Pediatric Back Pain
Back Pain in Children
Back pain is uncommon in children and is usually associated with a serious underlying condition or an injury. Often, the cause of back pain is non-specific and is thought to be due to musculoskeletal strain, poor posture, heavy school bags that are not worn correctly or underlying mood problems.
What are the Causes of Back Pain
Specific causes of back pain in children may include:
- Spondylolysis: A stress fracture of the vertebrae due to injury or repetitive activity such as sports
- Spondylolisthesis: A progression of spondylolysis, where one vertebra slips forward over another
- Abnormal spine curvature: Kyphosis (excessive forward curvature), scoliosis (lateral curvature)
- Infection: Infection of the disc space, usually seen in children 1-5 years
- Tumor: Rarely occurs in or around the spinal column, resulting in progressive pain, especially at night
How is Back Pain diagnosed?
It is necessary to consult a physician if your child’s back pain affects its sleep, lasts for several days, is accompanied by fever, difficulty in walking, weakness or numbness, bowel or bladder problems, or pain traveling down the leg. Your child’s doctor will conduct a thorough physical examination, order imaging tests (X-ray, CT or MRI scans) and bone scans to identify abnormalities, and blood tests to reveal infection or inflammation.
What are the Treatment Options for Back Pain?
Treatment for non-specific back pain in children usually involves pain medications, psychological counseling for mood problems, exercises, posture correction, weight loss if needed and advice on the proper method of carrying school bags. Your doctor may recommend bracing or surgical treatment for the correction of abnormal spine curvature. Antibiotics are prescribed for infections. Tumors may be treated with radiation or surgery.
