Is it advisable to do exercise when affected by Legg-Calvé-Perthes disease? Which activities would you suggest and how intense should they be?

Exercise Recommendations for Legg-Calvé-Perthes Disease

Legg-Calvé-Perthes disease (LCPD) is a childhood hip disorder that affects the blood supply to the femoral head, leading to its gradual deterioration. This condition primarily affects children between the ages of 4 and 10, and it can cause pain, limited range of motion, and difficulty walking. While exercise is generally beneficial for overall health, it is important to approach physical activity with caution when dealing with LCPD.

Consultation with a healthcare professional:

Before starting any exercise program, it is crucial to consult with a healthcare professional, such as a pediatric orthopedic specialist or a physical therapist, who can assess the severity of the disease and provide personalized recommendations. They will consider factors such as the stage of the disease, the child's age, and the overall health of the hip joint.

Low-impact activities:

Low-impact exercises are generally recommended for individuals with LCPD as they minimize stress on the hip joint. These activities help maintain muscle strength, flexibility, and overall fitness without exacerbating the condition. Some suitable low-impact exercises include:

• Swimming: Swimming is an excellent choice as it provides a full-body workout without putting excessive strain on the hip joint. The buoyancy of water reduces the impact on the affected area while allowing for a wide range of motion.


• Cycling: Riding a bicycle is a low-impact activity that can help improve cardiovascular fitness and strengthen leg muscles. It is important to ensure the child uses a proper bike fit and avoids any sudden jolts or impacts.


• Yoga and stretching: Gentle stretching exercises and yoga can help improve flexibility, maintain joint mobility, and relieve muscle tension. However, it is crucial to avoid any poses or stretches that cause pain or discomfort in the hip joint.


• Walking: Walking is a low-impact exercise that can be easily incorporated into daily routines. It helps maintain overall fitness and strengthens leg muscles without putting excessive stress on the hip joint.

Intensity and duration:

The intensity and duration of exercise should be determined based on the individual's condition and recommendations from healthcare professionals. Initially, it is advisable to start with shorter durations and lower intensity levels, gradually increasing them as tolerated. It is important to listen to the child's body and avoid pushing beyond their limits, as overexertion can lead to increased pain and potential damage to the hip joint.

Monitoring and modifications:

Regular monitoring of the child's symptoms and progress is essential. If pain or discomfort increases during or after exercise, it may be necessary to modify the activities or reduce their intensity. The healthcare professional can provide guidance on appropriate modifications and adjustments to ensure the exercise program remains safe and effective.

Importance of rest:

While exercise is beneficial, it is equally important to allow for adequate rest and recovery. Rest periods between exercise sessions and avoiding high-impact activities can help prevent further stress on the hip joint and promote healing.

Conclusion:

Engaging in appropriate exercise can be beneficial for individuals with Legg-Calvé-Perthes disease, as it helps maintain muscle strength, joint flexibility, and overall fitness. However, it is crucial to consult with a healthcare professional to receive personalized recommendations based on the severity of the disease and the individual's specific needs. Low-impact activities such as swimming, cycling, yoga, and walking are generally recommended, while monitoring symptoms and avoiding overexertion are essential. By following professional guidance and listening to the body's signals, individuals with LCPD can safely incorporate exercise into their routine to support their overall well-being.