Concerns About Neck Injuries in Children from Playful Lifting - Neurosurgery

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Cervical spine issues in children caused by pulling on the head?


Hello, doctor.
I would like to ask about an adult friend who, while playing with a 10-year-old child, held the sides of the child's head with their hands and lifted it up for 1-2 seconds before putting it down.
The child felt uncomfortable at that moment, but has not experienced any health issues since then.
However, the child is worried.
I would like to know if lifting someone by the head in this manner could cause any cervical spine or other issues.
Thank you.

Lucy, 30~39 year old female. Ask Date: 2023/11/08

Dr. Lai Zhaokang reply Neurosurgery


Hello: 1.
This is indeed a very dangerous action.
Please avoid it.
2.
Currently, if the child is observed for 2 weeks and shows no signs of altered consciousness or abnormal limb activity, it is likely that no harm has been done.
Best wishes to you all.
By Dr.
Lai Chao-Kang, Neurosurgery.

Reply Date: 2023/11/08

More Info


Lifting a child by the head, even in a playful manner, raises significant concerns regarding potential neck injuries and the overall safety of the child. While the child in this scenario did not report any immediate health issues following the incident, it is essential to understand the risks associated with such actions and the potential long-term implications.

First and foremost, the neck is a delicate structure that supports the head and protects the spinal cord. It consists of vertebrae, ligaments, muscles, and nerves that work together to allow for a wide range of motion. When lifting a child by the head, especially in a manner that exerts upward force, there is a risk of straining the neck muscles or ligaments, which can lead to discomfort or injury. In more severe cases, such actions could potentially result in cervical spine injuries, which may not present immediate symptoms but could have long-term consequences.

In children, the neck is particularly vulnerable due to their developing musculoskeletal system. Their bones are still growing, and the ligaments and muscles may not be as strong as those in adults. This makes them more susceptible to injuries from sudden or unusual movements. Even if the child did not experience pain or discomfort immediately after the incident, it is crucial to monitor for any delayed symptoms that may arise in the following days or weeks.

Parents and caregivers should be vigilant for signs of potential neck injuries, which may include:
1. Pain or Discomfort: Any complaints of neck pain or discomfort should be taken seriously. Children may not always articulate their feelings clearly, so observing their behavior is essential.

2. Limited Range of Motion: If the child has difficulty turning their head or moving their neck, this could indicate an injury.

3. Neurological Symptoms: Watch for signs such as numbness, tingling, weakness in the arms or legs, or changes in coordination. These symptoms could suggest nerve involvement and warrant immediate medical attention.

4. Behavioral Changes: If the child becomes unusually irritable, lethargic, or exhibits changes in their normal behavior, it may be a sign of an underlying issue.

5. Headaches or Dizziness: These symptoms can sometimes be associated with neck injuries, especially if they occur after a physical incident.

In terms of prevention, it is advisable to avoid lifting children by the head or neck in any playful context. Instead, consider safer ways to engage with children, such as lifting them under their arms or supporting their back. Educating both adults and children about safe play practices can significantly reduce the risk of injury.

If there are any concerns about a child's neck or overall health following such an incident, it is always best to consult a healthcare professional. They can perform a thorough evaluation and, if necessary, recommend imaging studies such as X-rays or MRIs to rule out any serious injuries.

In summary, while the child in this scenario did not experience immediate health issues, the act of lifting a child by the head poses risks that should not be overlooked. Continuous monitoring for any signs of discomfort or injury is essential, and adopting safer play practices will help ensure the well-being of children during playful interactions. Always prioritize safety and seek medical advice when in doubt.

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