Conditions We Treat

Achilles Tendonitis

Achilles tendonitis is an injury of the Achilles tendon (back of ankle). This tendon, sometimes called the ‘heel cord’, attaches the calf muscle to the heel. It is important for standing on your toes or for push-off during walking, running or jumping.

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Ankle Sprain

An ankle sprain is a torn or stretched ligament in the ankle. Signs of an ankle injury include pain, swelling and tenderness in the ankle that may spread to the whole ankle and foot, and trouble walking.

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Anterior Cruciate Ligament (ACL) Tear

An anterior cruciate ligament (ACL) tear is a sprain of one of the four major ligaments of the knee. The ACL is a rope-like structure that helps maintain the normal position of the femur (thigh bone) and the tibia (leg bone).

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Avulsion Fracture of the Iliac Crest

Avulsion fractures occur when a small piece of bone is separated from the main bone due to the pull of the muscle and tendon attached to it.

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Avulsion Fractures of the Ischial Tuberosity of the Pelvis

Avulsion fractures occur when a small piece of bone is separated from the main bone due to the pull of the muscle and tendon attached to it. This typically occurs in a growing bone which is weaker than a developed bone.

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Back Sciatica

The sciatic nerve is the longest nerve in the body. It runs from the lower back through the hips and down each leg. The sciatic nerve provides sensation and muscle innervation to the back of the thigh, lower leg, ankle and foot.

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Biceps Tendonitis and Tenosynovitis (Distal)

Distal biceps tendonitis is pain at the front of the elbow and upper arm caused by inflammation (swelling) of the biceps tendon. Tenosynovitis (ten-oh-sine-oh-VIE-tis) is inflammation of the tendon sheath (lining) that surrounds the biceps tendon.

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Cradle Cap

Seborrheic dermatitis, also known as cradle cap, is very common in infants and children. It appears as scaly, itchy, white, yellow or red patches. It most often appears on the scalp but can also be found on the face, ears, or in body folds such as under the arms and behind the knees.

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Elbow Dislocation

The elbow joint is made up of 3 bones – 1 upper arm bone (humerus) and 2 forearm bones (ulna and radius). An elbow dislocation is an injury to the elbow joint that causes the humerus and ulna to be moved from their normal spot, so they no longer fit together. 

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Femoral Anteversion

Femoral anteversion (feh-mr-uhl an-ti-vur-zhn) is an inward turn of the thigh bone (femur) which can cause the knees and toes to point in (pigeon toed). Femoral anteversion can be seen in one or both legs. It is often most clear when children are 5 to 6 years old.

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Greater Trochanter Bursitis

A bursa is a fluid-filled sac, like a water balloon. It reduces rubbing between the bone and the surrounding soft tissue, like muscles, ligaments, and tendons. Bursitis occurs when there is swelling and pain in a bursa.

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Growth Plate Injuries

The physis, or growth plate, is an area of growing bone near the ends of long bones. Bones grow longer from the tissue produced by the physis and then harden.

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Hip Flexor Strain

The hip flexor muscles are in the front of the thigh. They are made up of the iliopsoas (i-lee-uh-sow-uhs), sartorius (saar-taw-ree-is), and rectus femoris (rek-tuhs feh-mr-uhs) muscles. They allow the hip to lift up, or flex. Muscle attaches to bone via a tendon.

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Hip Pointer (Iliac Crest Contusion)

A hip pointer is a bruise to the bone on the side of the hip called the iliac crest. It is usually from a direct hit to the hip. Bruises cause bleeding from small blood vessels that split, allowing blood to leak into the muscles, tendons, or other soft tissues.

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Iliac Apophysitis

Iliac apophysitis (uh-paa-fuh-sai-tuhs) is pain and swelling (inflammation) of the growth plate along the side of the hip (iliac crest). The growth plate is an area of weakness, and injury to it occurs because of repeated stress or forceful exercise.

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Labral Tear of Hip

The labrum is a piece of cartilage that lines the socket (acetabulum) of the hip joint. It provides strength and cushions the hip joint. A tear in the labrum can result from injury, repeated wear-and-tear to the hip joint, or from a bony deformity (impingement) in the hip joint.

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Lateral Epicondylitis (Tennis Elbow)

Lateral epicondylitis, or tennis elbow, is an injury to the outer side of the elbow where the muscles and tendons attach to the bone. The muscles or tendons of the forearm that pull your wrist back (extend the wrist) get damaged.

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Lateral Malleolus Avulsion Fractures

Avulsion fractures are breaks or splits in the bone.

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Lisfranc Injury

A Lisfranc injury occurs when the ligaments in the middle part of the foot are sprained. That causes some of the foot bones to move out of position. It may or may not involve a break (fracture) of the bones.

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Little Leaguer's Elbow

Little leaguer’s elbow is an injury to the medial epicondylar growth plate of the inner elbow. The growth plate is a weak area. Injury to it occurs due to repeated stress.

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Lumbar Facet Syndrome

The facet joints are the links between the bones of the spine. They allow the spine to bend and twist and keep the back from slipping too far forward or twisting too far. Injury to one or more of the facet joints can cause pain and irritation known as lumbar facet syndrome.

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Lumbosacral Transitional Vertebra (LSTV)

The lumbar spine (low back) normally has 5 vertebral bones that attach to the sacrum (bone at the bottom of the spine). The lumbosacral spine supports the majority of the body’s weight and protects the primary nerves that arise from the spinal cord.

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Medial Epicondylitis (Golfer's Elbow)

Medial epicondylitis, or golfer’s elbow, is an injury to the inner side of the elbow where the muscles and tendons attach to the bone. The muscles and tendons of the forearm that bring your wrist down (extend the wrist) get damaged.

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Meniscus Tear

The meniscus is a C-shaped structure in the knee that acts as a shock absorber between the thigh bone (femur) and the shin bone (tibia). The meniscus can tear due to a blow to the knee, twisting, pivoting, kneeling, squatting or fast change in running direction.

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Menstrual Dysfunction in the Athlete

Many things can cause changes in hormone levels. These changes can lead to irregular or missed periods, especially in athletes.

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Metatarsal Stress Fracture

A metatarsal stress fracture is a break in the foot which involves one or more of the long foot bones (metatarsals). It is caused by intense exercise or repeat pressure on the foot.

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Metatarsalgia

Metatarsalgia (met-uh-tahr-sal-juh) refers to pain in the ball of the foot (metatarsal heads). This is the part of the foot where you push off when walking or running. This pain can occur in one or more of the toes. It usually involves the second and third toes.

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Mid-Back Strain

A mid-back strain is an injury to the muscles and ligaments of the middle back that attach to the ribs, chest wall and the thoracic spine. 

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Morton's Neuroma

Morton’s neuroma is a nerve disorder in the foot. It causes pain and loss of feeling between 2 toes. It is caused by thickening of the tissue around the nerve (interdigital nerve) between the metatarsal bones of the foot, near the toes.

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MRSA Infection in the Community (Methicillin Resistant Staphylococcus Aureus)

Staphylococcus aureus often simply called "staph," are common bacteria. In the United States, staph germs are some of the most common causes of skin infections.

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Osteitis Pubis

Osteitis pubis (Aa-stee-ai-tuhs Pyoo buhs) is an overuse injury at the front of the hip at the symphysis pubis joint. The symphysis pubis connects 2 of the main bones of the pelvis. The symphysis pubis is made up of the pubic bones, cartilage, a joint capsule, and joint fluid.

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Osteochondritis Dissecans of the Capitellum (OCD)

Osteochondritis dissecans of the capitellum (OCD) is a condition that affects the outside surface of the elbow that involves a separation of a segment of cartilage and the underlying bone. The bone underneath the joint’s cartilage is damaged due to lack of blood flow, causing pain.

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Pelvic Apophysitis

Apophysitis (uh-paa-fuh-sai-tuhs) is pain and swelling (inflammation) of a growth plate that has a muscle attached to it and can happen in many locations throughout the body. The growth plate is an area of weakness and is prone to injury.

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Pes Planus

Pes planus, also known as flat feet, is when the foot’s arch is lowered or flattened out. Some people have an arch when their foot is not in contact with the ground, but when they put their foot on the ground with weight, their arch goes away.

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Piriformis Syndrome

Piriformis (pee-ruh-for-muhs) syndrome is a rare condition in the back of the hip, causing pain and sometimes loss of feeling in the back of the thigh. Pain often goes down to the bottom of the foot.

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Plantar Fasciitis

Plantar fasciitis (plan-taar fa-shee-ai-tus) occurs when there is pain and stiffness of the main fascia (a fibrous connective tissue) on the bottom of the foot. The plantar fascia connects the heel bone to the toes and gives the arch of the foot support.

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Sacrococcygeal Teratoma (SCT)

Sacrococcygeal teratoma (SCT) is a tumor that forms on a fetus’ tailbone, also called the coccyx. The tumors are usually not cancerous (benign) but can be life-threatening if not treated. SCT is rare, occurring in about 1 in 35,000-40,000 births. They are more common in males than females.

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Sacroiliac (SI) Joint Dysfunction

The sacroiliac (SI) joint connects the hip and pelvis with the lower spine. SI joint dysfunction is a condition with pain experienced anywhere in the lower back, hips, buttocks and sometimes lower legs. 

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Sacroiliitis

Sacroiliitis is the swelling (inflammation) of either one or both of the sacroiliac (SI) joints. 

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Safer Sex Guidelines for Teens

The only safe sex is no sex, most healthcare providers say. But certain precautions and safe behaviors can reduce a person's risk of contracting a sexually transmitted infection.

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Safety and Injury Prevention for Teens

Detailed information on safety and injury prevention for teens

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Safety for You and Your Child

You can help your child by being prepared and preventing injuries from happening. It is important to take charge of your child's health and follow a program designed to help you and your family stay healthy and safe.

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Sarcoma

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Sarcomas of Bone

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Scabies

Scabies is a skin condition caused by a mite.

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Scabies in Children

Scabies is an infestation of tiny bugs called mites on the skin. It causes a small red rash and intense itching. This infection is very contagious. It often spreads from child to child while children are sleeping together in the same bed or have close personal contact.

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Scaphoid Fracture

The scaphoid is one of 8 carpal bones located in the wrist. A scaphoid fracture is a break of the scaphoid bone.

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Scaphoid Fractures

The wrist is made up of eight bones. The wrist bone below the base of the thumb is known as the scaphoid bone. A fracture (break) of this bone can happen when a person falls onto the outstretched hand.

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Scarlet Fever in Children

Scarlet fever is an infectious disease that causes a rash. It is caused by the same kind of bacteria that cause strep throat.

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Scheuermann's Disease

Scheuermann’s disease is a condition of the mid-back related to the shape of the vertebrae and the curve of the spinal column. Normally, vertebrae are about the same size and rectangular-shaped. With Scheuermann’s disease, the vertebrae become wedge-shaped and a person’s posture may change. 

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Schizophrenia in Children

Schizophrenia is a serious mental illness. It is a long-lasting and disabling problem of the brain. A child with this disorder has unusual behavior and strange feelings.

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Schmorl's Nodes

A Schmorl’s node is a bulge (protrusion) of the jelly-like contents of the vertebral disc into the growth cartilage of bone (vertebra) above or below the disc. 

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School Refusal

There are many reasons why a child would feel anxious and not want to go to school. Read on to learn more about school refusal.

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School-Age (6 to 12 Years)

Detailed information on the school-aged child, ages 6 to 12 years

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School-Based Occupational Therapy

School-based occupational therapy is a type of help given to children at school to help them be more successful.

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Scleroderma in Children

Scleroderma is an ongoing (chronic) disease that causes abnormal growth of connective tissue. It can affect the joints, skin, and internal organs. It is degenerative and gets worse over time.

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Scoliosis

Scoliosis is a condition where there is an abnormal curve of the spine. Most cases are idiopathic, meaning there is no known cause. However, some cases are related to neurological conditions or seen in children with birth defects.

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Scoliosis

Scoliosis (skoe-lee-OH-sis) is a deformity of the spine which results in a rotation and curve of the spine.

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Scoliosis in Children

Scoliosis is a deformity of the backbone (spine). It's when the spine has a side-to-side curve. The curve of the spine measures 10° or more.

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Scrotal Swelling in Children

Scrotal swelling is a common problem in baby boys and young boys. It can have many causes. These are often divided into painless and painful scrotal swelling.

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Sealants

Dental sealants are thin, plastic films painted on the chewing surfaces of the molars and premolars. They are highly effective in preventing tooth decay.

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Second Trimester Prenatal Screening Tests

Screening is usually performed by taking a sample of the mother's blood between the 15th and 20th weeks of pregnancy (16th to 18th is ideal).

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Second-Degree Burn in Children

A burn is damage to tissues of the body caused by contact with things such as heat, radiation, or chemicals. A second-degree burn affects the outer layer of skin (epidermis) and part of the inner layer of skin (dermis).

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Seizure Care

Activity in the brain is controlled by electrical impulses. If these electrical signals are not sent in the right order or at the proper rate, seizures can occur.

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Seizures - Generalized

Seizures occur when nerve cells in the brain send out sudden, excessive, uncontrolled electrical signals. Generalized seizures occur when nerve cells in both sides of the brain are involved at the same time

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Seizures and Epilepsy in Children

A seizure occurs when part(s) of the brain receives a burst of abnormal electrical signals that temporarily interrupts normal electrical brain function.

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Seizures: Focal (Partial)

Seizures occur when nerve cells in the brain send out sudden, excessive, uncontrolled electrical signals. The way the child acts during a focal seizure depends on the area of the brain that is affected. There are two types of partial seizures: simple partial seizures and complex partial seizures.

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Seizures: Infantile Spasms

Infantile spasms are seizures that often cause a delay in development. This means that your child may not have the same skills or behave the way other infants do at the same age. It is important to start treatment as soon as possible.

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Seizures: Premature Infant

When electrical impulses are sudden, excessive, and out of control, a seizure can occur.

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Selective Dorsal Rhizotomy for Cerebral Palsy

Selective dorsal rhizotomy (SDR) is a type of spine surgery that’s done to reduce muscle tightness and spasms in the legs of children with cerebral palsy.

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Selective Mutism

Selective mutism is a rare condition when a child can’t speak in certain settings, but can speak fine in others. It can cause problems with school and social situations.

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Separation Anxiety

Separation anxiety usually begins around 6 months of age. Babies may suddenly be afraid of familiar people, such as babysitters or grandparents.

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Separation Anxiety Disorder in Children

Learn details about separation anxiety disorder in children, including causes, symptoms, diagnosis, and treatment.

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Sepsis in the Newborn

Newborn sepsis is a severe infection in an infant younger than 28 days old. The infection is in your baby’s blood. But it may affect any body system or the whole body.

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Septic Arthritis (Infectious Arthritis) in Children

Septic arthritis is an infection in the joint fluid (synovial fluid) and joint tissues. It occurs more often in children than in adults.

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Septoplasty for Children

Septoplasty is surgery to fix a septum. The septum is the wall that divides your child's nose into two sides. It is made of soft cartilage and bone and is covered with a mucous membrane. A deviated septum is when the septum is not in the middle.

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Sesamoid Stress Fracture

A sesamoid stress fracture is an overuse injury of the sesamoid bones in the foot. Sesamoid bones are bones that develop in the tendons. 

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Sever Disease in Children

Sever disease occurs when a tendon in 1 or both of your child's heels becomes injured and inflamed.

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Severe Acute Respiratory Syndrome (SARS) in Children

Severe acute respiratory syndrome (SARS) is a viral illness. It is very contagious and can spread quickly. It can cause mild illness, severe illness, or death.

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Severe Combined Immune Deficiency

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Severe Combined Immunodeficiency (SCID) in Children

SCID is a very rare disease that can be deadly. It causes a child to have a very weak immune system. Read on to learn details about SCID such as causes, symptoms, diagnosis, and treatment.

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Sever's Disease

Sever’s disease is a painful condition of the heel that occurs in growing children. It happens when the tendon that attaches to the back of the heel pulls on the growth plate of the bone of the heel.

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Sexual Abuse

Sexual abuse is any act of a sexual nature upon a child.

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Sexually Transmitted Diseases in Adolescents

A detailed look at STIs and teens, from protection and treatment to different types of STIs.

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Sexually Transmitted Infections (STIs)

Sexually transmitted infections can be spread when a person is exposed to blood, skin, semen, vaginal fluids, or other bodily fluids that have a virus, bacteria, or parasite during sexual contact. 

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Seymour Fractures

Seymour (SEE moor) fractures are usually the result of a crush injury. This often happens during sports, such as when a ball hits the end of the finger. The joint nearest the end of the finger is hurt as well as the nail.

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Shellfish Allergy Diet for Children

Detailed information on a shellfish food allergy, including how to read a label for a shellfish-free diet and how to safely eat at a restaurant.

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Shin Splints

Shin splints are a painful condition that affects the front and/or sides of the lower leg.

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Shingles

Shingles is an infection caused by the same virus that causes chickenpox.

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Shingles (Herpes Zoster) in Children

Shingles (herpes zoster) is a painful skin rash. It’s caused by the varicella-zoster virus (VZV). This is the same virus that causes chickenpox.

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Short Bowel Syndrome

Short bowel syndrome is exactly what the name sounds like - a condition in which the bowel is too short generally due to surgical resection.

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Short Bowel Syndrome in Children

Short bowel syndrome is when the body has trouble absorbing nutrients from food because of a problem with the small intestine. It often happens to children who have had a large part of their small intestine removed. This complex condition can be life-threatening in some babies and children.

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Shoulder Injuries

The shoulder is made up of three bones: the scapula (shoulder blade), the humerus (upper arm bone), and the clavicle (collarbone). The head (or top) of the humerus rests in a socket of the scapula called the glenoid. A soft rim of tissue called the labrum lines this socket.

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Shoulder Sprain

A shoulder sprain is a stretching or tearing of the Acromioclavicular (AC) ligament. This is located where your collar bone and shoulder meet, often called the AC joint.

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Shprintzen Sydrome

Shprintzen Sydrome is also known as 22q11.2 deletion syndrome.

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Sialorrhea (Drooling)

Sialorrhea, also known as hypersalivation or drooling, means excessive saliva flow. Anterior sialorrhea is when patients have forward spillage of saliva from their mouths onto their faces and clothes. Posterior sialorrhea is when patients have spillage of saliva from their mouths down their airways.

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Sickle Cell Disease (SCD) and Acute Chest Syndrome (ACS)

Sickle cell disease is an inherited blood disorder. Acute chest syndrome is a group of symptoms that occurs when sickled cells clump together in the lungs.

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Sickle Cell Disease and Pregnancy

How sickle cell disease affects pregnancy depends on whether you have sickle cell disease or sickle cell trait. Read on to learn more.

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Sickle Cell Disease and Spleen Crisis

Sickle cells can block the blood vessels leading out of the spleen. When this happens, blood stays in the spleen instead of flowing through it. This causes the spleen to get bigger, and the blood counts to fall.

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Sickle Cell Disease in Children

Sickle cell disease is an inherited blood disorder that is present at birth. Children with SCD make an abnormal type of hemoglobin. This is the protein in red blood cells that carries oxygen to all parts of the body.

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Sickle Cell Trait

A person with sickle cell trait inherits one gene to make normal hemoglobin and another gene to make some sickle cell hemoglobin. Hemoglobin is the part of the red blood cell that carries oxygen to different parts of the body. Sickle cell trait is not a disease and will never turn into a disease.

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Signs of Problems in Speech, Language, and Hearing Development:

Detailed information on speech, language, and hearing problems during development

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Signs of Respiratory Distress in Children

Detailed information on the signs of respiratory distress in children

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Single Gene Defects

Detailed information on single gene defects and patterns of inheritance

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Sinusitis

Sinusitis is a general term that indicates inflammation in the sinuses.

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Sinusitis in Children

Sinusitis is an infection of the sinuses. These infections usually happen after a cold or with allergies. Here's what you need to know.

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Skin Cancer in Children

Skin cancer is a type of cancer that grows in the cells of the skin. It can spread to and damage nearby tissue and spread to other parts of the body. Skin cancer is rare in children.

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Skin Color Changes

The color of a baby's skin can often help identify possible problems in another area of the body. Here are some skin color changes to be aware of.

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Skin Injury in Children

Detailed information on skin injuries, including blisters, burns, sunburn, and bites

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Skull Base Rhabdomyosarcoma in Children

Rhabdomyosarcoma is a type of cancer. It starts in cells that grow into skeletal muscle cells. The cells are called rhabdomyoblasts. Skeletal muscles are the muscles that move the body. The cancer is most common in children younger than age 10.

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Sleep

Detailed information on healthy sleep habits of children, including information on nightmares and night terrors

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Sleep Apnea

A sprain is an injury to a ligament, or band of tough, elastic-like tissue that connects bone to bone and holds a joint in place. 

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Sleep Terrors and Sleepwalking

Sleep terrors and sleepwalking are related disorders of sleep that usually go away by the teen years. Sleep terrors are not the same as nightmares. Nightmares are bad dreams the child often clearly remembers the next day. 

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Slipped Capital Femoral Epiphysis

Slipped Capital Femoral Epiphysis (SCFE) is defined as the femoral neck and femoral shaft (top portions of the femur) moving either posteriorly (back), anteriorly (forward) or laterally (to the side) away from the femoral epiphysis and acetabulum (the ball portion of the femur). A SCFE can be either unilateral (one side) or bilateral (both sides).

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Slipped Capital Femoral Epiphysis (SCFE)

Slipped Capital Femoral Epiphysis (SCFE) is a hip disorder that involves the epiphysis (eh PIFF I siss). This is the growing portion or ball on the top part of the femur (thigh bone).

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Slipped Capital Femoral Epiphysis (SCFE)

Slipped Capital Femoral Epiphysis is a hip injury that involves the growth plate (physis) of the thigh (femur) bone. This injury occurs when the neck of the femur (metaphysis) moves in relation to the ball on the top part of the femur (epiphysis).

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Slipped Capital Femoral Epiphysis in Children

Slipped capital femoral epiphysis (SCFE) is a condition of the hip joint that affects children. In SCFE, the ball of the thighbone (femoral head) slips off the neck of the thighbone.

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Slow or Poor Infant Weight Gain

Are you concerned that your little one has slow or poor weight gain? Unsure? This article will help you sort out your questions and concerns.

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Small Cuts and Scrapes

Wash the cut area well with soap and water, but do not scrub the wound. A dirty cut or scrape that is not thoroughly cleaned can cause scarring.

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Small for Gestational Age

Small for gestational age is a term used to describe babies that are smaller than normal for the number of weeks of pregnancy. These babies have birth weight below the 10th percentile. This means they are smaller than many other babies of the same gestational age.

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Smoking

Ninety percent of new smokers are children and teenagers. In many cases, they are replacing the smokers who quit or died prematurely from a smoking-related disease.

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Snakebites in Children

Both venomous and nonvenomous snakes can bite. It's important to treat all snakebites as if they are venomous. Here's what you need to know.

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Snapping Hip Syndrome

Snapping hip syndrome is caused by tendons snapping over bony bumps (prominences) in the hip.

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Snapping Hip Syndrome

Snapping hip syndrome is a condition in which you may sense something catching or hear a popping sound or click in your hip when your hip joint moves. If you put your hand over the hip area, you might feel or even see the snap happen when walking, running, bending or getting up from a sitting position.

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Sodium and Fluid Restriction for Children with Kidney Failure

Detailed information on controlling sodium in your child's diet.

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Soft Tissue Sarcomas

Soft tissue sarcomas start as painless lumps or swellings, but they are cancerous tumors. They occur most commonly in the arms, legs, chest and abdomen in children.

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Sore Nipples

Read on to learn about possible causes and treatment for sore nipples when breastfeeding.

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Sore Throat (Viral)

Two different germs cause sore throats – viruses and bacteria. They are both contagious and easily spread to others. The germs hang out in the nose and throat. When the infected person coughs, sneezes, or talks, the germs go into the air. They are then breathed in by others.

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Soy Allergy Diet for Children

When your child has a soy allergy, they can't have any foods containing soy. Read on for detailed information on how to manage a soy-free diet. This includes how to read food labels, other possible sources of soy, and tips when eating out.

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Spasticity

Spasticity is a muscle control disorder that involves tight or stiff muscles and an inability to control those muscles. Spasticity affects about 80 percent of people with cerebral palsy and can make normal movement, speech and walking difficult. It can also affect people with traumatic brain injury.

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Speech Sound Disorders in Children

A speech sound disorder means that a child has trouble saying certain sounds and words past the expected age. This can make it hard to understand what a child is trying to say. Read on to learn about causes, risks, and treatments for these disorders.

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Spina Bifida and Myelomeningocele

Spina bifida is a type of neural tube defect, which is a problem with the spinal cord or the structures that cover it.

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Spina Bifida in Children

Spina bifida is a birth defect that causes problems with the spine, spinal cord, and the surrounding nerves.

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Spinal Cord Tumor

Spinal cord tumors are growths that develop within the spinal canal or the bones of the spine. They can cause pain, loss of sensation, and muscle weakness. Treatment options include surgery, radiation therapy, and chemotherapy.

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Spinal Injury

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Spinal Muscular Atrophy

Spinal muscular atrophies (SMA) are a group of genetic (passed down by parents) diseases that affect motor neurons (nerve cells) in the spinal cord, causing the weakening of voluntary muscles (muscles that you control).

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Spinal Muscular Atrophy in Children

Spinal muscular atrophy (SMA) is a disease of the nerves and muscles caused by certain genes. It causes muscle wasting and weakness.

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Spinal Tap (Lumbar Puncture) for Children

A spinal tap (lumbar puncture) is a test that checks the health of the cerebrospinal fluid (CSF). CSF is a fluid that surrounds the brain and spinal cord. The test also measures the pressure in the spinal canal.

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Spinous Process Apophysitis

Spinous process apophysitis is an injury to an apophysis in the low back.

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Spleen Injury

This Helping Hand™ covers spleen injuries. Due to where the spleen is in the body and its size, it can get injured easily. Learn what to expect if your child has a spleen injury.

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Splinters

A splinter is a sharp sliver of wood, glass, or other debris that is lodged underneath the skin. Removal of small, superficial splinters can usually be done at home. Read on to learn how.

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Spondylolisthesis

Spondylolisthesis is the slippage of one or more of the bones of the spine (vertebra) from its correct position. There are many causes for the slippage, but most cases are due to overuse.

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Spondylolysis

Spondylolysis is a stress fracture of the vertebrae (back bones). The fracture does not involve the main weight-bearing part, or body of the vertebrae.

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Spondylolysthesis/Spondylolysis

Spondylolysthesis and Spondylolysis are common causes of low back pain in adolescents.

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Spontaneous Pneumothorax

This Helping Hand™ covers a spontaneous pneumothorax, which usually happens when a weak part of the lung is leaking air. These areas are like blisters on the lungs, called blebs. They can burst and leak air into the pleural space.

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Sports and Children with Special Needs

Children with special needs are sometimes not encouraged to exercise, because their parents or guardians fear they'll be injured. But physical activity is as important for children with special needs as it is for any child.

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Sports Injuries and Children

Detailed information on sports injuries in children, including overuse injuries, sprains, strains, and heat-related illnesses

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Sports Medicine Chronic Ankle Instability

Chronic ankle instability (CAI) is repeated giving out of the ankle. CAI can be both functionally unstable and mechanically unstable.

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Sports Medicine: Adductor Muscle Strain

Adductors are a group of muscles that go from the pelvic bone down to the inner thigh and knee. These muscles allow the hip and leg to move inward across the body and steady the trunk. An adductor strain is an injury to one of these muscles.

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Sports Medicine: Ankle Dislocation or Subluxation

The ankle joint is made up of two lower leg bones and a foot bone. A dislocation is an injury to a joint causing the bones to no longer meet together correctly. In the ankle, this can occur when the talus no longer is in position with the tibia and fibula. A subluxation is a partial dislocation.

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Sports Medicine: Anterior Ankle Impingement

Anterior ankle impingement is pain and pinching of bone, soft tissue or scar tissue at the front of the ankle. This can happen after a new or old injury.

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Sports Medicine: Anterior Tibialis Tendonitis

Anterior tibialis tendonitis is an injury of the anterior tibialis tendon in the front of the ankle where it meets the foot. The tendon is important in pulling the foot up (dorsiflexion), lifting the foot off the ground while running, and in turning the foot inward (inversion).

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Sports Medicine: Cervical Strain and Sprain

A cervical strain or sprain is an injury to the muscles or ligaments in the back of the neck.

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Sports Medicine: Degenerative Disc Disease

Degenerative disc disease is the slow breakdown of one or more intervertebral discs.

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Sports Medicine: Deltoid Ligament Sprain

The deltoid ligament is a triangle-shaped ligament on the inner ankle which is stronger and more compact than the outer ligaments. Deltoid injuries are very rare and most happen with eversion or along with a high ankle sprain.

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Sports Medicine: Herniated Disc

A herniated disc is a condition that affects the spine. A disc has a tough outside shell and jelly-like center. A herniated disc occurs when the jelly-like contents of the disc leak out.

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Sports Medicine: High Ankle Sprain

A high ankle sprain is the stretching and/or tearing of the ligaments that connect the shin bones just above the ankle. High ankle sprains are less common than other ankle sprains and typically more severe.

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Sports Medicine: Kyphosis and Lordosis

Kyphosis and lordosis refer to the natural curves of the spine in the mid-back and low back. Sometimes these curves can be larger than normal which can lead to pain.

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Sports Medicine: Lateral Collateral Ligament Sprain

The lateral collateral ligament (LCL) is one of the 4 major ligaments of the knee. The LCL helps connect the thigh bone (femur) to the smaller shin bone (fibula) on the outside of the knee. The LCL stops the knee from buckling outward.

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Sports Medicine: Low Back Strain/Sprain

The low back is a complex structure of bone and muscle that is supported by cartilage, tendons, ligaments, and fed by a network of blood vessels and nerves. Certain motions, such as bending, twisting or lifting, can sometimes lead to a low back strain or sprain.

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Sports Medicine: Osgood Schlatter Disease

Osgood-Schlatter disease is an inflammation (swelling) of the growth plate of the leg just below the knee at the tibial tubercle (the bump below the kneecap).

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Sports Medicine: Patellofemoral Pain Syndrome (PFS)

Patellofemoral Pain Syndrome is pain in the knee due to increased pressure between the kneecap and the thigh bone. Usually a result of poor alignment or sudden growth spurts, this pain may also come from an injury to the knee.

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Sports Medicine: Posterior Tibialis Tendonitis

Posterior tibialis tendonitis is an injury of the posterior tibialis tendon in the back of the inner ankle.

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Sports Medicine: Salter-Harris Fracture-Type I of Distal Fibula

A Salter-Harris type 1 fracture is the mildest type of fracture that can occur to a growth plate.

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Sports Medicine: Sever's Disease

Sever’s disease is a painful condition of the heel that occurs in growing children.

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Sports Medicine: Shoulder Impingement Syndrome

Impingement syndrome is pain in the shoulder caused by pinching of the rotator cuff muscles beneath the edge of the shoulder blade (acromion).

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Sports Medicine: Sports Hernia

A sports hernia is a complex injury to the soft tissues (muscles, tendons, and ligaments) in the lower belly (abdomen) and groin. This is where the stomach muscles join the pelvis. It can occur with a single event, but more often the injury occurs gradually over time.

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Sports Safety for Children

Because they are still growing, children are more susceptible to sports injuries. Half of those injuries could be prevented with proper safety gear, safer playing environments, and established safety rules.

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Sports Safety for Teens

Detailed information on sports safety

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Sports Safety—Identifying High-Risk Situations

Playing sports has many benefits for a child. But the correct safety measures need to be taken. Read on to learn more.

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Sprains

There are three types of sprains, which range from mild (Grade I) to severe (Grade III).

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Sprains and Strains in Children

Sprains and strains are types of injuries. A sprain is an injury to a ligament while a strain is an injury to a muscle or tendon.

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Stages of Play

Children go through distinct stages of play as they grow. Each stage is critically important to the development of the next.

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Staphylococcus - Scalded Skin Syndrome (SSSS)

Staphylococcus-Scalded Skin Syndrome is a skin infection caused by a bacteria called Staphylococcus aureus. This infection produces a toxin that can affect skin all over the body.

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Stomach and Duodenal Ulcers in Children

Read on for details about stomach and duodenal ulcers in children. Learn about causes, risk factors, symptoms, diagnosis, and treatment.

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Storing Your Breastmilk

A helpful look at practical and health considerations when storing your breastmilk.

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Straddle Injury/Genital Trauma

A straddle injury (genital trauma) occurs when a female hits the vulva or perineum (external female genitalia) on an object and the force generated by the weight of her body causes an injury. This can occur during a fall or accident.

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Strains

A strain is an injury to a muscle or tendon, the tough fibrous tissues that connects muscle to bone.

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Strep Throat (Bacterial)

Most sore throats are caused by viruses. Strep throat is a contagious sore throat that comes on suddenly and is caused by bacteria (germs) called streptococci, or strep for short. Antibiotic medicine must be given as soon as possible to prevent the strep germs from spreading in the body.

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Stress Fracture

A fracture is a broken bone. A stress fracture is a complete or incomplete break in a bone. It is caused by repetitive activity.

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Stress Fractures

A stress fracture is an overuse injury resulting from repetitive forces that are directed to weight bearing bones.

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Stress Fractures in Young Athletes

Stress fractures happen when muscles are too tired to take on the impact of exercise, and the bones absorb the added stress. When those bones become too strained, they develop a tiny break known as a stress fracture.

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Stridor in Children

Stridor is a noisy or high-pitched sound with breathing. It is a sign that the upper airway is partially blocked. It may involve the nose, mouth, sinuses, voice box (larynx), or windpipe (trachea).

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Strokes in Children

A stroke happens when the blood flow in or near the brain is suddenly blocked or cut off. It can cause permanent injury to the part of the brain that is not getting blood. Sometimes a stroke can lead to bleeding in the brain.

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Structural Abnormalities- Deletions (Cri-du-Chat Syndrome) and Duplications (Pallister-Killian Syndrome)

Detailed information on structural abnormalities, including chromosome deletions and duplications.

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Stuttering in Children

Stuttering is a speech problem. The normal flow of speech is disrupted. A child who stutters repeats or prolongs sounds, syllables, or words. Stuttering is different from repeating words when learning to speak. Stuttering may make it difficult for a child to communicate with others.

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Styes in Children

A stye is a sore red bump on the edge of the eyelid. Styes are one of the most common eye problems in children. Here's what you should know.

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Subglottic Stenosis

Subglottic stenosis is a narrowing of the airway in the part of the voice box below the vocal cords (glottis). There are two kinds of subglottic stenosis: congenital subglottic stenosis and acquired subglottic stenosis.

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Submucous Cleft Palate

A submucous cleft palate (SMCP) results from a lack of normal fusion of the muscles within the soft palate as the baby is developing in utero. Frequent middle ear infections, nasal speech and early feeding difficulties may be the first indicators that a child has a submucous cleft palate.

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Substance Exposure

Detailed information on substance exposure of newborns

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Substance Use Disorders

When a person loses control and misuses a substance like alcohol or drugs, it can become a harmful habit. This is called substance use disorder.

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Sudden Cardiac Arrest

Sudden Cardiac Arrest (SCA) not only affects young athletes, but can affect healthy children and adolescents who do not participate in organized athletic activity.

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Sudden Infant Death Syndrome (SIDS)

Sudden infant death syndrome (SIDS) is the sudden and unexplained death of a baby younger than 1 year old. SIDS is sometimes called crib death because the death may happen when a baby is sleeping in a crib. It’s one of the leading causes of death in babies from ages 1 month to 1 year. Read on to learn more. 

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Suicidal Behaviors

Suicidal thoughts and behaviors can affect children and teenagers. Most children and adolescents who attempt suicide show warning signs. It is vital that families are aware of these signs and discuss concerns, ideally prior to a life-threatening mental health crisis.

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Sunburn and Children

Protect your child from the sun. Up to 80% of total lifetime sun exposure occurs in the first 18 years of life.

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Superficial Injuries of the Face and Head- Overview

During a child's day, minor injuries may happen during play and sports activities. The face and head are especially at risk for cuts and scrapes.

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Superficial Injuries to the Face and Head

Children are more likely to end up with a cut or scrape on the head or face. One reason is that children's sense of balance isn't completely adjusted.

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Support Groups

Detailed information on finding a support group for parents affected by a birth defect.

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Supracondylar Humerus Fracture

When your child’s humerus bone is fractured near the elbow area, just above the joint it is called a supracondylar humerus fracture.

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Supraventricular Tachycardia

Supraventricular tachycardia, also called SVT, is a very fast heart rhythm that does not follow the regular pathway from the atria to the ventricles.

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Surgery and the Breastfeeding Infant

If your baby needs surgery, you may feel helpless. But there's something you can do to make this experience a little less stressful: breastfeed. Read on for helpful tips.

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Surgical Overview

Detailed information on surgery in children

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Swallowing Disorders

A swallowing disorder can result in aspiration or food “going down the wrong pipe.” Aspiration can place a child at a higher risk for respiratory/pulmonary issues.

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Swimmer’s Ear in Children

Swimmer’s ear (otitis externa) is an inflammation of the external ear canal. Swimmer’s ear is caused by bacteria or fungi. Water that stays in the ear canal during swimming, for instance, may let bacteria and fungi grow.

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Symptomatic Conditions of Allergy in Children

Detailed information on symptomatic conditions of allergy, including asthma, atopic dermatitis, contact dermatitis, rhinitis, and urticaria

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Symptoms of Cystic Fibrosis

A detailed look at cystic fibrosis symptoms.

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Symptoms of Possible Eye Problems in Children

Symptoms of eye problems in children include crossed eyes, redness in the eyes, squinting, and excessive tearing.

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Syncope in Children

Syncope is a brief loss of consciousness and muscle tone caused when not enough blood gets to the brain. Syncope is commonly called fainting. In most children, it’s usually harmless. But in a few children, syncope is serious. This is usually because of a heart problem, or less often a neurological problem.

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Syncope in Children

Syncope is the medical word that means fainting. Some people faint often. Most children who faint do not have heart problems or brain problems.

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Syndactyly

Syndactyly is a congenital condition in which the fingers or toes are webbed or joined together. Simple syndactyly occurs when the fingers are connected by skin only. Complex and complicated syndactyly involve both bone and skin connections between the fingers.

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Syndrome of Inappropriate Antidiuretic Hormone Secretion in Children

SIADH is when the body makes too much antidiuretic hormone (ADH). This is a hormone that normally helps the kidneys conserve the correct amount of water in the body. SIADH causes the body to retain water. This lowers the level of sodium in the blood. SIADH is rare. It most often happens to children who are in the hospital.

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Syphilis

Syphilis (SIF-i-lis) is a sexually transmitted infection (STI). Anyone who is sexually active has a chance of getting syphilis.

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Tarsal Coalition

Tarsal coalition occurs when there is an abnormal connection between the bones in the back of the foot (tarsal bones). There may be no symptoms, but often some develop in the early teens or as a young adult.

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Tibial Stress Fracture

The tibia (shin bone) is the larger, and major weight bearing bone, of the two lower leg bones. A tibial stress fracture is a complete or incomplete break that develops over time, usually as a result of repeated activity.

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Turf Toe

Turf toe is an injury to the capsule and ligaments of the joint at the base of the big (first) toe. Pain is usually worst on the bottom of the foot.

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Vertebral Compression Fracture

A vertebral compression fracture happens when the backbone (vertebra) breaks by being squeezed.

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Helping Hands Patient Education Materials

Written and illustrated by medical, nursing and allied health professionals at Nationwide Children's Hospital, Helping Hand instructions are intended as a supplement to verbal instructions provided by a medical professional. The information is periodically reviewed and revised to reflect our current practice. However, Nationwide Children's Hospital is not responsible for any consequences resulting from the use or misuse of the information in the Helping Hands.