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Dr. David
Dr. David, Board Certified Pediatrician
Category: Pediatrics
Satisfied Customers: 1281
Experience:  Board-certified pediatrician at children's hospital, former chief resident, multiple publications
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My 11 year old grandson complains of serious ankle pain and

Resolved Question:

My 11 year old grandson complains of serious ankle pain and other joint pain.
Primary doctor took xrays and said bones are too close to gether. Never seen it in a person that young before. He can's get in to see the pediatric orthopedic for several months. Soccer season will start soon. What could be the cause and what are the treatments?
Submitted: 4 years ago.
Category: Pediatrics
Expert:  Dr. David replied 4 years ago.

Hello and thank you for the post. I am sorry to hear that your grandson is having this problem.

 

Please understand that this is a little bit of an unusual description so I kindly need some more information: how long has this been going on? Where exactly is the pain? Is it the same on both sides or more predominant on one side? Does he have other symptoms like fever, rash, etc? Is there a family of autoimmune problems (please let me know if you need me to explain this)?

 

Please get back to me and I will give you some ideas. Thank you, XXXXX XXXXX

Customer: replied 4 years ago.

For several months.

No rash, fever, etc.

Both ankles hurt bad, plus other joints like knees.

He is adopted. We have no family medical history.

Expert:  Dr. David replied 4 years ago.

Thank you for the additional information.

 

In adults, especially older adults, when the bones look "too close together" on x-rays, we usually think of osteoarthritis (the kind of arthritis you get from years of use). Osteoarthritis in someone your grandson's age would be almost unheard of.

 

Therefore I am suspicious that there is something more going on here. I can't give you a definite diagnosis, but I would ask your grandson's pediatrician about doing some blood work (a blood count, sedimentation rate, Lyme titers etc) to make sure there is no information available there. If these are unhelpful, then I might suggest asking about seeing a rheumatologist (an expert in joints/inflammatory problems) because this sounds more like a systemic problem rather than a localized bone problem.

 

I hope this helps. Please let me know if I can help further. Best of luck and I hope he does great. Sincerely, XXXXX XXXXX

Dr. David, Board Certified Pediatrician
Category: Pediatrics
Satisfied Customers: 1281
Experience: Board-certified pediatrician at children's hospital, former chief resident, multiple publications
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