Some parents are shocked to learn that their child is experiencing pain in the hip. This sometimes makes parents panic unnecessarily. Transient synovitis is usually a common cause of pain experienced by children aged 3 to 10 years. This condition can complicate arthralgia and arthritis. But sometimes it also happens if a child has a sore throat or has recently had the flu. If so, no need to worry.
Transient synovitis is a condition of inflammation of the synovial membrane, especially those that are in the joint. Causes of inflammation are sometimes viral or bacterial. It can also be a symptom of a primary disease, such as Legaug-Calve-Perthes disease (LCP). LCP is a condition in which the bone in the hip is softened and grows irregularly. Transient synovitis can also be a complication of the type of childhood arthritis. Sometimes the cause may be unknown or simply the result of a sore throat or flu.
Symptoms of transitional synovitis include pain in the hip joint. Pain often extends to the hips, groin and knee. Due to pain, walking, and even standing, it may be limited and uncomfortable. Because of this, the child may limp while walking.
Only symptoms can be used to diagnose transitional synovitis. But since the painful thigh may also be associated with another disease process, additional tests may be required to rule out other serious cases. If the blood test shows an increase in white blood cell count, then the cause may be viral or bacterial. Ultrasound provides a visual image of the state of the membrane in the affected hip joint. This should give us an idea of the degree of inflammation. X-rays will also provide a visual image of the bone, and we can see that bone growth is irregular, so LCP is excluded.
For the treatment of short-term synovitis, apply heat and massage the affected area. If you are hospitalized, you can use the transaction. Thigh thrust is usually 45 degrees. If you are only in the confinement of your home, try to prevent weight transfer to the affected thigh or limb. Prevent actions while you are still in pain. If possible, have full bed rest for 7-10 days or until you can move and walk. Non-steroidal anti-inflammatory drugs (NSAIDs) can be administered together with analgesics for the treatment of pain and antipyretic fever.
The pain of transient synovitis usually goes away after 7-10 days. After that, the doctor may request another x-ray to make sure the infection has completely subsided. Sports and active activities are not allowed only after 2 weeks of recovery. It is just for security measures to make sure that the explosion does not return. The intensity of the activity should gradually increase in order to prevent synovitis from re-transition. Swimming is recommended to slowly begin joint movement again.
