Perthes hip

Perthes hip

We first discovered our son limping when he was about 3 yrs old diagnoses was Perthe's disease. Then we discovered Dr Robert Salter at Toronto's sick kids Hospital and the rest is history, he was the MOST wonderful man.

Innominate osteotomy and a new femur fashioned out of his own pelvis. Now our son is 33 yrs old and is long out of my care! he limps a little and is in discomfort a lot.

He was told he may/ would need to have his hip replaced at about 30 but he won't go and see anyone about it as he no longer has a regular Dr.

Is there anything I can say or do that will make him think about this without being a "Mother".

About a month ago he fell and twisted his knee so I did get him into my sports massage therapist who I have a lot of faith in, he has got him to wear a type of orthotic to help with shorter leg, so he is talking to him about how between himself and our Chiropractor he can help get some mobility back into that hip etc if he lets him and when he is ready, I believe in fate!

So baby steps and fingers crossed

Dear Diane,
You're in a difficult position. There's a lot that could and should be done to his hip, but unless he assumes responsibility himself for his hip, frankly you're wasting your time.

With regular mobilising of the hip, and the sacroiliac joints, and checking to see if the Perthe's has given him a short leg (it probably has), in which case that orthotic in his shoe is vital. Research shows that a short leg in itself leads to a high incidence of hip and knee arthritis, coupled with a history of Perthe's and the arthritis will progress faster than ever.

But how you get that across without being an interfering mother. Dunno! Have to use the feminine charm and intuition that your sex are gifted with! Anyway it's a great first step to have been to a masseur. Good luck, let me know how you get on.

One important thing that you might get across more easily. There is so much research now coming out about the Anti inflammatory omega 3 … Freshly ground flax seed, walnuts and fatty fish...

Go from Perthes hip to other Chiropractic Conditions often treated…

Dr B

Comments for Perthes hip

Average Rating starstarstarstarstar

Click here to add your own comments

Feb 21, 2015
by: allan

I have perthes disease and a cyst in the right hip joint. I am in a lot of pain and on loads of pain killers and only 27 what are my options?

Hello Allan,
Do you have the xrays? Could you send me a digital copy to Contact?

Dr B

Click here to add your own comments

Join in and write your own page! It's easy to do. How? Simply click here to return to LOVE HATE.

Did you find this page useful? Then perhaps forward it to a suffering friend. Better still, Tweet or Face Book it.

Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?

Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.

You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.