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Questions

Browse past patient and parent questions and view the answers from our expert Pediatric Orthopaedic Surgeons.
 

March 2020

Question:

My 14-year-old daughter was just diagnosed with dorso lumbar scoliosis with a 46 curve. We were given two different doctor's opinions. 1) She needs to wear a brace since the curve is less than 50% and she is only 14. 2) She needs surgery within the next 12 months to correct the curve since it's in the high range (46 degrees) and she is still growing. We are lost and not sure what to do. Could you please provide us with your assessment?
Keywords: scoliosis
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February 2020

Question:

My son has been suffering from chronic headaches and neck pain for years. We went to see a TMJ specialist because his jaw was hurting. They did a CBCT scan and saw a "boney bridge between his Atlas and skull" and said follow up with an orthopedic doctor. Is there any type of specialty orthopedic doctor we should try to schedule an appt with? A spine specialist said it wasn't their expertise.
Keywords: chronic headaches
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February 2020

Question:

I have an 11 year old daughter that has been diagnosed with letter S scoliosis with 44 degree on the top and 26 degrees on the bottom. I tried the Boston brace on her but it was useless mainly because it hurts her growing chest and rib so the brace was not worn as much as it should. We came across the Gensingen Brace and we are hoping that this could be our answer. Please kindly share your thoughts. 
Keywords: scoliosis
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February 2020

Question:

I have a three year old daughter. She has developmental dysplasia of the hip (DDH), minor left leg limping but is having no pain. Is it ok to do surgery at this stage or can it be left untreated? What is the best option?
Keywords: ddh
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January 2020

Question:

My 3.5 year old daughter has been diagnosed with left hemiplegia. It is quite minimal in effect, mainly causing the left leg muscles to be stiff. Her doctor has advised Botulinum Toxin injections followed by a cast on the leg. Your opinion over this would really help us. 
Keywords: hemiplegia
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January 2020

Question:

Four year old female with distal tibial shaft fracture (No Joint Involvement). Required bone to be set due to varus angulation and cast placed. F/u today with x-ray showing 8* varus angulation. Advised that the angulation will self correct 1* per year and be fully corrected at age 12. What is the best course of action? 1: Allow her to heal without surgical correction 2: Surgery. If no surgery, will the tibia be at a weakened state until her 12th birthday? 
Keywords: fracture
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September 2019

Question:

My son hurt his ankle yesterday at football practice. There is some bruising. Not so much swelling. He is walking on top toes or trying to. He is 8. Should I take to pediatrician or urgent care clinic?
Keywords: ankle, bruising, pediatrician, urgent, orthopaedic
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August 2019

Question:

My son is 20 months now. He has Rickets, and started medication one month ago. His legs are bended like bow legs and walks sideways. Will his legs become straight? Will he need any therapy? Will walking and playing affect his bowed legs to be bowed more?
Keywords: rickets, "bowed legs" correction, "curved bones", "muscle growth"
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August 2019

Question:

My 6-year-old doctor was just diagnosed with scoliosis with a 25% curve. The pediatric orthopedist told us she would need to wear a brace for 18 hours each day until she stops growing, so approximately 8-10 years. He also recommended an MRI. Is this something that we should seek a second opinion for or is this pretty standard as far as treatment goes? I'd hate to make her wear a brace for the next 8-10 years if it isn't completely necessary. Please advise.
Keywords: "juvenile scoliosis", "tethered cord", "bracing", scoliosis
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July 2019

Question:

My son’s legs are turned outward at the hips and we we were recently told there is nothing that can be done about it. He walks and runs with his legs and feet in “second” position. He is 8 years old and autistic which means he already has problems doing everyday things. This is another hurdle in our everyday world. Can any type of physical or aqua therapy help at all?
Keywords: "muscle strength", "in-toeing", "femoral anteversion", "femoral retroversion", "physical therapy"
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Pediatric Orthopaedic Society of North America (POSNA)

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e: posna@posna.org

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All information on OrthoKids is for educational purposes only. For specific medical advice, diagnosis, and treatment, consult a fellowship trained, board certified pediatric orthopaedist.