Posts for: May, 2012
A very distressing sight in a baby is when the side of a toenail is red and swollen. Added to that is that the nail appears to be ingrown. I see this most often at 6 weeks of age. Many times the parent has already taken the baby to the pediatrician and oral antibiotics hav been started. The worry begins when the problem does not get better or starts again after the antibiotics have run out. Most of the time I train the parents on how to apply a topical antibiotic and pull the skin away. Occasionally I need to trim the corner as well. Either way the parents are then instructed on how to prevent this problem in the future.
It happens all the time with children. They are playing a sport or just running around with their friends. An ankle twists and the child goes down in pain. The ankle may swell, become black and blue. The common symptom is pain mostly on the outside part of the ankle. An x-ray is taken and there is no fracture seen, and your child is diagnosed with an ankle sprain. Or is it? Growing children have a growth plate in the outside part of the ankle. Sometimes this plate shifts ever so slightly and causes significant pain. This pain is from a fracture not from a sprain ! Make sure when your child is diagnosed with a sprain, that is not a growth plate fracture called a Salter Harris fracture.