Transient Synovitis of the Hip

Transient synovitis is joint inflammation, which usually heals on its own, without the need for specific treatment. This inflammation within the joint usually arises after a viral condition, and affects children between 2-8 years of age, leading to symptoms such as pain in the hip, leg or knee, and the need to hobble.

The main cause of transient synovitis is the migration of viruses or bacteria through the bloodstream to the joint. Thus, it is common for symptoms to manifest after an episode of flu, cold, sinusitis or ear infection.

Symptoms and diagnosis

Symptoms of transient synovitis arise after a viral infection and include pain within the hip joint, knee, which makes walking difficult, and the child limps. The pain affects the front of the hip and whenever the hip moves, the pain is present.

The diagnosis is made by the pediatrician when observing the symptoms and there is not always the need for exams. However, in order to detect other diseases, which may present the same symptoms, such as Legg Perthes Calvés, tumors or rheumatic diseases, the doctor may order tests such as x-rays, ultrasound or magnetic resonance imaging, for example.

How to relieve pain

The doctor may recommend that the child rest in a comfortable position, preventing him from standing. Painkillers such as Paracetamol may be indicated by the doctor and placing a warm compress can bring relief from discomfort. Healing can be achieved in about 10-30 days.