By Thomas J.A. Lehman M.D.
For a kid with arthritis or a similar situation, lack of awareness at the a part of the fogeys is without doubt one of the largest stumbling blocks to restoration. mom and dad don't continuously know the way to interpret the proceedings voiced through their youngsters and this can be compounded through the inexperience of physicians, who hardly deal with little ones with those illnesses. during this marvelously down-to-earth advisor, Dr. Thomas Lehman--the head of 1 of the top pediatric rheumatology courses within the world--offers a gold mine of professional recommendation that's useful either for folks whose teenagers have rheumatic issues and for folks of youngsters with proceedings, ache, or incapacity who're now not getting the solutions they wish from their surgeon. utilizing basic analogies and illustrative anecdotes to light up hard-to-grasp options, Dr. Lehman is helping mom and dad interpret their kid's proceedings and to figure out no matter if scientific realization is required. much more very important, the publication explains to folks easy methods to stick to via with a doctor and confirm their baby gets the proper assessments, the right kind analysis, and finally, the easiest care attainable. The booklet explains to folks what indicators to seem for, what inquiries to ask, and what to anticipate while remedy starts. It sheds mild on a variety of rheumatic disorders--including Juvenile Arthritis, Lyme disorder, Lupus, Kawasaki sickness, Fibromyalgia, and persistent Fatigue Syndrome--and it addresses such the most important subject matters as drug protection, the capability dangers to teenagers posed by way of medicinal drugs, medical insurance difficulties, the trouble of relatives lifestyles while a toddler has a protracted disorder, and lots more and plenty extra. the one booklet in this topic presently to be had, A Parent's advisor to Rheumatic ailments in young ones captures the services of a devoted medical professional with over thirty years of hands-on adventure assisting little ones lead general satisfied lives. it is going to assist you to make sure that your baby achieves the very best consequence.
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Extra info for A Parent's Guide to Rheumatic Disease in Children
At present, Lyme disease may be the most common cause of infectious arthritis involving the hip for people living in endemic areas of the United States (see Chapter 8). Most infections in the hip are sudden in onset and associated with rapidly worsening symptoms of pain, fever, and difﬁculty in walking. A child with these symptoms should be seen by a physician as soon as possible. Tuberculosis may cause slowly worsening symptoms of hip pain. A child with an acutely painful hip should be seen by an orthopedist.
A full discussion of the types of bone tumors and their treatment is far beyond the scope of this book, but like tumors elsewhere, bone tumors begin very small and grow relatively slowly. Often they are easily visible on routine X-ray by the time they are producing pain. H I P PA I N Most often, children with hip pain walk with a very abnormal gait. If the pain is sudden and severe, the child may not be able to walk at all. A child who is unable 20 | M Y C H I L D C O M P L A I N S O F PA I N to walk after trauma or a fall needs immediate medical evaluation to exclude fractures and other orthopedic injuries.
Because this protrusion is just under the skin at the side of the hip, it is protected by a bursa. The bursa is a small sac of ﬂuid that allows easy movement of the tissues over the bone (see Fig. 3-5). With excessive running or other activities, this bursa may become inﬂamed, a condition called trochanteric bursitis. Typically, this is a problem of teenagers or adults and not younger children. The classic complaint is pain along the side of the leg that can be reproduced by pressure over the greater trochanter.
A Parent's Guide to Rheumatic Disease in Children by Thomas J.A. Lehman M.D.