By Thomas J.A. Lehman M.D.
For a kid with arthritis or a similar situation, lack of understanding at the a part of the fogeys is without doubt one of the greatest stumbling blocks to restoration. mom and dad don't constantly know the way to interpret the court cases voiced by way of their young ones and this can be compounded via the inexperience of physicians, who hardly deal with young ones with those diseases. during this marvelously down-to-earth consultant, Dr. Thomas Lehman--the head of 1 of the major pediatric rheumatology courses within the world--offers a gold mine of specialist suggestion that's helpful either for folks whose youngsters have rheumatic issues and for folks of kids with proceedings, pain, or incapacity who're no longer getting the solutions they wish from their general practitioner. utilizing easy analogies and illustrative anecdotes to light up hard-to-grasp techniques, Dr. Lehman is helping mom and dad interpret their kid's proceedings and to figure out no matter if clinical realization is required. much more vital, the booklet explains to folks tips to stick with via with a doctor and confirm their baby gets the precise exams, the correct prognosis, and finally, the easiest care attainable. The booklet explains to folks what signs to seem for, what inquiries to ask, and what to anticipate while therapy starts off. It sheds mild on quite a lot of rheumatic disorders--including Juvenile Arthritis, Lyme disorder, Lupus, Kawasaki sickness, Fibromyalgia, and protracted Fatigue Syndrome--and it addresses such the most important issues as drug security, the capability hazards to teenagers posed via medicinal drugs, medical health insurance difficulties, the trouble of relations existence whilst a toddler has a protracted affliction, and masses extra. the one ebook in this topic presently to be had, A Parent's advisor to Rheumatic illnesses in young children captures the services of a committed health care professional with over thirty years of hands-on event assisting little ones lead basic chuffed lives. it is going to assist you to make sure that your baby achieves the absolute best final result.
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This booklet presents an excellent wealth of the most up-tp-date details for state-of-the-art readers and should function a revered source for many years to come…. a treasure trove of data. - James B. Snow, Jr. , Professor Emeritus, college of Pennsylvania institution of drugs, and previous Director, nationwide Institute on Deafness and different conversation problems, nationwide Institutes of well-being (from the foreword)
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Extra info for A Parent's Guide to Rheumatic Disease in Children
Some children with muscle or systemic diseases will experience signiﬁcant pain in the muscles in the front of the thigh. This pain may be mistakenly reported as coming from the hip or the knee (and in fact, hip and knee problems may cause pain in those muscles). Whenever a child complains of chronic pain and disability without obvious ﬁndings in the bones or joints, a careful evaluation for muscle or systemic diseases should be performed, including blood tests to measure muscle enzymes, thyroid function studies, a complete blood count, and appropriate MRIs and X-rays.
Treatment often consists initially of traction followed by casting. Once the cast is removed, physical therapy is important to restore strength and range of motion. The purpose of the traction and casting is to keep the femur properly seated in the hip while decreasing the pressure on the femoral head. Often this allows the bone to reestablish its blood supply and begin to repair itself. The precise details of treatment will depend on the age of the child and the degree of damage to the bone at the time the problem is discovered.
Children are routinely screened for scoliosis at school, but the expertise and thoroughness of the examiners vary widely. Most scoliosis is idiopathic (unexplained). In rare cases, scoliosis may be the result of tumors, infections, Common causes of pain | 29 or damage to the spinal cord. These cases may appear at an earlier age than idiopathic scoliosis and be more severe. Any child whose spine appears crooked or has an abnormal scoliosis screening should have an orthopedic evaluation. It is easy to examine a child for scoliosis.