Pandemic has affected the bone health of kids around the world; here’s what doctors want parents to know


8-year-old Saksham Gupta complained of persistent knee ache final yr when he went again to enjoying basketball after a niche of one yr. When his parents took him to the physician, they have been informed that his bones are weak. Something comparable was recognized for 14-year-old Myra Sinha who complained of wrist ache so acute that she couldn’t do her assignments.

Even earlier than the pandemic hit, we have been preventing an epidemic of childhood inactivity main to health points in youngsters. And then got here the COVID pandemic and took it a number of notches greater by forcing kids to keep indoors with no possibility of staying energetic. It was not solely damaging youngsters’s health however their mind improvement and social abilities too.

Dr. (Maj) Harshita Surange, Director, Interventional Pain and Spine Centre (IPSC) India and Dr. Sunil Sherawat, Senior Consultant, IPSC India, Sports Injury, Arthoscopy and Joint Replacement Specialist shares, “Adolescent patients are routinely coming with foot pains and wrist pain according to their routine activities and joints which are used repetitively. This pandemic has impaired the bone health of the young generation who would be likely predisposed to more joint pains and fracture in future. This can be compensated by exercises Vitamin D and calcium supplementation.” During childhood and adolescence, rather more bone is deposited than withdrawn, so bone mass in skeleton grows each in dimension and density which might continue to grow till the late 20s. Up to 90 p.c of peak bone mass is achieved by age 20 and reaching at its peak at around 30 years. So, a greater bone constructing skill in childhood leads higher bone power in maturity. Physical exercise significantly outside sports activities, vitamin D and nutritious diet wealthy in calcium and proteins performs throughout this era is important for good musculoskeletal improvement. Physical exercise is a key issue for preserve enough bone mass and lack of it might lead to decreased bone power.

How to preserve a examine on the youngster’s bone health

Dr. C. Jayakumar, Professor & Head, General Paediatrics, Amrita Hospital, Kochi explains, “The COVID-19 pandemic has affected the bone health of all children across the world. Almost every kid is now stuck indoors with no way to play outside in parks and open areas as the fear of catching the virus is real. Schools are also not functioning properly due to unforeseen circumstances across the country. And children have no chance to play outdoors or to get any sun exposure. So, now it is very important that parents keep a check on the bone health of their kids and make sure that their children must have 15-20 minutes outdoor exercise in the early morning or during sunny hours, as in few parts of the country, the weather is chilly right now. Outdoor exercises can be at your home balcony, garden, or a rooftop terrace, etc, where there is enough sunlight. In addition to this, maintaining a calcium-rich diet is very important during growing years especially. The most important advice for parents is to encourage their kids to be active and keep them engaged in physical activities at home during these hard times especially to make sure kids don’t suffer any additional health issues later in life.”

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How to restrict the results of juvenile idiopathic arthritis


Dr Shreedhar Archik, Senior Consultant, Orthopaedics and Joint Replacement, Global Hospitals shares a number of way of life adjustments that may assist them to make their bones stronger once more.

Caregivers might help youngsters be taught self-care strategies that assist restrict the results of juvenile idiopathic arthritis. Techniques embrace:

Exercise frequently: Exercise performs an vital function as a result of it promotes each muscle power and joint flexibility. Also, swimming is a wonderful selection as a result of it locations minimal stress on joints.

Applying chilly or warmth: Stiffness impacts many youngsters with juvenile idiopathic arthritis, significantly in the morning. Some youngsters reply properly to chilly packs, significantly after exercise. But, most kids want heat, reminiscent of a scorching pack or a scorching bathtub or bathe, particularly in the morning.

Eating on time and consuming properly: Some youngsters with arthritis have poor appetites. Children could achieve extra weight due to medicines or bodily inactivity; a nutritious diet might help preserve an applicable physique weight.”

Wrist ache amongst kids and adults


Talking about wrist ache, Dr Anup Khatri Consultant Orthopaedic Surgeon at Global Hospital, Mumbai shared that it’s prevalent in each kids and adults. “Recently, there has been a rise in individuals consulting for wrist and hand ache. It will be partly attributed to lockdown and enhance in work at home. During these occasions, due to lack of correct office/ tables at residence, fallacious placement of desktop or laptops leads to incorrect posture and might lead to numerous musculoskeletal pains. Wrist pains have been one of the main complaints with which younger professionals do current.

Also, throughout lockdown, doing each day family chores like cleansing, washing additionally will increase possibilities of getting wrist or hand pains. People current generally with ache in wrist, palms and fingers, stiffness, swelling or burning sensations or tingling in palm or fingers. If left unattended, it might additionally trigger lowered grip power.”

Adults and kids engaged on laptops or desktops ought to keep away from the following habits to scale back their possibilities of hand ache:

• Rapid, sustained, or extended keying

• Forceful keystrokes or exertions

• Prolonged mouse use

• Wrists bent again (prolonged) or ahead (flexed) for extend intervals

• Wrists angled to the aspect when utilizing aspect keys

• Wrists or palms resting for lengthy intervals on arduous floor

• Keyboard and mouse not positioned accurately

Due to fixed typing, set off finger could develop, which is irritation in the tendons or muscle tissues of fingers. Commonly seen in thumb and index fingers. Initially there may be solely ache, but when continued may cause issue in making fingers straight or locking of fingers.

Constant stress over wrists, due to use of keyboards can lead to stress over nerves in the wrist and lead to Carpal tunnel syndrome, in which there’s tingling, numbness in fingers and should finally trigger weak spot if left untreated.

For prevention:

a) Take frequent breaks from any sustained posture each 20-Half-hour

b) Respect pain- positions or cease painful exercise

c) Wrists as impartial as potential; secure zone for wrist motion is 15 levels in all instructions

d) Can use tender silicone gel pads for resting the wrist.

If experiencing any of the above, early Consultation might help to arrest progress by easy medicines or braces or workout routines, shares Dr Khatri.

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