‘Why is my child suddenly limping?’

Physiotherapy for Children with Transient Synovitis (Irritable Hip) in Melbourne

Is your toddler suddenly refusing to walk? Your child is limping without explanation? They won’t put weight on one leg?

While this can be alarming, one of the most common causes in children aged 3–8 years is Transient Synovitis (also known as Irritable Hip). The good news is that it is usually a temporary condition that settles with time and appropriate management.

What is Transient Synovitis?

Transient Synovitis, also known as Irritable Hip, is one of the most common causes of hip pain and unexplained limping in children aged 3 to 8 years. It causes inflammation and swelling of the lining of the hip joint, where the top of the thigh bone joins with the pelvis, often following a recent viral illness such as a cold.

Although it can be alarming when your child suddenly starts limping or refuses to walk, transient synovitis is usually a temporary condition that improves with rest and appropriate management.

Signs your child may have Transient Synovitis:

Your child may:

  • Suddenly begin limping or refuse to walk

  • Complain of pain in the hip, groin, thigh or knee

  • Avoid putting weight on one leg

  • Walk differently or avoid putting weight on one leg

  • Have recently recovered from a cold or viral illness

  • Experience pain that improves with rest

Because other, more serious conditions can cause similar symptoms, any child with a painful hip or an unexplained limp should be assessed promptly by a healthcare professional.

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How can physiotherapy help?

It is important for a child with a painful hip and/or unexplained limping to be assessed. Whilst transient synovitis is not a serious condition, and will eventually settle on its own, more serious causes must be ruled out.

Our experienced paediatric physiotherapists are skilled in assessing children with hip pain and limping. We can identify features that may suggest transient synovitis and recognise when further medical assessment or imaging is required.

At Stepping Forward, we want to help support a safe return to normal movement, activity, and play. You will be provided with education and your child will be monitored to ensure full recovery. 

Frequently asked questions:

When should I seek urgent medical attention?

Important: If your child has a high fever, is unable to bear weight, appears generally unwell, or their pain is severe or worsening, seek urgent medical attention immediately.

These symptoms may indicate a more serious condition that requires immediate medical treatment.

How long does transient synovitis last?

Most children begin to improve within a few days and recover completely within one to two weeks, although some may take a little longer. Your healthcare team will advise when it's appropriate for your child to return to normal activities.

Will my child have long-term problems?

Transient synovitis usually resolves completely without causing long-term damage to the hip. Following your healthcare provider's advice and allowing your child to recover before returning to full activity helps support the best outcome.

Have more questions? Let us help.