Should My Child See an Orthopedist After a Stair Fall? - Orthopedics

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When a child falls from a height, such as down a flight of stairs, it is natural for parents to be concerned about potential injuries, especially fractures or spinal injuries. In your case, your daughter fell approximately two to three steps, which is a significant height for a child, and it is wise to consider whether she should see an orthopedist.


Immediate Assessment
1. Observation of Symptoms: After a fall, the first step is to observe your child for any immediate symptoms. Look for signs of pain, swelling, bruising, or difficulty moving. If she is able to walk, move her limbs, and does not show signs of severe pain, that is a positive sign. However, some injuries may not present symptoms immediately, so close monitoring is essential.

2. Pain Level: If your daughter is complaining of pain, especially in the back, neck, or any limb, it is crucial to take her to a healthcare provider. Pain that persists or worsens over time may indicate a fracture or other injury that requires medical attention.

3. Neurological Symptoms: Be vigilant for any neurological symptoms such as numbness, tingling, weakness in the limbs, or changes in coordination. These symptoms could indicate a more serious injury, such as a spinal injury.


When to See an Orthopedist
- Persistent Pain: If your daughter continues to complain of pain after a couple of days, or if the pain increases, it is advisable to consult an orthopedist. They can perform a physical examination and may order imaging studies, such as X-rays, to rule out fractures.

- Swelling or Deformity: If there is visible swelling or deformity in the affected area, it is essential to seek medical attention. Deformities can indicate fractures or dislocations that need to be addressed promptly.

- Inability to Bear Weight: If she has difficulty walking or bearing weight on her legs, this is another sign that she should be evaluated by a medical professional.


Risk of Fractures and Spinal Injuries
While the risk of fractures from a fall of two to three steps is relatively low, it is not impossible. Children can sustain injuries due to falls, and the risk increases if they land awkwardly or if the fall involves a twisting motion.
- Common Fractures: The most common fractures in children from falls include wrist fractures (from trying to catch themselves), collarbone fractures, and occasionally, fractures of the leg or ankle.

- Spinal Injuries: Spinal injuries are less common but can occur, especially if the child lands on their back or neck. Symptoms of a spinal injury may include severe pain in the back, numbness, or weakness in the legs.


Conclusion
In summary, while your daughter may not need to see an orthopedist immediately if she is symptom-free, it is essential to monitor her closely for any signs of pain or discomfort. If any concerning symptoms arise, or if her condition does not improve, it would be prudent to consult an orthopedist for a thorough evaluation. Early intervention can help prevent complications and ensure proper healing. Always trust your instincts as a parent; if you feel something is not right, it is better to err on the side of caution and seek medical advice.