Developmental Dysplasia of the Hip - Home Treatment
Basic home treatment for
developmental dysplasia of the hip (DDH) focuses on
interacting with your child and keeping him or her comfortable.
If your baby or child is wearing a harness, brace, or cast:
- Talk to your doctor about how to care for the
- Check your child's skin around the edges of the device for
red areas or blisters. If you find any, contact your doctor for treatment.
- Don't put anything inside the device that might scratch or
irritate your child's skin. Infection could occur. Also, don't apply
ointments or creams to your child's skin without checking with your doctor
- Play with and hold your child as usual. In most cases, you
should be able to interact with your child normally. You will have to adjust
some activities, but keeping him or her stimulated and engaged is important.
Simple measures, such as moving your child around to different places in your
home throughout the day, can help. Also, keep a variety of toys within his or
- Take your child for short trips outside the home. He or
she can still be safely placed in a carrier, stroller, or car seat. Depending
on your child's leg positions, he or she may need a specially designed car
seat. Ask your doctor about where to buy or rent one. Usually they are
available through hospitals or medical supply stores.
Other home treatment depends on the precise medical
Pavlik harness care
Do not remove the
harness and do not adjust the straps for the first 3
to 4 weeks of treatment unless your doctor tells you to. The harness holds the
joint in the correct position for normal development. Removing the harness may
cause the thighbone to move out of position.
Give your child a
sponge bath while he or she is in the harness. Later in your child's treatment,
the harness may be removed for short periods of time, such as for bathing or
for cleaning the harness.
You can put your child's clothing on
under the straps to prevent skin irritation. You can also pad the shoulder
straps if needed.
Spica cast care
If your child's cast is made of
plaster, it may need time to dry after it is first put on. Your child will
likely be in a semi-sitting position and may need you to help him or her move.
Turn your child at least every 2 hours for the first 24 to 48 hours to prevent
uneven drying of the cast. You can use a fan to help the cast dry more quickly,
but don't use heat. When you tap the cast and hear a hollow sound, it is
While your child is in a
spica cast :
- Tuck your child's diaper inside the cast
beginning at the child's rear and moving toward the front. Use a smaller size
than you normally would, and use only disposable diapers. Cut the adhesive tabs
off the diaper so that they won't irritate your child's skin. Change the diaper
as soon as possible after your child urinates or has a bowel movement. At
night, add an extra smaller diaper, sanitary napkin, or adult incontinence pad
inside the diaper.
- Place your child's clothing over the cast to
prevent food or small toys from getting inside the cast.
- Don't move
or lift your child by the bar between the legs.
- Give your child a daily sponge bath. Take care not to get the
- Hip Dysplasia: Caring for Your Child in a Body (Spica) Cast
- Make sure the weights are hanging
- Check underneath your child for small toys or bits of food.
These can irritate his or her skin.
- Bathe your child once a
- Find activities your child can safely do. For example, read to
your child or play games if your child is old enough. If your child is still a
baby, you can help keep him or her calm and distracted during traction. Try
talking, reading, and singing to keep the baby's attention. Touching and
stroking the baby will also help.
Parental feelings and concerns