Addressing Frequent Falls and Growth Concerns in Young Children - Orthopedics

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Children frequently fall and have height issues?


Dear Dr.
Wang,
I have a five-year-old boy and a two-year-old girl.
My five-year-old son has frequently fallen while walking and running since he was little.
He often complains of leg fatigue while walking and has difficulty jumping high.
One of his feet has a slight inward turn, and he has congenital myopia (both eyes are -2.50).
There is a family history of flat feet, and he wears glasses for his vision, but he still falls often.
About a year or two ago, we consulted a doctor regarding his flat feet, and the doctor said it looked fine, with no ankle deformity.

My five-year-old son has consistently been below average in height and weight; he is currently about 100 cm tall and weighs 17 kg.
As for my two-year-old daughter, I have noticed that she has also been falling frequently while walking and running, but she has not yet had an eye examination (she cannot read the vision chart yet).

Could you please advise on how to address the frequent falling of both children and how to manage my son's height and weight issues? Thank you, Dr.
Wang.

Xiao Yi, 30~39 year old female. Ask Date: 2017/12/26

Dr. Wang Shouji reply Orthopedics


Hello: Based on your description, considering the short stature, frequent falls, and eye condition, I personally believe it is necessary to assess muscle strength.
If there is muscle weakness, neuromuscular diseases and hereditary cellular issues should be considered.
I recommend that a pediatric geneticist conduct an initial evaluation.

Reply Date: 2017/12/26

More Info


Addressing frequent falls and growth concerns in young children can be a multifaceted issue that requires careful consideration of various factors, including physical development, potential underlying medical conditions, and environmental influences.
Firstly, it's important to understand that frequent falls in young children, particularly in toddlers and preschoolers, can be quite common. Children at these ages are still developing their motor skills, balance, and coordination. However, if a child is falling excessively or seems to have difficulty with basic movements like walking or jumping, it may warrant further investigation.
In the case of your five-year-old son, who has a history of frequent falls, complaints of leg pain, and a family history of flat feet, it is essential to consider several aspects. The presence of flat feet can sometimes contribute to balance issues and may lead to discomfort during physical activities. While the previous evaluation indicated that his feet appeared normal, it may be beneficial to seek a second opinion from a pediatric orthopedic specialist or a podiatrist who can assess his foot structure and gait more thoroughly.
Additionally, the fact that he has a slight inward foot position (often referred to as "in-toeing") could also affect his balance and coordination. This condition is relatively common in young children and often resolves on its own as they grow. However, if it is severe or accompanied by other symptoms, further evaluation may be necessary.

Regarding your son's growth concerns, it is important to monitor his growth patterns over time. A height of 100 cm and weight of 17 kg for a five-year-old boy may be below the average range, but growth percentiles can vary widely among children. Regular check-ups with a pediatrician can help track his growth and determine if there are any underlying issues affecting his height and weight. Factors such as nutrition, genetics, and overall health play significant roles in a child's growth trajectory. Ensuring that he has a balanced diet rich in essential nutrients, including proteins, vitamins, and minerals, is crucial for supporting healthy growth.

For your two-year-old daughter, frequent falls may also be a normal part of her developmental stage, but it is essential to observe her closely. As she grows, her coordination and balance will improve. However, if you notice any concerning patterns, such as persistent difficulty in walking or an unusual gait, it would be wise to consult a pediatrician for further assessment.

In both cases, it is also important to consider environmental factors. Ensuring that your home is child-proofed and free of hazards can help minimize the risk of falls. Encouraging safe play and physical activities can also help improve their motor skills and confidence in movement.

Lastly, if you suspect any vision issues, particularly with your son who has a history of needing glasses, it would be prudent to have both children undergo a comprehensive eye examination. Vision problems can significantly impact a child's ability to navigate their environment safely and confidently.

In summary, while frequent falls and growth concerns can be concerning, they are often manageable with proper evaluation and intervention. Regular check-ups with healthcare professionals, attention to nutrition, and supportive environments can help address these issues effectively. If you have ongoing concerns, do not hesitate to seek further medical advice to ensure the well-being of your children.

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