Children's Orthopedics
When my daughter was little, she was diagnosed with arthritis. She's been doing quite well despite some periods when she has a lot of pain. Unfortunately, her illness has made it really hard for my husband and me. Although we both act as a team in front of her, we are really being torn apart by her health. We're stressed by her dealing with the pain and we often end up blaming each other. Do other parents have the same problem?
Posted November 12th, 2009 by MattIt is not unusual for parents of children with either chronic diseases or chronic pain to have difficulties themselves. As parents, we want to protect our children and we feel that we should. When our children hurt, we hurt, and sometimes our reactions may not seem logical.
My son was diagnosed a few years ago with juvenile rheumatoid arthritis. He does well most of the time, but when his pain is really bad, he doesn't want to do anything, even go to school. My wife babies him and allows him to get his own way. I think that this is causing him to drag his pain complaints out longer. Is this possible or am I just being mean, as my wife says?
Posted November 12th, 2009 by MattEach couple's dynamics are different but it's important for both parents to be on the same wavelength when it comes to helping a child who has chronic pain, such as your son. It's known that how a parent reacts to a child's pain will affect the child and it's been suggested that if a parent copes negatively with the situation, the child may as well.
Helping the Parents of Children with Chronic Pain
Posted November 12th, 2009 by MattParenting a child who is living with chronic pain can be a difficult task. As a parent, you feel as if you must be able to help your child at all costs, especially removing something that is causing illness or pain. Sadly, this isn't always possible and it can make a parent feel helpless, leading to other issues down the road.
My 10-year-old niece is in the hospital having her knee drained because of an infection in the joint. They said it usually clears up with one session of drainage. She'll be on antibiotics for awhile. What if it doesn't clear up? Then what?
Posted November 5th, 2009 by MattJoint infection called infectious arthritis or septic arthritis can be cause for hospitalization. Early diagnosis and teatment is important for successful results. Antibiotics and surgical drainage are the gold standard for this condition. Without adequate treatment, complications can occur.
Please help us -- our seven-year-old grandson has septic arthritis of the hip. He's been hospitalized for treatment. There's a real concern about the infection going into the bone. What would cause this to happen? Can we do anything? How likely is it? I'm just so worried, I can't think straight.
Posted November 5th, 2009 by MattMost people are familiar with strep throat or a staph infection in children. But these bacteria can enter the bloodstream and travel throughout the body. For some as yet unknown reason, the bacteria take up residence in the joints and cause a septic (infectious) arthritic response.
In our community, there is a special digitized computer that can be used to measure scoliosis. We have some baseline X-rays already taken of our 11 year-old daughter with this problem. The computerized method costs more. Is it more accurate?
Posted November 5th, 2009 by MattThere are many advantages of the updated digitized and computerized technology used to measure scoliosis (curvature of the spine) compared with standard X-rays. In both methods, a measurement called the Cobb angle is determined.
Every time we take our daughter in for scoliosis checks, a different person reads the X-rays. Wouldn't it be better if just one person measured and remeasured her? I just don't trust that the changes we are being told are present aren't because of the way the measurements are taken.
Posted November 5th, 2009 by MattYou raise a valid concern about intraobserver and interobserver reliability. Intraobserver reliability refers to how well one person can make the same measurement more than once. Interobserver reliability is the accuracy of those measurements when more than one person measures the same thing.
We took our son to a specialty clinic for surgery on his knees because he was extremely bow-legged. There's a special name for this condition (Blount disease). That was last year. Now this year, they have sent him a questionnaire to fill out about his pain, satisfaction level, and function. He's only nine years old! How can he answer questions about his satisfaction with the surgery or his quality of life?
Posted November 5th, 2009 by MattPatient satisfaction surveys are becoming more and more common all the time. Hospital administrators, insurance companies, and even surgeons want some way to measure the results of the procedures performed. Patient satisfaction and quality of life ratings can be ways to measure success.
We are making decisions for our six-year-old daughter that she will have to live with for the rest of her life. She has a condition called Blount disease (bow legs) and may need surgery. Is there any information on how these kids feel about their results years later (like when they are adults)?
Posted November 5th, 2009 by MattBlount disease is a condition of bowlegged knees, also known as tibia vara in medical lingo. Surgical correction aims to create a more normal angle between the lower end of the femur (thigh bone) and the upper portion of the tibia (lower leg bone). Children with Blounts disease often need surgery to restore normal knee alignment and reduce pain. The result is decreased disability and improved function.
My new grandbaby has a dislocated hip. I guess he was born that way. They are not sure if this is a genetic thing or if he got into a bad position inside the womb. In any case, since it's only one side, will it heal up better than if both hips were affected?
Posted November 5th, 2009 by MattDevelopmental dysplasia of the hip (DDH) is a common disorder affecting infants and young children. In this condition, there is a disruption in the normal relationship between the head of the femur (thigh bone) and the acetabulum (hip socket). DDH can affect one or both hips. It can be mild to severe. In mild cases called unstable hip dysplasia, the hip is in the joint but easily dislocated. More involved cases are partially dislocated or completely dislocated.
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