• Low back pain. This is very common when heavy kids take up exercise. Contributing factors include a lack of tone in the core abdominal and lower back muscles, coupled with hamstring and quadriceps inflexibility and excess weight being carried around the abdomen.
"These kids need to generate core strength through planks and other exercises that engage their core besides sit-ups, which for a lot of these kids are no fun and usually embarrassing," he continued.
• Slipped capital femoral epiphysis. This is the most common hip disorder in overweight 10- to 18-year-olds. Black males are at increased risk. The injury occurs when the proximal hip epiphysis slides off the growth plate.
"If a kid comes in with knee or thigh pain or a limp, always think ‘hip’ as well. Check for hip range of motion. If it’s not equal and symmetric or it brings on a lot of pain, you’ve got to get an x-ray and you’d better be thinking about [slipped capital femoral epiphysis]. It’s usually a surgical situation," according to Dr. Stricker.
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