Limping in children
Limping is common in children and can arise from various causes and is usually not serious. It’s important to observe and understand the context in which the limp occurs to address it effectively. Limping can be due to minor injuries, infections, or more serious conditions that require medical attention.Common Causes
- Injuries: Sprains, strains, or fractures from falls or sports activities.
- Infections: Septic arthritis or osteomyelitis.
- Inflammatory Conditions: Juvenile idiopathic arthritis.
- Developmental Issues: Hip dysplasia or Perthes disease.
- Other Causes: Transient synovitis or growth spurts.
When to Seek Medical Help:
Please attend A+E or call 111 for immediate medical attention if:
- The limp is accompanied by severe pain or swelling.
- There is a fever, indicating possible infection.
- The child is unable to bear weight on the affected leg.
- The limp persists for more than a few days without improvement.
- There are signs of injury or trauma.
Please see your GP if your child is limping and you are not sure what is causing it.
Your GP may order imaging such as x-rays, perform blood tests to check for inflammation, and may refer you to paediatric physiotherapy if indicated.
They may be able to give you self-management advice to manage the limp at home.
Treatment Options
Treatment depends on the underlying cause:
- Injuries: Rest, ice, compression, and elevation (RICE), or sometimes immobilisation with casts.
- Infections: Antibiotics and sometimes surgical intervention.
- Inflammatory Conditions: Medications to reduce inflammation and manage pain.
- Developmental Issues: Specialised referral which can include physiotherapy or surgery.
Preventing Future Limping
- Ensure your child wears appropriate footwear.
- Encourage safe play environments.
- Promote regular physical activity to strengthen muscles and improve coordination.
Last updated01 Apr 2025