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ANN ARBOR – Brady, a happy, energetic five-year-old boy, does not fit the image of a stereotypical physical therapy patient. However, physical therapy is helping Brady attain a life with less pain, less obstacles, and more mobility.

Brady has Legg-Calve-Perthes disease, a condition that leads to avascular necrosis of the proximal femoral head. In layman’s terms, the top of Brady’s femur is not receiving an adequate blood supply, causing that portion of his bone to slowly die. While most people affected only have the disease in one hip, both of Brady’s femurs are deteriorating.

Many of Brady’s family members have this condition, including his father, Josh, a colleague at Saint Joseph Mercy Health System.

While Legg-Calve-Perthes disease is not life-threatening, it does cause severe pain and mobility issues. For Brady, he was in so much pain that it became a struggle for him to walk. His left foot was tilting in, and he couldn’t bear pressure on that leg.

He was referred for physical therapy, with a choice of going to the University of Michigan or to Probility’s pediatric clinic in Ypsilanti. His parents chose Probility because they had heard such positive things about pediatric physical therapist Dan Santioni, and because the clinic was closer to home.

Probility Physical Therapy has 15 locations throughout Washtenaw, Livingston, and Lenawee Counties. The pediatric clinic opened in June 2018, and added occupational therapy and speech therapy services in February 2019.

Brady was extremely anxious about physical therapy, which was scheduled for three times a week to start. This was heightened by Brady’s fear of new people, common for a child of his age. Thankfully though, Dan was able to form a deep connection with him. Brady’s mother Nicole shared, “Dan made physical therapy fun and interactive for him. He incorporated games, and Brady started to actually look forward to his sessions.”

Through the use of massage, stretches, and drills, Brady has made incredible strides forward. He is able to walk with ease again, and is learning how to manage his condition outside of physical therapy. When he is in pain, he’s able to use the stretches from physical therapy to help ease it.

Brady has grown attached to Dan, so his parents were worried when a new physical therapist assistant, Kathryn Perry, joined Brady’s care team. Fortunately, she too was able to bond with Brady. According to Nicole, “That office is filled with people who are there for the right reasons, and they all provide wonderful care.”

As Brady ages and the disease progresses, the pain will lessen. He will still require “Mr. Dan tune-ups” occasionally, to help him maintain his flexibility. It is also possible that he will need surgery in the future, but his parents hope that through physical therapy and the lifestyle changes Dan and Kathryn have taught Brady, he may be able to avoid it.

Nicole expressed her gratitude for Probility’s pediatric program, stating, “I really feel Probility was brought to St. Joe’s for a reason. It’s been a great help to our family.”

Looking for a Physical Therapist?


Visit Probility Physical Therapy or call 734-712-1589 and we will guide you through the process.

St. Joseph Mercy Health System