Developmental Dysplasia of the Hip
Physiotherapy Treatment for Babies with DDH in Melbourne
Has your baby been diagnosed with Developmental Dysplasia of the Hip (DDH), or has your GP, maternal child health nurse or paediatrician recommended a hip ultrasound?
You're not alone. DDH is one of the most common hip conditions seen in babies, and when identified early, treatment is often very successful. Our experienced paediatric physiotherapists are here to support your family every step of the way.
What is Developmental Dysplasia of the Hip?
Developmental Dysplasia of the Hip (DDH) is a condition where a baby’s hip joint does not develop properly. The “ball and socket” of the hip may be misaligned or unstable, ranging from mild looseness to complete dislocation.
Common signs may include hip instability or a “clunking” sensation, stiffness in the hip joint, differences in leg length, a tendency to lean when standing, or uneven skin folds around the thighs.
Signs your baby may have DDH:
One hip that feels unstable or produces a "click" or "clunk" during movement
Reduced movement or stiffness in one leg
Difficulty spreading one leg during nappy changes
Uneven skin folds around the thighs or buttocks
One leg appearing shorter than the other
A limp or waddling gait once your child begins walking
Leaning to one side when standing or walking
Asymmetrical movement such as kicking one leg more than the other
The good news:
When Developmental Dysplasia of the Hip is identified early, treatment is often very successful, helping babies develop healthy, stable hips as they grow.
How can physiotherapy help?
Our experienced paediatric physiotherapists work alongside your baby's medical team to support healthy movement and development throughout their DDH journey. Your physiotherapist can screen your baby for signs of DDH and refer you for appropriate imaging, such as an ultrasound or X-ray.
At Stepping Forward, our physiotherapists are interested in supporting your child throughout their DDH management whether that involves monitoring, bracing, or other treatments. Providing education, advice and exercises to help ensure they reach their developmental milestones.
Physiotherapy can also play an important role after brace removal or surgery, helping your baby continue to grow, move, and develop with confidence.
How is DDH Diagnosed?
If DDH is suspected, your healthcare provider may recommend imaging to confirm the diagnosis.
Babies under six months are usually assessed with an ultrasound.
Older babies and toddlers may require an X-ray, as the hip bones become more visible with age.
Early diagnosis gives the best opportunity for successful treatment.
Will my baby need surgery?
Not all babies with DDH require surgery. Many cases are successfully treated with a harness or brace when diagnosed early. If surgery is required, physiotherapy plays an important role in supporting your child's recovery and helping them return to age-appropriate movement and development.