Orthopedic care for children and adolescents is a specialized field that focuses on the musculoskeletal development of young, growing bodies. Unlike adults, children are still in the process of growing, and their bones, muscles, ligaments, and joints present unique challenges that require a tailored approach. Pediatric orthopedic specialists are trained to diagnose, treat, and manage a wide range of conditions, from common injuries to complex congenital deformities. Their work is essential in helping children achieve normal growth, maintain function, and avoid long-term complications.
Dr. Michael A. Del Core at MD West One in Omaha, NE, is a trusted provider of pediatric orthopedic care, offering families expert guidance through every stage of their child’s development. With a strong focus on family-centered care, Dr. Del Core not only treats physical conditions but also helps families understand the long-term impact of orthopedic health and its role in overall well-being. The goal is to restore mobility, alleviate pain, and support the natural growth process through early and effective treatment.
Common Orthopedic Conditions in Youth
Children and adolescents may experience a wide array of orthopedic issues. Some are congenital—present at birth—while others result from injuries, overuse, or developmental abnormalities. One of the most common issues is scoliosis, a condition in which the spine curves sideways. While it can be mild in some cases, more severe forms may require bracing or even surgery. Growth plate fractures are also common among active children and teens. These fractures occur in the areas of growing tissue near the ends of long bones and must be treated with special care to avoid long-term growth issues.
Other conditions include developmental dysplasia of the hip (DDH), clubfoot, and limb length discrepancies. In adolescents, sports injuries like anterior cruciate ligament (ACL) tears, Osgood-Schlatter disease, and stress fractures become more prevalent due to increased physical activity. The developing body can also experience conditions such as Sever’s disease, which affects the heel, or juvenile idiopathic arthritis, an autoimmune condition that can cause joint pain and inflammation. Early intervention is critical in minimizing complications and helping children resume normal activity levels.
The Importance of Early Diagnosis
Recognizing the signs of orthopedic issues in children can be challenging. Children often have difficulty articulating their pain, and many musculoskeletal conditions can be mistaken for normal growing pains. However, delayed diagnosis can result in long-term consequences, including chronic pain, limited mobility, and abnormal growth. Parents should be aware of warning signs such as persistent limping, uneven shoulders or hips, swelling that doesn’t subside, or refusal to bear weight on a limb.
Early diagnosis enables timely treatment and increases the chances of non-surgical solutions. In many cases, conservative treatments like physical therapy, bracing, and activity modification are highly effective. By diagnosing conditions before they worsen, Dr. Del Core and his team at MD West One can develop personalized treatment plans that align with each child’s developmental stage. Proactive care not only prevents more invasive interventions but also supports a child’s confidence, physical independence, and mental well-being.
Treatment Options: Tailored to Growth
Pediatric orthopedic treatment differs significantly from adult care. Because children are still growing, interventions must be designed to accommodate skeletal development. This often means choosing treatments that are flexible and adaptable, allowing for adjustments as the child matures. For example, braces used for scoliosis or leg-length differences can be modified as a child grows, while surgical techniques are tailored to avoid disrupting growth plates.
Common non-surgical treatments include:
- Physical therapy: To improve strength, balance, and coordination.
- Orthotic devices: Such as shoe inserts or braces to support alignment.
- Casting or splinting: To immobilize injured limbs and support healing.
- Activity modification: In cases of overuse injuries, reducing or altering physical activity can make a significant difference.
For more serious conditions, surgical options may be necessary. In such cases, Dr. Del Core utilizes minimally invasive techniques whenever possible to reduce recovery time and minimize scarring. His approach emphasizes long-term outcomes, aiming to restore both function and form while supporting a child’s natural growth trajectory.
Emotional and Social Aspects of Pediatric Orthopedic Care
Living with a musculoskeletal condition during childhood or adolescence can take a toll on emotional and social development. Children may feel isolated from their peers if they’re unable to participate in physical activities or sports. Adolescents, in particular, can be highly sensitive to differences in appearance or mobility, leading to self-esteem issues. That’s why comprehensive orthopedic care should extend beyond physical treatment and include psychological and social support.
At MD West One, Dr. Del Core recognizes the importance of holistic care. He partners with families to create a compassionate and supportive environment where children feel empowered to take part in their treatment journey. Encouraging open communication and involving children in decision-making can reduce fear and improve adherence to treatment plans. Parents are also given the tools to advocate for their child’s needs at school and in social settings, ensuring a seamless integration into daily life despite orthopedic challenges.
Long-Term Outlook and Continued Care
While some orthopedic issues resolve completely with treatment, others require ongoing monitoring and care into adolescence and adulthood. Conditions like scoliosis or juvenile arthritis may need regular imaging, therapy, or follow-up visits to assess growth and function. Adolescents recovering from injuries may also require rehabilitation to ensure they can safely return to sports or other activities.
The continuity of care is crucial during transitional phases, especially as adolescents prepare to enter adulthood. Dr. Del Core and his team work closely with families to create long-term care plans that anticipate future needs. Whether it’s maintaining mobility, preventing re-injury, or planning elective surgery at an appropriate time, the focus remains on sustaining the child’s quality of life through every stage of development. By offering comprehensive orthopedic services in Omaha, MD West One ensures children and teens have access to the specialized care they need—today and in the future.
Resources:
Scherl, S. A., & Miller, P. E. (2016). Orthopedic Emergencies in the Pediatric Population. Emergency Medicine Clinics of North America.
Skaggs, D. L., & Flynn, J. M. (2015). Staying Out of Trouble in Pediatric Orthopaedics. Journal of Pediatric Orthopaedics.
Rehm, A., & El-Khechen, D. (2020). Pediatric Musculoskeletal Conditions: Diagnosis and Management. American Family Physician.
