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By Mayo Clinic staffTalk with your pediatrician or a specialist about at-home care. Issues particularly critical for children with disproportionate dwarfism include the following:
- Car seats. Use an infant car seat with a firm back and neck supports. Continue using a car seat in the rear-facing direction to the highest weight and height possible (and beyond the recommended age limit).
- Infant carriers and play equipment. Avoid infant devices — such as swings, umbrella strollers, carrying slings, jumper seats and backpack carriers — that don't support the neck or that curve the back into a C shape.
- Adequate support. Support your child's head and neck when he or she is seated.
- Complications. Monitor your child for signs of ear infection or sleep apnea.
- Posture. Promote good posture by providing a footstool and a pillow for the lower back when your child is sitting.
- Healthy diet. Begin healthy eating habits early to avoid later problems with weight gain.
- Healthy activities. Encourage participation in appropriate recreational activities, such as swimming or bicycling. Avoid sports such as gymnastics and contact sports.
References
- Dwarfism: Frequently asked questions. Little People of America. http://www.lpaonline.org/mc/page.do?sitePageId=44397&orgId=lpa. Accessed June 24, 2007.
- Carter EM, et al. Advances in understanding etiology of achondroplasia and review of management. Current Opinion in Pediatrics. 2007;19:32.
- Pseudoachondroplasia. Genetics Home Reference. http://ghr.nlm.nih.gov/condition=pseudoachondroplasia. Accessed July 8, 2009.
- Spondyloepiphyseal dysplasia congenita. Genetics Home Reference. http://ghr.nlm.nih.gov/condition=spondyloepiphysealdysplasiacongenita. Accessed July 8, 2009.
- Diastrophic dysplasia. Genetics Home Reference. http://ghr.nlm.nih.gov/condition=diastrophicdysplasia. Accessed July 8, 2009.
- Achondroplasia. Genetics Home Reference. http://ghr.nlm.nih.gov/condition=achondroplasia. Accessed July 8, 2009.
- Hypochondroplasia. Genetics Home Reference. http://ghr.nlm.nih.gov/condition=hypochondroplasia. Accessed July 8, 2008.
- Trotter TL, et al. Health supervision for children with achondroplasia. Pediatrics. 2005;116:771.
- Horton WA, et al. Achondroplasia. The Lancet. 2007;370:162.
- Baujat G, et al. Achondroplasia. Best Practice & Research. Clinical Rheumatology. 2008;22:3.
- Hypopituitarism in children resulting in short stature. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec12/ch151/ch151e.html. Accessed July 15, 2009.
- Richmond EJ. Diagnosis of growth hormone deficiency in children. http://www.uptodate.com/home/index.html. Accessed June 13, 2009.
- Turner syndrome. National Institute of Child Health and Human Development. http://turners.nichd.nih.gov/clinical.html. Accessed June 28, 2009.
- Turner Syndrome. Genetics Home Reference. http://ghr.nlm.nih.gov/condition=turnersyndrome. Accessed July 8, 2008.
- Rogol AD. Causes of short stature. http://www.uptodate.com/home/index.html. Accessed July 8, 2009.
- Rogol AD. Diagnostic approach to short stature. http://www.uptodate.com/home/index.html. Accessed July 8, 2009.
- Attanasio AF, et al. Growth hormone and the transition from puberty into adulthood. Endocrinology and Metabolism Clinics of North America. 2007;36:187.
- Learning about Turner syndrome. National Human Genome Research Institute. http://www.genome.gov/19519119. Accessed June 28, 2009.