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Kinesio Rehab Physiotherapy Centre
Grandparents · Ipoh

Looking after grandchildren with sore joints

You love minding your grandchild, but your wrists, knees and back pay for it by evening.

Why do grandchildren and sore joints go together?

Because minding a child is physical work. A toddler weighs more every month, wants to be carried, and lives at floor level. The grandparent lifts, bends, squats and chases all day, with joints that already ache.

In Ipoh, grandparents mind the children while parents are at work, and this is a gift. It does not need to come at the price of your own health.

Which joint takes the strain, and what helps?

  • Wrist and thumb: lift with two flat palms under the child, not with the thumbs pulled out. Keep the wrists straight.
  • Knees: sit on a chair or low stool for play, and use a cushion if you must kneel.
  • Lower back: keep the child close, bend the knees, and avoid twisting at the cot.
  • Shoulder: switch arms when you carry, and use a pram or trolley for outings.
  • Hips: avoid holding the child on one hip for long.

Our page on carrying grandchildren and back pain goes into the back in detail.

What about the floor, the stairs and the bath?

Floor play is a joy but hard on knees, and getting up is the real problem. Bring the play up to a low table, and learn a safe way to rise from getting up from the floor.

On the terrace-house stairs, hold the rail and never carry a child if you feel unsteady. At bath time, use a bath seat at a good height and do not bend over the tub for long.

How do I plan the school or kindergarten pick-up?

Walking to the school gate or kindergarten is good exercise, and the wet-weather rule applies: slippery porch, slippery shoes. Wear shoes with grip and carry an umbrella, not a bag in each hand.

If the child wants to be carried at the end of a long day, offer a rest on a bench first. Ask parents to arrange a stroller for longer walks.

How do I talk to the parents?

Start with love, since you want to keep helping, then say what hurts and what would make the job safer. A high chair, a changing mat on the table and a child who climbs into the car seat alone cost the parents little. So does less lifting when you are tired.

If it feels awkward, a physiotherapist can say it for you, with specific advice for your joints.

When should I see a physiotherapist?

If pain lasts more than a couple of weeks, wakes you at night, causes numbness or weakness, or limits your day, ask for a check. A physiotherapist looks at the joint, shows safer ways to lift and gives exercises to strengthen the muscles that support it.

See our pages on lifting safely at home and De Quervain’s tenosynovitis, and how home physiotherapy in Ipoh works. Our Canning Garden centre is opening soon.

Questions people ask

Why do my wrists hurt when I lift my grandchild?

Lifting a baby or toddler with the thumbs pulled out strains the tendons at the thumb side of the wrist. This is sometimes called De Quervain's tenosynovitis. Lift with both palms under the child, keep the wrists straight and bring the child close to your body.

How can I play on the floor without ruining my knees?

Sit on a firm low stool or a chair and bring the toys up to a tray or low table. If you do go to the floor, use a cushion, change position regularly and plan how you will get up. Ask a physiotherapist to show a safe way to rise.

How do I carry a child on the stairs?

Hold the rail with one hand, and carry the child on the other arm only if you feel steady. If you do not, ask the child to climb with you, or use the stairs just once. Keep the child close and take a step at a time.

How do I ask the parents for less lifting?

Frame it as how you can keep minding for longer: you want to look after the little one without hurting yourself. Suggest a high chair, a changing surface at waist height and a child who walks to you. Parents usually agree when they know it is for safety.

Should I stop babysitting if my joints hurt?

Not always. Staying active is good for joints, and the child gives you purpose. Adjust the jobs, share the heavy parts and get a check if pain persists, wakes you at night or limits your day. A physiotherapist can help you carry on.

Every body is different. For a diagnosis that fits you, see a registered physiotherapist or doctor, and seek urgent care for sudden weakness, numbness, chest pain or severe pain after a fall.

Clinical editor: M Thurairaj, physiotherapist registered with the Malaysian Allied Health Professions Council (MAHPC). How we write and check our pages

Talk to a physiotherapist about your next step

If minding your grandchild leaves your joints sore, tell us which joint, which jobs and for how long each day; we will suggest how a home visit could help you keep doing what you love.

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