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Scoliosis—a sideways curvature of the spine—can develop quietly in children, often with no pain or obvious symptoms at first. But early detection is crucial, as untreated scoliosis can progress and lead to long-term complications with posture, lung function, and self-esteem. In this blog, we’ll explore the key warning signs of scoliosis in children, when to seek medical attention, and how modern treatments are helping kids live active, confident lives. What Is Scoliosis? Scoliosis is a condition where the spine curves sideways in an “S” or “C” shape. It most commonly appears during the growth spurt just before puberty, typically between ages 10 and 15, although it can affect younger children too. There are different types of scoliosis, including: Why Early Detection Matters Scoliosis can progress quickly during periods of rapid growth. If left untreated, it may result in: The earlier scoliosis is diagnosed, the more effective and less invasive treatment can be. Warning Signs Parents Shouldn’t Ignore Here are some key signs that may suggest your child has scoliosis: Scoliosis is usually not painful in early stages, so visual signs are the most important clues. Routine physicals and back screenings at school can help spot scoliosis early—but as a parent, being observant at home is just as important. How Scoliosis Is Diagnosed If scoliosis is suspected, a pediatric orthopedic specialist will: Treatment Options for Scoliosis in Children The treatment approach depends on the severity of the curve, age of the child, and whether the spine is still growing. 1. Observation For mild curves (less than 20 degrees), regular monitoring every 4–6 months ensures the curve isn’t progressing. 2. Bracing If the curve is moderate (20–40 degrees) and the child is still growing, a custom back brace may prevent further progression. Bracing doesn’t reverse scoliosis but is highly effective at stopping it from worsening. 3. Surgery In severe cases (usually curves over 45–50 degrees), especially if the curve is worsening, spinal fusion surgery may be recommended to straighten and stabilize the spine. Modern surgical techniques are safe, and recovery outcomes are excellent when done by skilled pediatric orthopedic surgeons. Emotional and Social Support Adolescents with scoliosis may struggle with self-esteem, body image, or anxiety. Encourage open conversation and connect with support groups if needed. Many children and teens continue to thrive socially, academically, and athletically with proper care. Why Choose Child OrthoCare? At Child OrthoCare, we offer expert care for children with spinal and orthopedic conditions. Dr. Nargesh Agrawal, a trusted Pediatric Orthopedic Surgeon, provides thorough scoliosis evaluation, early diagnosis, and personalized treatment plans—including advanced bracing options and surgical care when needed. Our compassionate, family-centered approach ensures that your child receives the care and support they deserve through every stage of treatment. Visit Us: Child OrthoCare ClinicCall Us: +91-9873191340 Worried About Your Child’s Posture or Spinal Alignment? Don’t ignore the early signs. Schedule a scoliosis screening at Child OrthoCare today and take the first step toward a healthy spine and confident future for your child.

Children’s bones are different from adult bones in one important way—they’re still growing. The areas of active bone growth, called growth plates, are located near the ends of long bones in the arms, legs, and other areas. While these plates allow bones to lengthen as children grow, they are also more vulnerable to injury. Understanding how growth plate injuries occur, what symptoms to watch for, and how they’re treated can help ensure your child receives the right care at the right time. What Are Growth Plates? Growth plates (also known as epiphyseal plates) are made of soft cartilage and are found near the ends of long bones in children and adolescents. These plates determine the future length and shape of a child’s bones and are the last parts of the bones to harden into solid bone, making them more susceptible to injury. Growth plates typically close after puberty—around age 14 for girls and age 16 for boys. Common Causes of Growth Plate Injuries Growth plate injuries are often caused by: Symptoms of Growth Plate Injuries Symptoms vary depending on the bone affected and the severity of the injury, but common signs include: If your child complains of pain that doesn’t improve in a few days, especially after a fall or sports injury, it’s essential to get it checked. Diagnosis of Growth Plate Injuries A pediatric orthopedic specialist will typically begin with: Types of Growth Plate Fractures (Salter-Harris Classification) Growth plate injuries are classified into five types (I to V) based on how the fracture affects the growth plate and surrounding bone. This classification helps determine treatment and prognosis. Treatment Options for Growth Plate Injuries Treatment depends on the severity, type, and location of the injury. Options include: 1. Immobilization Most mild growth plate fractures heal well with rest, a splint or cast, and limited activity. These are especially effective for Type I and II fractures. 2. Closed Reduction If the bone is displaced, the doctor may need to gently realign it without surgery before applying a cast. 3. Surgery More serious injuries (Types III, IV, V) may require surgical intervention to align and stabilize the bone using wires, screws, or plates—especially if the injury crosses the joint or risks affecting bone growth. 4. Physical Therapy Post-treatment rehabilitation may help restore strength, range of motion, and function. Why Timely Treatment Is Essential Left untreated, growth plate injuries can cause: Follow-up care is crucial, as growth plate injuries need monitoring over time to ensure the bone continues to grow normally. Why Choose Child OrthoCare? At Child OrthoCare, we understand the delicate nature of growing bones. Dr. Nargesh Agrawal, an experienced Pediatric Orthopedic Surgeon, uses advanced imaging and child-friendly techniques to accurately diagnose and treat growth plate injuries—ensuring minimal long-term impact and a smooth recovery. We prioritize early intervention, personalized care, and family guidance to support your child’s full return to normal activity. Visit Us: Child OrthoCare ClinicCall Us: +91-9873191340 Worried About a Recent Injury? Don’t Delay. If your child has pain, swelling, or trouble using a limb after an injury, schedule an evaluation with Dr. Nargesh Agrawal today.Early treatment of growth plate injuries can make all the difference for your child’s healthy development.

It’s not unusual to see a toddler walking on their toes occasionally—especially when they’re learning to balance or experimenting with movement. However, when toe-walking becomes frequent or persists beyond a certain age, it might be time to seek professional advice. In this blog, we’ll help you understand when toe-walking is considered normal, when it could indicate an underlying issue, and what treatment options are available. What Is Toe-Walking? Toe-walking is a walking pattern where a child walks on the balls of their feet without letting their heels touch the ground. While it can be part of normal early development, persistent toe-walking may signal a deeper concern. When Is Toe-Walking Normal? Many toddlers go through a phase of toe-walking between the ages of 1 to 3 years. At this stage, their muscles and motor skills are still developing. If the child eventually transitions to a normal heel-to-toe walking pattern, there’s usually no cause for concern. Occasional toe-walking, especially when the child is excited or playful, is also typical in young children. When to Worry: Signs That Need Attention You should consult a Pediatric Orthopedic Specialist if you notice any of the following: Persistent toe-walking may be associated with conditions like: Diagnosing the Cause of Toe-Walking A thorough physical examination, family history review, and sometimes neurological tests or imaging (like MRI or gait analysis) may be recommended to determine the cause. At Child OrthoCare, we take a holistic approach—evaluating not just the foot, but the entire musculoskeletal and neurological function of your child. Treatment Options for Persistent Toe-Walking Depending on the underlying cause, treatment may include: Early intervention often leads to excellent outcomes—especially in idiopathic (non-neurological) toe-walking cases. Why Early Evaluation Matters While toe-walking may seem harmless at first, ignoring persistent cases can lead to long-term issues, including poor posture, balance difficulties, and muscle contractures. By addressing the condition early, you give your child the best chance at developing a healthy, functional gait. Why Choose Child OrthoCare? At Child OrthoCare, we specialize in pediatric orthopedic evaluations and treatment plans tailored to your child’s unique needs. Dr. Nargesh Agrawal, a leading Pediatric Orthopedic Surgeon, provides expert care with a child-friendly approach to ensure early diagnosis and effective treatment. Visit Us: Child OrthoCare Clinic Call Us: +91-9873191340 Concerned About Your Child’s Walking Pattern? Don’t wait and wonder—book a consultation with Dr. Nargesh Agrawal today to ensure your child’s healthy development.Your child’s comfort, confidence, and future mobility depend on early care.

Clubfoot is one of the most common congenital orthopedic conditions, affecting nearly 1 in every 1,000 newborns. It may sound alarming to parents, especially those hearing the term for the first time at birth, but the good news is that modern treatment techniques are highly effective, especially when started early. This blog explains what clubfoot is, why early intervention is critical, and how current treatment options are helping children live normal, active lives. What Is Clubfoot? Clubfoot (also called Congenital Talipes Equinovarus) is a condition where a baby’s foot is twisted out of its normal position. Typically, the foot points downward and inward, making walking difficult if left untreated. It can affect one or both feet, and in most cases, there is no known cause. However, it may be linked to genetic or environmental factors. Despite its appearance, clubfoot doesn’t cause pain in newborns. But if untreated, it can lead to significant mobility problems and lifelong disability. Why Early Treatment Matters The earlier clubfoot is diagnosed and treated—ideally shortly after birth—the better the results. Newborn bones and joints are very soft and flexible, which means they respond well to gentle manipulation and correction. Most treatments begin within the first 1 to 2 weeks of life. Delaying treatment can make correction more difficult and increase the chances of needing invasive surgery later. Modern Treatment Options for Clubfoot Thanks to advances in pediatric orthopedics, clubfoot treatment today is less invasive, highly successful, and designed to give children a normal life. Here are the most widely used and effective options: 1. The Ponseti Method: The Gold Standard The Ponseti method is the most popular and successful technique for treating clubfoot worldwide. It is non-surgical and involves: Success Rate: Over 90% when done properly by trained specialists. 2. French Functional Method (Physiotherapy-Based) This method uses daily stretching, taping, and splinting instead of casting. It’s more intensive and requires strong parental involvement and trained physiotherapists. Although less commonly used than Ponseti, it can be effective in certain cases or regions. 3. Surgical Correction (Reserved for Complex Cases) If the clubfoot is rigid, recurrent, or wasn’t corrected early enough, surgical intervention may be necessary. Surgery involves lengthening or repositioning tendons and ligaments to align the foot properly. However, modern orthopedics prioritizes minimally invasive approaches and avoids surgery unless absolutely needed, as it may lead to stiffness or arthritis later in life. What Parents Should Know When to Consult a Pediatric Orthopedic Specialist If your newborn has been diagnosed with clubfoot, don’t wait to seek expert care. The earlier you begin treatment, the better the outcomes. At Child OrthoCare, Dr. Nargesh Agrawal specializes in treating clubfoot using the Ponseti method and other advanced techniques customized to your child’s needs. Why Choose Child OrthoCare? At Child OrthoCare, we offer specialized care for children with orthopedic conditions. Led by Dr. Nargesh Agarwal, a leading Pediatric Orthopedic Surgeon with extensive experience in treating clubfoot using the Ponseti Method, we ensure your child receives compassionate, evidence-based treatment. Visit Us: Child OrthoCare Clinic Call Us: +91-9873191340

Clubfoot is a common congenital condition where a baby’s foot is twisted inward or downward. Many parents wonder if it can be corrected without surgery. Fortunately, non-surgical treatments are highly effective, especially when started early. Non-Surgical Treatment Options 1. Ponseti Method (Gold Standard for Clubfoot Treatment) Involves a series of gentle manipulations and plaster casting. Gradual correction over several weeks. A minor procedure (Achilles tenotomy) may be needed in some cases to release tight tendons. 2. Bracing (Foot Abduction Brace) Essential after Ponseti casting to maintain correction. Worn full-time initially, then gradually reduced over time. 3. Stretching and Physiotherapy (French Method) Daily stretching exercises by trained therapists. Use of splints and taping to maintain progress. Success Rate of Non-Surgical Treatment When started early (within the first few weeks of life), the Ponseti method has over a 90% success rate. Regular follow-ups and adherence to bracing are crucial to prevent relapse. When is Surgery Needed? If non-surgical methods fail or the child has a severe or neglected case. Surgical intervention may be required for residual deformities in older children. Conclusion Yes, clubfoot can often be corrected without surgery using methods like the Ponseti technique, bracing, and physiotherapy. Early diagnosis and consistent treatment are key to successful outcomes. For expert clubfoot treatment, consult Dr. Nargesh Agrawal at 8851777145.

Non-Resident Indians (NRIs) and expatriates often seek medical treatment for their children in India due to high-quality healthcare services and affordable costs. However, many parents wonder if they can use Indian medical insurance to cover their child’s healthcare expenses. Here’s what you need to know. 1. Eligibility for NRIs & Expats Many Indian insurance companies offer health policies that cover NRIs and their dependents. Some insurers have specific policies designed for international residents seeking treatment in India. Expats living in India for an extended period may also be eligible for local health insurance plans. 2. Types of Indian Medical Insurance Available Family Floater Plans: Covers the entire family, including children, under a single policy. Individual Health Insurance: Specific policies for children or dependents. International Health Insurance Plans: Some global insurance providers collaborate with Indian hospitals for direct billing. 3. Key Factors to Consider Residency Status: Some policies may require an Indian address or bank account. Pre-existing Conditions: Check coverage for congenital disorders or chronic conditions. Hospital Network: Ensure the policy covers top pediatric hospitals in India. Cashless Treatment: Many insurers provide direct payment options at network hospitals. 4. Process of Claiming Insurance Verify whether the selected hospital accepts the insurance provider’s plan. Submit necessary documents, including passport details, proof of relationship, and medical records. Follow the insurer’s claim process for reimbursement or cashless treatment. 5. Alternative Financial Assistance Some NRIs and expats prefer international health insurance for global coverage. Medical loans and hospital payment plans can also help manage expenses. Conclusion NRIs and expats can use Indian medical insurance for their children, provided they choose a suitable plan that meets residency and policy requirements. Checking eligibility, hospital networks, and claim procedures ensures smooth access to healthcare in India. For expert pediatric orthopedic care, consult Dr. Nargesh Agrawal at 8851777145.

Every step your child takes begins with healthy feet. But what if your baby is born with clubfoot? As alarming as it may look, early diagnosis and timely treatment can lead to excellent outcomes. Here’s everything parents need to know about clubfoot in newborns—from spotting the signs to exploring effective treatments. What Is Clubfoot? Clubfoot (medical term: Congenital Talipes Equinovarus) is a common congenital deformity where one or both feet are turned inward and downward. It affects approximately 1 in every 1,000 newborns, and boys are twice as likely to be affected as girls. How to Detect Clubfoot Early Parents or pediatricians often notice clubfoot at birth, but it can also be diagnosed during routine prenatal ultrasounds after 20 weeks of pregnancy. Signs to look for after birth: Why Early Treatment Matters Early intervention is crucial. Without treatment, clubfoot can lead to: However, with early and proper care, most children with clubfoot grow up to walk, run, and play like any other child. Treatment Options for Clubfoot 1. Ponseti Method (Gold Standard) Treatment usually starts within the first 1–2 weeks of life. 2. French Functional Method 3. Surgical Treatment (for severe or neglected cases) Parental Role and Support As a parent, your commitment plays a key role in treatment success: Dr. Nargesh Agrawal’s Expertise in Clubfoot Care At Child OrthoCare, Dr. Nargesh Agrawal specializes in the Ponseti technique and offers customized care plans for each child. With years of experience in treating clubfoot, our center ensures gentle, effective, and child-friendly treatment

As your child grows, it’s not uncommon for them to complain of leg pain—especially during the night. These are often dismissed as “growing pains,” a natural part of childhood. But how can you tell when this discomfort is harmless, and when it signals something more serious? At Child OrthoCare, we understand how confusing and concerning this can be for parents. Here’s what you need to know. What Are Growing Pains? Growing pains are common in children aged 3 to 12. They usually appear as aching or throbbing pain in the legs, often in the evening or at night, and may affect both sides. These pains typically go away by morning and don’t affect the joints or cause swelling. Signs It Might Be More Than Growing Pains While growing pains are harmless, it’s important to be aware of red flags that could indicate a more serious orthopedic condition: If your child exhibits any of these signs, it’s time to consult a pediatric orthopedic specialist. Why Early Evaluation Matters Conditions such as juvenile arthritis, infections, or orthopedic alignment issues can sometimes mimic growing pains. Early diagnosis ensures your child gets the right treatment and avoids long-term complications. Expert Pediatric Care at Child OrthoCare At Child OrthoCare, Dr. Nargesh Agrawal provides expert evaluation and compassionate care tailored to children. We specialize in diagnosing and treating pediatric orthopedic conditions—from growing pains to complex bone and joint issues. Why Choose Child OrthoCare? At Child OrthoCare, we specialize in evaluating children’s bone and joint health with a gentle, parent-friendly approach. Dr. Nargesh Agarwal brings years of experience in distinguishing between benign conditions like growing pains and more serious orthopedic concerns. We aim to give you peace of mind while ensuring your child gets the care they truly need. Concerned About Your Child’s Leg Pain? Don’t wait and worry. Let us help you understand what’s normal and what’s not. Why Choose Child OrthoCare? At Child OrthoCare, we specialize in evaluating children’s bone and joint health with a gentle, parent-friendly approach. Dr. Nargesh Agarwal brings years of experience in distinguishing between benign conditions like growing pains and more serious orthopedic concerns. We aim to give you peace of mind while ensuring your child gets the care they truly need.

Introduction Cerebral palsy (CP) is a group of neurological disorders that affect a child’s movement, muscle tone, and posture. It usually results from damage to the developing brain before, during, or shortly after birth. Early detection of cerebral palsy is crucial because timely intervention can greatly improve a child’s quality of life. As a parent or caregiver, being aware of the early signs can help ensure your child receives the right care at the right time. Understanding Developmental Milestones All children develop at their own pace, but there are certain milestones that most babies achieve within specific age ranges. These include rolling over, sitting, crawling, standing, and walking. In children with cerebral palsy, these milestones may be delayed, or they may be achieved in an abnormal pattern. Recognizing these delays early can be a key indicator of potential neurological concerns. Common Early Signs to Watch For Some of the earliest signs of cerebral palsy can be subtle and easy to overlook. These may include poor head control after 2 months, stiffness or floppiness in the limbs, difficulty in coordinating movements, and an inability to roll over or sit by expected ages. You may also notice asymmetrical movements, such as favoring one side of the body, or unusual muscle tone—either too stiff or too floppy. Feeding difficulties, excessive drooling, and a delay in speech development can also be associated with cerebral palsy. Some children may exhibit abnormal reflexes or struggle with posture and balance as they grow. These signs become more noticeable as the child misses multiple milestones or exhibits irregular motor function compared to peers. Importance of Early Evaluation Early identification of cerebral palsy allows for prompt intervention with therapies that can significantly enhance the child’s physical and cognitive development. If your child shows signs of delayed motor skills or abnormal movement patterns, it’s essential to consult a pediatric orthopedic or neurologic specialist. Diagnosis typically involves a thorough physical examination, developmental assessment, and imaging studies such as MRI or CT scan. Role of Pediatric Orthopedic Care At Child OrthoCare, Dr. Nargesh Agrawal and his team provide specialized care for children with cerebral palsy. From early screening to tailored treatment plans, including physiotherapy, orthotic support, and in some cases surgical intervention, our goal is to improve your child’s mobility, comfort, and independence. Our multidisciplinary approach ensures comprehensive care that addresses both orthopedic and developmental needs. Conclusion Catching cerebral palsy early can make a significant difference in a child’s long-term development. If your child is missing developmental milestones or shows unusual movements or muscle tone, don’t delay seeking expert guidance. Early diagnosis leads to early intervention—and that can change a child’s future. Why Choose Child OrthoCare? At Child OrthoCare, we offer specialized care for children with orthopedic conditions. Led by Dr. Nargesh Agarwal, a leading Pediatric Orthopedic Surgeon with extensive experience in treating clubfoot using the Ponseti Method, we ensure your child receives compassionate, evidence-based treatment. Visit Us:Child OrthoCare ClinicClinic Address: C-7, Ground Floor, D- Park, Model town -3, New Delhi 110009 Call Us: +91-9873191340

Introduction As a parent, it’s natural to be concerned if your child’s legs appear bowed or their knees seem to angle inward. These conditions, known as bow legs (genu varum) and knock knees (genu valgum), are common in growing children. But how do you know what’s normal and when it’s time to consult a pediatric orthopedic specialist? Understanding Bow Legs and Knock Knees Bow legs refer to a condition where a child’s legs curve outward at the knees while the feet remain together. It is commonly observed in infants and toddlers, especially under the age of two. This condition usually improves as the child begins walking and their bones grow stronger. Knock knees, on the other hand, are most noticeable between ages 3 to 5. In this condition, the knees touch or angle inward while the ankles remain apart. Just like bow legs, knock knees are often part of normal bone development and tend to resolve naturally by age 7 or 8. When Should You Be Concerned? While both conditions can be normal during specific growth phases, there are certain signs that may indicate a more serious issue. Parents should seek medical advice if: These symptoms may point to underlying issues such as rickets, Blount’s disease, or other skeletal disorders that require specialized care. Diagnosis and Treatment Options At Child OrthoCare, Dr. Nargesh Agrawal carefully evaluates each child using a combination of physical examination and imaging tests like X-rays. Based on the findings, the treatment plan may involve: The goal is always to support normal development while preventing future complications. Conclusion Most children outgrow bow legs and knock knees as part of their natural growth. However, timely evaluation by a pediatric orthopedic expert ensures that no underlying problem is missed. If you notice any unusual leg alignment in your child or have concerns about their walking pattern, don’t hesitate to seek professional advice.Why Choose Child OrthoCare? At Child OrthoCare, we offer specialized care for children with orthopedic conditions. Led by Dr. Nargesh Agarwal, a leading Pediatric Orthopedic Surgeon with extensive experience in treating clubfoot using the Ponseti Method, we ensure your child receives compassionate, evidence-based treatment. Visit Us:Child OrthoCare ClinicClinic Address: C-7, Ground Floor, D- Park, Model town -3, New Delhi 110009 Call Us: +91-9873191340Website: www.childorthocare.comEmail: [email protected]