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Osgood-Schlatter Disease, Powered by Nemours Children's Health System

Kids’ Knee Pain: Is It Osgood-Schlatter Disease?

I remember when my son was 12 years old, he would wake up in the middle of the night crying and complaining of knee pain. He had started to run track in middle school, and he started to get a little bump just below his knee cap at the top of his shin bone. Our pediatrician called it “growing pains” and said it would go away. He recommended that he do some stretches and ice after track practice. Eventually it did resolve once track season was over, and he didn’t have any problems after that. What I found out later is that this wasn’t growing pains at all – it was a common sports injury known as “Osgood-Schlatter disease.” What is Osgood-Schlatter disease? Although it sounds scary because of the word “disease,” Osgood-Schlatter is one of the most common causes of knee pain in adolescents. It’s an overuse injury that […]

Sorting Out 7 Common Sports Injury Myths, by Alfred Atanda, Jr., MD, Powered by Nemours Children's Health System

Sorting Out 7 Common Sports Injury Myths

“No pain, no gain.” “Walk it off.” “He has a high tolerance for pain.” I’ve heard each one of these quotes and more during my many years as a pediatric orthopedic surgeon specializing in sports medicine. Many of them are actively detrimental to the health of your child, not just at that moment but when they grow into a professional athlete as well. As you already know sports injuries can be life-changing, that’s why many professional athletes take out long term disability insurance in case they are left permanently out of action. Would you be willing to put your child at risk of permanent injury because of a few false preconceived notions you can easily avoid? The answer should always be “no”. How many sports injury myths do you believe to be true? Here’s a list of the most popular things I hear regarding preventing and dealing with sports injuries, […]

Providing Support for Family and Friends with Diabetes: DOs and DON'Ts. Promise, Powered by Nemours Children’s Health System

Providing Support for Family and Friends with Diabetes: DOs and DON’Ts

People who live with diabetes need a lot of “extras” to live healthy, balanced lives. Most of those extras – testing supplies, insulin, and medical attention – can be costly. But there’s one thing that friends and family members of people with diabetes can help provide for free: understanding and emotional support. Here are some Dos and Don’ts for helping people with diabetes thrive with the condition. DO: Get informed. Diabetes can be a confusing condition, even for those who live with it every day. Take the time to learn the myths and facts about type 1 and type 2 diabetes by talking to your friend or relative with diabetes, your doctor, or relatives you know who have diabetes and by finding credible sources of information online. React calmly. For people with diabetes, high and low blood sugars can be common, even on a daily basis. Unless it’s an emergency, […]

Providing Support for Family and Friends with Diabetes: DOs and DON'Ts. Promise, Powered by Nemours Children’s Health System

Type 1 Diabetes: Myths and Facts

Diabetes can be a confusing condition, even for the children, teenagers and families who live with it every day. Here, we separate some of the myths from the truths about type 1 diabetes and those who have it. Myth: Diabetes comes from eating too much sugar. Fact: The exact causes of diabetes – both type 1 and type 2 – aren’t known. What is clear is that type 1 diabetes is an autoimmune disease, which means it results when the body’s immune system destroys its own tissues. In this case, the immune system destroys the insulin-producing cells located in the pancreas. What prompts the immune system to target these cells is unknown, but age, genetics, environment, and other factors all play a part. Overall, to reduce your chances of getting diabetes, you should reduce your sugar intake, eat smarter and perhaps consider looking into unify health reviews and others similar to ensure […]

Providing Support for Family and Friends with Diabetes: DOs and DON'Ts. Promise, Powered by Nemours Children’s Health System

The Type 1 Diabetes Warning Signs Every Parent Needs to Know

When Katy’s son’s second-grade teacher called the house one afternoon, neither of them knew they were discussing symptoms of type 1 diabetes. “The teacher contacted us because Brian was falling asleep after lunch. She was concerned that something was happening at home that was keeping him from sleeping.” A little worried, Katy took Brian to his pediatrician, who simply recommended that he get to bed earlier each night. “We started putting him to bed at 7:30 p.m., and he was still sleepy after lunch in school. It continued throughout the school year.” Katy, her son’s teacher, and the family pediatrician would later learn that Brian’s after-lunch fatigue was due to undiagnosed type 1 diabetes. “Over the summer, I noticed him drinking more and more. I eventually googled ‘excessive thirst’ and read about type 1 diabetes. The pediatrician had us come in for a urine test and sent us to the […]

Boccia: A Game for All Abilities, by Brie Sheppard, PT, DPT, Promise, Powered by Nemours Children's Health System

Boccia: A Game for All Abilities

The 2016 Rio Paralympics just came to a close, and the USA is celebrating its most successful Paralympic performance in recent history. A whopping 289 American Paralympic athletes brought home a total of 115 medals, and the USA finished fourth in the medal count. Independent of standings, results, and rankings, the Paralympics and Team USA never fail to remind us of what the body is truly capable of and what impossibilities the spirit can overcome. It’s this motivation and inspiration that was the driving force behind the creation of our Paralympic Boccia program in 2014, with Nemours becoming an official U.S. Paralympic Sports Club in 2015. What Is Boccia? Boccia is a game, similar to backyard Bocce, created especially for the Paralympics in 1984. The object of the game is to score points by propelling your team’s balls closest to the target ball on a long, narrow, indoor playing court. In Boccia, all […]

Life-Changing Spine Surgery Expertise From Overseas, Promise, Powered by Nemours Children's Health System

Life-Changing Spine Surgery Expertise From Overseas

For the past year, Dr. Peter Gabos, pediatric spine surgeon at Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del., has been traveling to Belize City, Belize, with Spine Overseas. This nonprofit organization brings together healthcare, education, and technology in order to provide contemporary spine surgery and care in places where this care doesn’t currently exist. Through the generous support of multiple medical device and equipment companies, Spine Overseas has been able to bring state-of-the-art technology to Central America. “I joined Spine Overseas when adult spine surgeon [and Spine Overseas cofounder] Dr. John Williams told me they needed a pediatric surgeon to help kids with severe spinal deformities in Belize City,” says Dr. Gabos. “When I read their mission statement, I jumped at the opportunity.” Meeting a Friend for Life One child Dr. Gabos recently helped is 8-year-old Alex, who was previously diagnosed with asthma due to significant difficulty breathing. But […]

Youth Soccer: What's the Goal, , by Jessica Laniak, PT, DPT, OCS, Powered by Nemours Children's Health System

Youth Soccer: What’s the Goal?

This fall, young athletes will line up on soccer fields with new cleats, uniforms, teammates, and coaches. But for many, fall isn’t the beginning of a season — it’s merely the continuation of playing youth soccer year-round. The sports epidemic of specializing in one sport too early (under the age of 12), has been widely publicized. However, these days it’s more than likely that you and your young athlete spent most of your summer at travel soccer tournaments, team camps, and soccer preseason. I know, I’ve been there with you. I’m a mother of four boys and a travel youth soccer coach for my 10-year-old. And I very often grapple with my reality of raising a soccer family and my professional responsibility as a pediatric sports medicine physical therapist. When I integrate my current daily life with my former life, as a collegiate soccer player, I totally understand the perspective of the […]

Oral Immunotherapy for Peanut Allergy: Is It Time? by Magee DeFelice, MD, Promise, Brought to You by Nemours

Oral Immunotherapy for Peanut Allergy: Is It Time?

For over 100 years, allergists have used a method called “immunotherapy” to safely and successfully treat environmental allergies. Unlike medications, which only treat the symptoms of allergic reactions, immunotherapy actually teaches the immune system to become more tolerant of allergens. For allergic nasal and eye symptoms, asthma, and atopic dermatitis (eczema), immunotherapy is very helpful in the form of allergy shots. An oral form of immunotherapy (“oral immunotherapy,” or “OIT”) is available for certain types of allergies, and has been shown to be effective as well. How Does Oral Immunotherapy Work? The goal of oral immunotherapy is to make the immune system less reactive to a food allergen by eating small, gradually increasing amounts of the food over time. Researchers have been working for decades on a way to apply immunotherapy to the treatment of food allergies, with mixed results. However, a recent study in the Journal of Allergy and Clinical […]

Sports Specialization or Variety: Which Is Better for Kids? - From the experts at Nemours

Sports Specialization or Variety: Which Is Better for Kids?

As the seasons change, we all look forward to an exciting change of pace. With fall comes the bombarding of pumpkin spice, red and yellow hues, and, of course, — football. Remember when we could associate all seasons with specific sports? Fall — football and soccer. Winter — basketball and swimming. Spring — baseball and lacrosse. But more and more athletes are pursuing the opportunities that year-round sports specialization training provides. Long gone are the days of children playing a favorite sport for only a couple months a year. As parents invest more time and money into sports, the pressure to maximize their children’s opportunities for success is higher than ever. This often means dropping secondary sports at a younger age so that children can focus more on the sports at which they excel.  Parents and children may feel they’re expected to dedicate nine to 12 months out of the year […]

Gymnasts like girl stretching have back pain

Olympics, Gymnasts and Back Pain

With the summer Olympics underway in Rio, thousands of eyes are turning to the TV to see athletes run, swim, jump, flip and more. Gymnastics is always a highlight of the games, putting a lot of pressure and attention on the U.S.A.’s team. As a former gymnast myself, I take a special interest in gymnastics. And as a pediatric sports medicine physical therapist, I find myself treating a lot of gymnasts for back pain. A lot of gymnasts who are injured turn to self-medication too, so I have learned a lot about that over the years. For example, CBD products (from websites like OrganicCBDNugs) are a popular option when it comes to treating pain at home. These products are known to suppress aches and pains, especially in large parts of the body such as your back. Many people do attend therapy, though. So this begs the question: How do Olympic […]

Kids and Sports: ACL Tears on the Rise

I don’t think anyone would deny all the benefits of kids playing sports: the social aspect, teamwork, building confidence, improving focus, overcoming obstacles — the list can go on and on. But there are some downsides, perhaps the most obvious being the myriad injuries kids can sustain. And recent studies show that ACL tears, one of the most serious types of knee injuries, are on the rise in athletes (specifically girls) 6–18 years old. With the school year about to start and kids gearing up for fall sports, let’s take a closer look at what causes ACL tears, the symptoms to look out for, and how these common injuries can be prevented. What is the ACL? The anterior cruciate ligament (ACL) is a rope-like band of tissue located in the center of the knee that helps keep the knee stable and from excessively rotating. It actually connects the knee to […]

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