Bone and Joint Problems in Children

As parents, we watch our children grow with a mix of pride and worry. Every stumble, every complaint of an “ouch,” can send our minds racing. While many childhood bumps and bruises are minor, understanding the difference between a simple scrape and a potential bone or joint issue is crucial. Children’s musculoskeletal systems are not just smaller versions of an adult’s; they are growing, developing, and uniquely vulnerable to specific conditions. Early recognition and proper treatment by a specialist, like a pediatric orthopedic doctor, can make a world of difference in ensuring a healthy, active future for your child. Common bone and joint problems seen in children 1. Flat Feet (Pes Planus) Most infants are born with flat feet, and arches typically develop by age 6. Flexible flatfoot, where the arch appears when the child tip-toes but disappears when standing flat, is very common and often painless. Treatment is rarely needed unless the child experiences pain, stiffness, or it affects walking. In such cases, a pediatric orthopedic surgeon may recommend arch-supporting shoes or custom orthotics and stretching exercises. 2. In-Toeing (Pigeon Toes) In-toeing is when a child’s feet turn inward instead of pointing straight ahead when walking. It’s usually caused by one of three conditions: metatarsus adductus (curved foot), internal tibial torsion (twisted shin bone), or increased femoral anteversion (twisted thigh bone). The vast majority of cases correct themselves naturally as the child grows. Braces, special shoes, or physical therapy are seldom needed. Surgery is an extremely rare option only considered in severe cases that persist beyond age 9-10. 3. Knock-Knees (Genu Valgum) and Bowlegs (Genu Varum) It’s normal for toddlers to have bowlegs, which often straighten out by age 3, followed by a period of knock-knees until around age 7-8. These conditions are usually part of normal development. Parents should consult a children’s bone specialist if the curvature is severe, asymmetric (one leg different from the other), worsening, or causing pain or difficulty running. Underlying causes like rickets or Blount’s disease need to be ruled out. 4. Osgood-Schlatter Disease This is a common cause of knee pain in active, growing adolescents. It involves inflammation of the growth plate just below the kneecap where the tendon attaches. It’s often linked to sports that involve running and jumping. Treatment focuses on rest, ice, compression, and elevation (RICE), along with stretching and strengthening exercises. The condition typically resolves once the child stops growing. 5. Scoliosis Scoliosis is a sideways curvature of the spine that most often develops during the growth spurt just before puberty. Mild cases require monitoring. Moderate curves may be treated with a specialized brace to prevent further progression. Severe scoliosis may require spinal fusion surgery to correct the curvature and prevent future complications. Early detection through school screenings or pediatrician checks is vital. 6. Fractures and Sports Injuries Active children are prone to injuries. Growth plate fractures are particularly concerning as they can affect future bone growth. Any significant injury causing severe pain, deformity, or an inability to bear weight should be evaluated immediately by a pediatric orthopaedic doctor to ensure proper healing and alignment. When to Seek Help from a Pediatric Orthopedic Specialist While many childhood conditions are self-correcting, you should consider consulting a specialist if your child experiences: Persistent pain in bones, joints, or muscles. Limping or a noticeable change in walking pattern. Swelling, redness, or warmth around a joint. Joint stiffness or reduced range of motion. Significant asymmetry in limb length or appearance. A deformity that seems to be worsening rather than improving. Finding the Right Care in Thane and Mumbai If your child is experiencing any bone, joint, or muscle issues, seeking expert care is the first step toward effective treatment. Dr. Vinod Dubey is a renowned Pediatric Orthopedic doctor in Thane and Mumbai, specializing in the diagnosis and management of all childhood musculoskeletal disorders. With expertise in both non-surgical and surgical treatments, Dr. Dubey and his team are dedicated to providing compassionate, child-friendly care to ensure the best possible outcomes for your little one. Don’t hesitate to seek a professional opinion. Early intervention by a Dr. Vinod Dubey – pediatric bone specialist in Thane can provide peace of mind and set your child on the path to a healthy, active life.