-href="hip10" data-hw-section="tq3243" hw:section-href="tq3243" hw:document-href="hip10" hw:document-type="Symptom" href="?id=hip10#tq3243">HomeTreatment</a></div><div class="HwSxRelatedInformationLink"><a data-hw-type="Symptom" data-hw-document-href="hip10" data-hw-section="hip10-RelInfo" hw:section-href="hip10-RelInfo" hw:document-href="hip10" hw:document-type="Symptom" href="?id=hip10#hip10-RelInfo">RelatedInformation</a></div><div class="HwSxWhereToGoLink"><a data-hw-type="Symptom" data-hw-document-href="abs1987" data-hw-section="abs1988" hw:section-href="abs1988" hw:document-href="abs1987" hw:document-type="Symptom" href="?id=abs1987#abs1988">WhereToGo</a></div></div><div class="HwDispositionBottom"> </div></div><div class="HwSxDisposition HwSxDisposition_black" id="HwSxIdblack"><div class="HwDispositionTop"> </div><h3 class="HwSxDispositionHeading">Make an Appointment</h3><div class="HwSxDispositionActionText"><p>Based on your answers, the problem may not improve without medical care.</p></div><div class="HwSxDispositionNextSteps"><ul><li>Make an appointment to see your doctor in the next 1 to 2 weeks.</li><li>If appropriate, try home treatment while you are waiting for the appointment.</li><li>If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.</li></ul></div><div class="HwSxDispositionLinks"><div class="HwSxHomeTreatmentLink"><a data-hw-type="Symptom" data-hw-document-href="hip10" data-hw-section="tq3243" hw:section-href="tq3243" hw:document-href="hip10" hw:document-type="Symptom" href="?id=hip10#tq3243">HomeTreatment</a></div><div class="HwSxRelatedInformationLink"><a data-hw-type="Symptom" data-hw-document-href="hip10" data-hw-section="hip10-RelInfo" hw:section-href="hip10-RelInfo" hw:document-href="hip10" hw:document-type="Symptom" href="?id=hip10#hip10-RelInfo">RelatedInformation</a></div><div class="HwSxWhereToGoLink"><a data-hw-type="Symptom" data-hw-document-href="abs1987" data-hw-section="abs1988" hw:section-href="abs1988" hw:document-href="abs1987" hw:document-type="Symptom" href="?id=abs1987#abs1988">WhereToGo</a></div></div><div class="HwDispositionBottom"> </div></div><div class="HwSxTitle" id="HwSxTitleposto" data-hw-section="tp9852">Postoperative Problems</div><div class="HwSxTitle" id="HwSxTitlehin10" data-hw-section="tp25656">Hip Injuries, Age 11 and Younger</div><div class="HwSxTitle" id="HwSxTitlehip11" data-hw-section="tq1573">Hip Problems, Age 12 and Older</div></div></div></div></div><div class="HwNavigationSection HwSectionSpecialSection" id="sec-tq3243"><h2 class="HwSectionTitle" fingerprint="1d4dc8a4" fingerprint-exact="5c91135b">Self-Care</h2> <p fingerprint="1c3ed01c" fingerprint-exact="a273681c">Try the following tips to help relieve your child's hip pain, swelling, and stiffness. If your child becomes upset or won't cooperate, don't force your child.</p> <ul fingerprint="49f4144a" fingerprint-exact="cee92529"> <li>Rest. <p>Have your child rest and protect the affected hip. Have your child stop, change, or take a break from any activity that may be causing pain or soreness. </p></li> <li>For sleep, put your child on the side that doesn't have a problem. </li> <li> Avoid things that might increase swelling. <p>For 48 hours, don't let your child do things that might increase swelling. These things include taking hot showers, using hot tubs, and using hot packs. </p></li> <li>Apply heat. <ul><li>After 2 or 3 days, you can try applying heat to the area that hurts. Types of heat therapy include microwavable packs and disposable heating patches.</li><li>Apply heat for 10 to 20 minutes at a time.</li><li>You might also try switching between cold and heat.</li></ul></li> <li>Resume normal activities. <p>After 48 to 72 hours, if swelling is gone, your child can carefully do their normal activities. </p></li> <li>Rub the area. <p>Gently massage or rub your child's hip to relieve pain and encourage blood flow. Don't massage the affected area if it causes pain. </p></li> </ul> <h3 class="HwSubSectionTitle" fingerprint="c5b2b5b7" fingerprint-exact="1ca93d88">When to call for help during self-care</h3> <p fingerprint="0c6430b7" fingerprint-exact="37647145">Call a doctor if any of the following occur during self-care at home:</p> <ul fingerprint="6e889b52" fingerprint-exact="8cf671c2"> <li>New pain or swelling.</li> <li>New signs of infection, such as redness, warmth, or a fever.</li> <li>New numbness, tingling, or weakness.</li> <li>New pale, white, blue, or cold skin.</li> <li>Trouble bearing weight on the hip.</li> <li>Symptoms occur more often or are more severe.</li> </ul> <h3 class="HwSubSectionTitle" fingerprint="c9d246df" fingerprint-exact="236ac716">Learn more</h3> <div class="HwOptionalAll"> <div class="hwSecLinks"> <p fingerprint="5b88c69b" fingerprint-exact="82c27f2e"> <b>Over-the-counter medicines</b> </p> <ul fingerprint="aa2234ba" fingerprint-exact="9682ed94"> <li class="HwOptionalAny"> <a data-hw-type="Focus" data-hw-document-href="sid41443" data-hw-section="acq7537" hw:document-type="Focus" hw:document-href="sid41443" data-hwid="sid41443" hw:section-href="acq7537" href="?id=sid41443#acq7537">Acetaminophen</a> </li> <li class="HwOptionalAny"> <a data-hw-type="Focus" data-hw-document-href="pl1003" data-hw-section="acq7563" hw:document-type="Focus" hw:document-href="pl1003" data-hwid="pl1003" hw:section-href="acq7563" href="?id=pl1003#acq7563">Nonsteroidal anti-inflammatory drugs (NSAIDs)</a> </li> <li class="HwOptionalAny"> <a data-hw-type="Focus" data-hw-document-href="ad1205" data-hw-section="ad1206" hw:document-type="Focus" hw:document-href="ad1205" data-hwid="ad1205" hw:section-href="ad1206" href="?id=ad1205#ad1206">Quick Tips: Safely Giving Over-the-Counter Medicines to Children</a> </li> </ul> <p fingerprint="6de8e89d" fingerprint-exact="1ae05b26"> <b>More self-care</b> </p> <ul fingerprint="27b3c8d0" fingerprint-exact="af95ac9a"> <li class="HwOptionalAny"> <a data-hw-type="Focus" data-hw-document-href="ue5136" data-hw-section="ue5136-sec" hw:document-type="Focus" hw:document-href="ue5136" data-hwid="ue5136" hw:section-href="ue5136-sec" href="?id=ue5136#ue5136-sec">Child Safety: Preventing Falls</a> </li> <li class="HwOptionalAny"> <a data-hw-type="Focus" data-hw-document-href="acn6587" data-hw-section="acl1429" hw:document-type="Focus" hw:document-href="acn6587" data-hwid="acn6587" hw:section-href="acl1429" href="?id=acn6587#acl1429">Using Cold and Heat Therapies</a> </li> </ul> </div> </div> </div><div class="HwNavigationSection HwSectionSpecialSection" id="sec-tq3307"><h2 class="HwSectionTitle" fingerprint="e957cf0e" fingerprint-exact="9f06dbb7">Preparing For Your Appointment</h2> <div class="HwOptionalAll"> <div class="hwSecLinks"> <p fingerprint="9351063e" fingerprint-exact="ae0777b1">You can help your doctor diagnose and treat your condition by being prepared for your appointment.</p> <ul 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