Ricketsenparentshttps://kidshealth.org/EN/images/headers/KH_generic_header_04_2.jpgRickets is when bones become soft and weak, usually because a child doesn't get enough vitamin D. Most kids with rickets get better with treatment.rickets, bones, soft bones, weak bones, vitamin d, calcium, healthy bones, grow bones, milk, formula, phosphorus, vitamins, deformed bones, bow legs, bow legged, bone deformity, ortho, orthopedics, IBD, hypocalcemia, minerals, orthopedist, x-rays, bones, bone x-rays, growth plates, 02/01/202102/04/202102/04/2021Larissa Hirsch, MD02/01/202120c9425e-a114-4027-9b93-713f19f464e8https://kidshealth.org/ws/RadyChildrens/en/parents/rickets.html/<h3>What Is Rickets?</h3> <p>Rickets is when a child's <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/bones-muscles-joints.html/">bones</a> become soft and weak. Usually, this happens because a child doesn't get enough <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/vitamin-d.html/">vitamin D</a>. Most kids with rickets get better with treatment.</p> <h3>What Causes Rickets?</h3> <p>Kids' bones grow when new bone tissue forms at <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/growth-plates.html/">growth plates</a>. A growth plate is the area of growing tissue near the end of the long bones. <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/calcium.html/">Calcium</a> and phosphorus attach to them so they can build strong, hard bone.</p> <p>Vitamin D helps the body absorb calcium and phosphorus from food. Without enough vitamin D, the body can't keep enough calcium and phosphorus in the growth plates. Bones stay soft and weak, and can bend or have an odd shape.</p> <p><img class="center_this" title="A side-by-side look at a strong, straight bone and a soft, bent bone that's weak because of rickets." src="https://kidshealth.org/EN/images/illustrations/rickets_a_enIL.jpg" alt="A side-by-side look at a strong, straight bone and a soft, bent bone that's weak because of rickets." /></p> <p>Less often, kids can develop rickets from other health conditions, like <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/ibd.html/">inflammatory bowel disease (IBD)</a> or kidney problems.</p> <h3>What Are the Signs &amp; Symptoms of Rickets?</h3> <p>As the bones start to bend and become misshaped, kids with rickets can:</p> <ul> <li>have muscle weakness or pain</li> <li>be shorter than other kids their age</li> <li>have <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/healthy.html/">dental problems</a></li> <li>break a bone</li> <li>have <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/bow-legs.html/">bow legs</a></li> </ul> <h3>How Is Rickets Diagnosed?</h3> <p>Doctors diagnose rickets by:</p> <ul> <li>doing an exam, checking bones for tenderness or pain by pressing on them</li> <li>ordering blood tests to check calcium, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/test-phosphorus.html/">phosphorus</a>, and vitamin D levels</li> <li>getting X-rays to look for bone deformities (when bones are bent or misshaped)</li> </ul> <h3>How Is Rickets Treated?</h3> <p>Treatment for rickets helps makes bones stronger. Doctors prescribe supplements to replace the missing vitamin D, calcium, and phosphorus.</p> <p>Kids with a bone deformity might need braces to reposition the bones as they grow. In severe cases, a child may need surgery.</p> <p>If another disease causes rickets, a child will go to a specialist for care.</p> <h3>Can Rickets Be Prevented?</h3> <p>The time to build <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/strong-bones.html/">strong bones</a> is when we're kids and teens. Children who start their adult lives with the strongest bones possible are less likely to have bone loss later in life.</p> <p>That's why getting enough calcium and vitamin D is so important. To help your kids build healthy bones:</p> <ul class="kh_longline_list"> <li><strong>Serve high-calcium foods:</strong> Calcium-rich foods include dairy products, beans, some nuts and seeds, and leafy green vegetables. It's also often added to foods like orange juice or cereal. Buy high-calcium versions of common foods, like almond butter instead of peanut butter or calcium-fortified orange juice instead of regular juice.</li> <li><strong>Make sure kids get enough vitamin D:</strong> Most kids don't eat many foods that naturally contain vitamin D, like fatty fish. But other foods are fortified with vitamin D, such as milk and cereal. A children's over-the-counter multivitamin also can help kids get enough vitamin D.</li> <li><strong>Use careful <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sun-safety.html/">sun exposure</a>:</strong> Our bodies make vitamin D when skin is exposed to sunlight. Exposing the hands and face to sunlight a few times a week during the spring and summer can help prevent rickets. But it's important to keep the exposure brief, and to protect skin with <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sunscreen.html/">sunscreen</a> to prevent <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/melanoma.html/">melanoma</a> and skin damage.</li> <li><strong>Encourage kids to <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/exercise.html/">exercise</a>:</strong> Bones get stronger the more we use them. Weight-bearing activities like walking, running, jumping, and climbing are especially good for building bone.</li> </ul> <h3>How Can Parents Help?</h3> <p>If your child has rickets:</p> <ul class="kh_longline_list"> <li>Give your child any supplements as directed by the doctor.</li> <li>Follow the instructions for how much sun exposure your child should have. Your child should always wear sunscreen of SPF 30 or higher when in the sun.</li> <li>Go to all follow-up visits so the doctor can recheck your child's blood work.</li> <li>Talk with a registered dietitian about which foods can help your child build strong bones.</li> </ul> <p>Call the doctor if your child:</p> <ul> <li>has bone or muscle pain that's new or gets worse</li> <li>has muscle spasms</li> <li>develops new symptoms</li> </ul> <p><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/emergency-room.html/">Go the ER</a> if your child:</p> <ul> <li>has a <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/seizure.html/">seizure</a>, which can sometimes happen when calcium or phosphorus levels are very low</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/b-bone.html/">breaks a bone</a></li> </ul>RaquitismoEl raquitismo ocurre cuando los huesos de un niño se vuelven blandos y débiles. Se suele desarrollar porque un niño no recibe una cantidad suficiente de vitamina D. La mayoría de los niños con raquitismo mejoran con tratamiento.https://kidshealth.org/ws/RadyChildrens/es/parents/rickets-esp.html/1b9acc40-b49b-4182-8c0c-ee9f6c532b66
3 Ways to Build Strong BonesWe build almost all our bone density when we're kids and teens. Kids with strong bones have a better chance of avoiding bone weakness later in life. Here's how parents can help.https://kidshealth.org/ws/RadyChildrens/en/parents/strong-bones.html/20c29bc1-aff5-4265-a1e7-160442604f56
Bones, Muscles, and JointsOur bones, muscles, and joints form our musculoskeletal system and enable us to do everyday physical activities.https://kidshealth.org/ws/RadyChildrens/en/teens/bones-muscles-joints.html/d55a922b-e87a-49e0-82ae-0c5a0773cee9
Bow Legs (Genu Varum)Bow legs is when the legs curve outward at the knees while the feet and ankles touch. Infants and toddlers often have bow legs. It's rarely serious and usually goes away on its own.https://kidshealth.org/ws/RadyChildrens/en/parents/bow-legs.html/682fddfc-b96e-4e5d-b751-783f135d662b
Breastfeeding vs. Formula FeedingMaking a decision to breastfeed or formula feed your baby is a personal one. There are some points to consider to help you decide which option is best for you and your baby.https://kidshealth.org/ws/RadyChildrens/en/parents/breast-bottle-feeding.html/7169ccbe-8013-4c19-90e6-19862788f64d
Broken BonesMany kids will have a broken bone at some point. Here's what to expect.https://kidshealth.org/ws/RadyChildrens/en/parents/b-bone.html/98c370ab-7c7b-4b1f-a6c5-d1106a57a8dd
CalciumMilk and other calcium-rich foods help build strong, healthy bones. But most kids and teens don't get enough calcium. Here's how to make sure that yours do.https://kidshealth.org/ws/RadyChildrens/en/parents/calcium.html/5f5a41cc-5bcd-48de-ae3b-beae69d5eceb
Common Childhood Orthopedic ConditionsFlatfeet, toe walking, pigeon toes, bowlegs, and knock-knees. Lots of kids have these common orthopedic conditions, but are they medical problems that can and should be corrected?https://kidshealth.org/ws/RadyChildrens/en/parents/common-ortho.html/aad934f7-72ee-4997-a9e7-9a61a0b4332e
Feeding Your 1- to 2-Year-OldToddlers have little tummies, so serve foods that are packed with the nutrients they need to grow healthy and strong, and limit the sweets and empty calories.https://kidshealth.org/ws/RadyChildrens/en/parents/feed12yr.html/6bfff690-c633-480f-83f3-dcf985f77294
Formula Feeding FAQs: Getting StartedShopping for formula-feeding supplies can be daunting. Here are answers to some common questions about formula feeding.https://kidshealth.org/ws/RadyChildrens/en/parents/formulafeed-starting.html/6d5a92cb-459c-427f-b107-dc59faaf85b6
Growth Plate FracturesInjuries to growth plates, which produce new bone tissue and determine the final length and shape of bones in adulthood, must be treated so that bones heal properly.https://kidshealth.org/ws/RadyChildrens/en/parents/growth-plate-injuries.html/ad965323-3a88-46fa-91e6-4e30aea3d9c8
Growth PlatesGrowth plates are the areas of new bone growth, usually near the ends of long bones. A growth plate is weaker than solid bone. This makes it more likely to get injured.https://kidshealth.org/ws/RadyChildrens/en/parents/growth-plates.html/ec6f03ca-219f-4ed5-84fc-4eed5afb1b1d
How Broken Bones HealBroken bones have an amazing ability to heal, especially in kids. Full healing can take time, but new bone usually forms a few weeks after an injury.https://kidshealth.org/ws/RadyChildrens/en/parents/fractures-heal.html/0ec4eb9b-2074-4d95-b35a-acf2a7e4deb4
Inflammatory Bowel DiseaseInflammatory bowel disease (IBD) refers to two chronic diseases that cause intestinal inflammation: ulcerative colitis and Crohn's disease. Although they have features in common, there are some important differences.https://kidshealth.org/ws/RadyChildrens/en/parents/ibd.html/d7cfae34-a924-49aa-8520-ae89d797c766
Kids and ExerciseBesides enjoying the health benefits of regular exercise, kids who are physically fit are better able to handle physical and emotional challenges.https://kidshealth.org/ws/RadyChildrens/en/parents/exercise.html/f2ac8b06-6d72-4382-8b53-dee0908bc566
Low Calcium in Babies (Hypocalcemia)Hypocalcemia is when the blood has too little calcium. It can be treated with calcium and vitamin D supplements.https://kidshealth.org/ws/RadyChildrens/en/parents/hypocalcemia.html/14f3adbe-78b0-44fd-bf20-050da9dce452
Vitamin DVitamin D is needed for strong bones, but is hard to come by because it's found in few foods. Here's how to make sure kids get enough vitamin D.https://kidshealth.org/ws/RadyChildrens/en/parents/vitamin-d.html/cb52769b-c11c-4976-8c31-ff3f43db6043
VitaminsHow vital are vitamins? Find out in this article for kids.https://kidshealth.org/ws/RadyChildrens/en/kids/vitamin.html/f1dadef1-f540-416c-a78b-82a4d03db9dc
Vitamins and MineralsVitamins and minerals are nutrients that the body needs to work properly. They boost the immune system, promote normal growth and development, and help cells and organs do their jobs.https://kidshealth.org/ws/RadyChildrens/en/teens/vitamins-minerals.html/7db5e5be-3935-4119-b49b-bb2e8a5ba349
Your BonesWhere would you be without your bones? Learn more about the skeletal system in this article for kids.https://kidshealth.org/ws/RadyChildrens/en/kids/bones.html/ba77b482-c6eb-47da-90a4-3cb148f38f4d
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-gastroenterologyAndNutritionWeightManagementkh:clinicalDesignation-orthopedicsNonSportsMedkh:genre-articlekh:primaryClinicalDesignation-orthopedicsNonSportsMedBones & Muscleshttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/bones/309954d5-03dd-446c-9d39-3e66eeb99f97https://kidshealth.org/EN/images/illustrations/rickets_a_enIL.jpg