Kyphosis pronounced: kye-FOH-sis is a condition affecting the back. It makes the back rounded so it looks hunched over. The signs of kyphosis often become obvious during the growth spurt that happens around puberty. Someone with kyphosis will see an orthopedist a specialist who treats conditions involving the bones. The orthopedist will examine the spine, look at the X-rays, and recommend treatment. Postural kyphosis is treated with physical therapy to improve posture. Exercises can strengthen the back muscles to help them better support the spine. This means routine checkups to make sure the rounding isn't starting to cause problems.
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How is delayed puberty in girls defined?
With the onset of puberty during this stage, your child will experience a great number of changes and perhaps you as well as a parent. You may already know your child has transitioned into tweenhood based on their physical and behavioral changes. It may be bittersweet as a parent to see your young one officially exits childhood. However, your tween now needs you more than ever as they navigate through these changes before they transition into their teenage years. The term was first coined in the late s. Children enter their tween years somewhere around ages 9 to 12 years old. The exact range can vary, with some children exhibiting signs as early as 8 years of age.
What are periods?
Puberty starts when the pituitary gland begins to produce two hormones , luteinizing hormone called LH and follicle-stimulating hormone called FSH , which cause the ovaries to enlarge and begin producing estrogens. The growth spurt starts shortly after breasts begin to develop, and the first menstrual cycle begins about years later. A girl who has not started to have breast development by the age of 13 is considered to be delayed. Some girls with delayed puberty are simply late maturers, but once they start, puberty will progress normally. This is called constitutional delayed puberty and is more common in boys than girls. Decreased body fat is a major cause of pubertal delay in girls. It can be seen in girls who are very athletic, particularly in gymnasts , ballet dancers , and competitive swimmers. It can also be seen in girls with anorexia nervosa , who engage in extreme dieting or binging and purging, because they fear becoming too fat even when they are abnormally thin. Finally, it can be seen in a number of chronic illnesses in which body fat is often decreased. Some girls with delayed puberty may have problems with their ovaries.
Your child will go through lots of changes in puberty. One of the most significant milestones is her first period. Most of the blood and tissue comes out in the first couple of days, but some girls will continue to have bleeding for up to seven days. The amount of bleeding varies. If a girl has a major growth spurt and has grown some underarm hair, periods are likely to be just around the corner. Cycles are usually between 25 and 35 days. But girls might not get regular periods for the first few years, so their cycles might change from one period to the next. Irregular cycles can be as short as 21 days, and as long as 45 days or even longer. Girls who start their periods earlier will usually get a regular cycle more quickly than girls who start their periods later. Talking about periods with your daughter can be a tricky conversation.