It's Not Just Growing Pains: A Guide to Childhood Muscle, Bone, and Joint Pain, Rheumatic Diseases, and the Latest Treatments

It's Not Just Growing Pains: A Guide to Childhood Muscle, Bone, and Joint Pain, Rheumatic Diseases, and the Latest Treatments

by Thomas J. A. Lehman M.D.
It's Not Just Growing Pains: A Guide to Childhood Muscle, Bone, and Joint Pain, Rheumatic Diseases, and the Latest Treatments

It's Not Just Growing Pains: A Guide to Childhood Muscle, Bone, and Joint Pain, Rheumatic Diseases, and the Latest Treatments

by Thomas J. A. Lehman M.D.

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Overview

Arthritis is usually considered a disease of older adults, but nearly 300,000 children in the United States suffer from some form of arthritis or rheumatic disease, such as juvenile arthritis (JRA), fibromyalgia, chronic fatigue, systemic lupus erythematosus, scleroderma, or Kawasaki disease. Yet until now very little information has been available to guide parents and doctors in properly diagnosing such children. Here is a readable, reliable guide to the common causes of bone, joint, muscle, and arthritis pain in children, designed to help parents and physicians understand these disorders, arrive at the proper diagnosis, and choose the most effective treatment. In this comprehensive resource, Dr. Thomas Lehman--the head of one of the most prestigious pediatric rheumatology programs in the world--offers easy-to-understand information on the causes, symptoms, tests, and treatments for a wide variety of rheumatic diseases and childhood pain. Dr. Lehman writes with great clarity, providing numerous case examples that illustrate the topic at hand and offering practical, down-to-earth advice. Equally important, he answers the questions that parents are most likely to ask: What should they observe in their children? What questions should they ask their doctor? Which tests are necessary? What risk factors should they be aware of? And how can they help their children cope with the social and psychological aspects of their illness. The book summarizes diagnostic tests, discusses the most effective medications, and discusses physical therapy, alternative therapy, and surgical options that are available. Clearly written, thorough, authoritative, and up-to-date, It's Not Just Growing Pains is the definitive resource available on the subject for parents and health care professionals, helping them to understand the children's pain and find the best available care.

Product Details

ISBN-13: 9780199727285
Publisher: Oxford University Press
Publication date: 05/20/2004
Sold by: Barnes & Noble
Format: eBook
File size: 831 KB

About the Author

Thomas J. A. Lehman, MD, FAAP, FACR, is Senior Scientist, Attending Physician, and Chief, Division of Pediatric Rheumatology, Hospital for Special Surgery, and Professor of Clinical Pediatrics, Weill Medical College of Cornell University. He is a fellow of both the American Academy of Pediatrics and the American College of Rheumatology and a member of the New York Academy of Medicine. He lives in New York City.

Table of Contents

Introductionxi
How to Use This Bookxv
Part IMy Child Complains of Pain
1Growing Pains? (The most common right and wrong answer!)3
2Figuring Out What's Wrong7
Taking and giving a history
The complete physical examination
Laboratory tests and other evaluations
3Common Causes of Pain20
Knee pain
Hip pain
Back pain
Neck pain
Foot, ankle, heel, and toe pain
Elbow, shoulder, wrist, and finger pain
4The Child Who Hurts All Over56
5Sports Injuries63
Part IIThe Rheumatic Diseases and Related Conditions
6Why Do Children Get Rheumatic Disease?79
7Juvenile Arthritis81
8Uveitis: Eye Complications of Juvenile Arthritis and Related Conditions113
9Spondyloarthropathies: Enthesitis-associated Arthritis117
Forms of spondyloarthropathies
Juvenile ankylosing spondylitis, and ankylosing spondylitis
Reactive arthritis: Infection-associated arthritis and Reiter's syndrome
Psoriatic arthritis
Arthritis associated with bowel disease
Miscellaneous conditions related to spondyloarthropathies
10Lyme Disease140
11Systemic Lupus Erythematosus149
12Mixed Connective Tissue Disease (MCTD)189
13Sjogren's Syndrome194
Children with dry eyes and dry mouth
14Raynaud's Phenomenon198
15Scleroderma203
16Dermatomyositis and Polymyositis221
17Kawasaki Disease231
18Benign Hypermobile Joint Syndrome and Ehlers Dahnlos Syndrome238
19Fibromyalgia and Chronic Fatigue Syndrome242
20Reflex Sympathetic Dystrophy, Reflex Neurovascular Dystrophy, and Complex Regional Pain Syndromes252
21Osteoporosis and Osteopenia257
Part IIILiving with A Child Who Has A Chronic Condition
22Medications and Immunizations263
23Alternative Medicine: Vitamins and Supplements315
24Understanding Laboratory and Diagnostic Tests324
25Reconstructive Surgery361
26Family Issues367
27Getting the Best Results for Your Child373
28What Else Can I Do?386
AppendixResources389
Glossary397
Index403
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