By Thomas J.A. Lehman M.D.
For a kid with arthritis or a comparable , lack of expertise at the a part of the oldsters is without doubt one of the greatest hindrances to restoration. mom and dad don't continually understand how to interpret the proceedings voiced through their teenagers and this can be compounded by way of the inexperience of physicians, who hardly deal with young children with those diseases.
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 specialist recommendation that's helpful either for folks whose teenagers have rheumatic problems and for folks of youngsters with lawsuits, pain, or incapacity who're now not getting the solutions they want from their doctor. utilizing easy analogies and illustrative anecdotes to light up hard-to-grasp thoughts, Dr. Lehman is helping mom and dad interpret their kid's lawsuits and to figure out no matter if clinical realization is required. much more very important, the publication explains to oldsters how you can stick with via with a doctor and confirm their baby gets the best checks, the correct analysis, and finally, the simplest care attainable. The booklet explains to oldsters what indicators to appear for, what inquiries to ask, and what to anticipate whilst remedy starts off. It sheds gentle on a variety of rheumatic disorders--including Juvenile Arthritis, Lyme ailment, Lupus, Kawasaki sickness, Fibromyalgia, and persistent Fatigue Syndrome--and it addresses such an important issues as drug protection, the capability dangers to youngsters posed by way of medicines, medical health insurance difficulties, the trouble of family members existence whilst a toddler has a prolonged sickness, and lots more and plenty more.
the one ebook in this topic presently to be had, A Parent's advisor to Rheumatic ailments in Children captures the services of a devoted medical professional with over thirty years of hands-on event supporting teenagers lead general chuffed lives. it is going to assist you to make sure that your baby achieves the very best outcome.
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Extra resources for A Parent's Guide to Rheumatic Disease in Children
Arch supports and orthotics may be helpful in chronic cases. Chronic compartment syndrome may be a cause of calf pain in very active children. These children often feel well but complain of pain in the calf region after being active for a signiﬁcant period. The pain disappears with rest but recurs with activity. Often these children complain of tenderness when the calf is squeezed. , the right leg if the child is right-handed). The pain results from enlargement of the muscles with exercise to the point where they are constricted by the surrounding tissues.
Routine physical examination of the heart, lungs, and abdomen will not reveal what is causing the child so much distress, for these will not provide evidence of muscle pain, weakness, or tender joints. Some conditions such as celiac disease or mild variants of the mucopolysaccharidoses and other genetic diseases will be diagnosed only if they are tested for; routine testing will not reveal them. You may need to insist on blood tests, X-rays, or a specialist referral. I have developed my own standardized list of tests to evaluate children who simply are not doing well (see box).
This is incorrect, as identical changes are commonly found on X-rays of children without foot pain. Sever’s disease is not associated with pain in the tendons above or below the heel. Heel pain accompanied by pain in these tendons is often a sign of a spondyloarthropathy (Chapter 7). Isolated plantar fasciitis (pain at the bottom of the heel where the tendons from the front of the foot attach) and Achilles tendonitis (pain at the back of the heel where the tendons coming down from the calf muscles attach) occur as overuse injuries in runners and other athletes.