Back pain in children and adolescents


Back discomfort occurs commonly in kids and adolescents, affecting as much as 50 percent of kids by age 18 to two decades. The pain may end up being sharp and shooting, burning up, or aching, and might be felt anywhere in the rear.

Although back pain can be a sign of a much more concerning problem, especially in children younger than ten years, most episodes of back again pain in children aren't serious and resolve with no treatment.

This topic will review the most typical causes of back discomfort in children, treatments that may be tried at home, and a guide to once the child should see his / her healthcare provider. Back discomfort in adults is talked about separately.


The most common reason for low back pain within children is muscle twist and strain. This may appear while playing, from carrying huge backpack, or after the fall.

Less common causes include abnormalities within the spinal bones (vertebrae), bacterial infections, arthritis, and, rarely, most cancers.


Contact your child's doctor if your child has a number of of the following:

●Back pain that's severe, occurs at night or wakes the kid from sleep, or worsens with time
●Back pain accompanied through fever (temperature >100. 4ºF or even 38ºC)
●Back pain associated with weight loss
●Back pain in a young child under five years old
●Leg weakness, walking having a limp, or refusing in order to walk
●Back pain that developed following a recent injury
●Past background of cancer or tuberculosis
●Change within bowel or bladder manage (eg, new accidents)
●Back pain that prevents the kid from participating in regular activities
●Back pain that's accompanied by morning stiffness lasting a lot more than 30 minutes


To determine probably the most likely cause of the child's back pain, the doctor will ask questions and can perform a physical evaluation. Blood tests and x-rays or even other imaging tests aren't always needed, especially when the back pain began lately.


In case your child has back discomfort but has none from the warning signs described above (see 'When to find help' above), it is reasonable to test some home treatments at first. However, if the child's pain doesn't improve, call the child's doctor.

Pain medications — Non-prescription discomfort medications, such as acetaminophen (sample brand: Tylenol) or ibuprofen (sample brands: Advil, Motrin) may assistance to reduce a child's back again pain. These medications are particularly ideal for back pain caused through overuse, strains, and sprains.

These medications should be given based on the child's weight, rather compared to age.

Heat — Applying heat might help with back pain throughout the first few days after overuse or a personal injury. You may use the heating pad, hot drinking water bottle, or other warm pack. Be careful to prevent burning the skin having a pack or pad that's too hot.

Remaining active — Staying active will help relieve muscle spasms and prevents weakening from the muscles. On the additional hand, back pain brought on by overexertion may not enhance without rest. Thus, high-impact actions (running, jumping, or alternative activities that cause pain) ought to be avoided while the kid has pain. It is fine for that child to continue along with regular day-to-day activities and light exercise that doesn't cause pain.

Bed rest isn't recommended. Children who would rather remain completely inactive ought to be evaluated by a doctor.

Stretching and strengthening exercises — Since the pain begins to enhance, your child's healthcare supplier may recommend specific extending and strengthening exercises. A physical therapist will help design a program tailored for your child.

Activities such because walking, swimming, bicycling, along with other low-impact activities are additionally recommended. The child ought to temporarily avoid activities which involve twisting or twisting, are high impact, or which make the back hurt much more.

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