Living with Legg-Calvé-Perthes disease. How to live with Legg-Calvé-Perthes disease?

Living with Legg-Calvé-Perthes Disease

Legg-Calvé-Perthes disease is a condition that affects the hip joint in children. It occurs when the blood supply to the femoral head (the ball-shaped top of the thigh bone) is temporarily disrupted, leading to bone death and subsequent deformity. Living with Legg-Calvé-Perthes disease can be challenging, but with proper management and support, individuals can lead fulfilling lives. Here are some important aspects to consider:

Medical Management

Proper medical management is crucial for individuals with Legg-Calvé-Perthes disease. It typically involves a multidisciplinary approach, including orthopedic specialists, physical therapists, and sometimes pain management experts. The primary goals of medical management are to relieve pain, maintain hip function, and prevent further deformity.

Treatment options may include:

• Rest and activity modification: Limiting weight-bearing activities and using crutches or a wheelchair can help reduce stress on the affected hip.


• Physical therapy: Specific exercises and stretches can help improve hip range of motion, strengthen surrounding muscles, and maintain joint function.


• Bracing: Wearing a brace or cast can help support the hip joint and prevent further deformity.


• Surgery: In some cases, surgical interventions such as osteotomy (reshaping the bone) or joint replacement may be necessary to correct severe deformities or alleviate pain.

Pain Management

Pain is a common symptom of Legg-Calvé-Perthes disease, and managing it effectively is essential for a better quality of life. Here are some strategies to consider:

• Medications: Over-the-counter pain relievers or prescribed medications can help alleviate pain and reduce inflammation. Always consult with a healthcare professional before taking any medication.


• Physical therapy: Targeted exercises and stretches recommended by a physical therapist can help relieve pain and improve joint mobility.


• Heat and cold therapy: Applying heat or cold packs to the affected area can provide temporary pain relief.


• Alternative therapies: Some individuals find relief through complementary therapies like acupuncture, massage, or chiropractic care. Discuss these options with your healthcare team.

Emotional Support

Living with Legg-Calvé-Perthes disease can be emotionally challenging, especially for children. It is important to provide emotional support and create a positive environment. Here are some suggestions:

• Open communication: Encourage open and honest communication about feelings, fears, and concerns related to the condition.


• Support groups: Joining support groups or connecting with others who have Legg-Calvé-Perthes disease can provide a sense of belonging and understanding.


• Therapy: Consider individual or family therapy to address emotional challenges and develop coping strategies.


• Education: Learn about the condition together as a family to better understand its impact and how to manage it effectively.

Lifestyle Modifications

Adapting certain aspects of daily life can help individuals with Legg-Calvé-Perthes disease maintain their independence and minimize discomfort. Here are some lifestyle modifications to consider:

• Assistive devices: Use assistive devices like crutches, walkers, or wheelchairs to aid mobility and reduce strain on the affected hip.


• Home modifications: Make necessary adjustments at home, such as installing handrails, ramps, or shower seats, to ensure a safe and accessible environment.


• Regular exercise: Engage in low-impact activities recommended by healthcare professionals to maintain overall fitness and joint health.


• Healthy diet: Eating a balanced diet rich in nutrients can support bone health and overall well-being.

Living with Legg-Calvé-Perthes disease requires patience, perseverance, and a supportive network. By following proper medical management, effectively managing pain, seeking emotional support, and making necessary lifestyle modifications, individuals can lead fulfilling lives despite the challenges posed by this condition.