Back Pain in Children

Unlike adults, children will be presented differently when experiencing severe or less spine-related condition, and many will not have as an initial symptom of back pain. It is more likely that a child with back pain will have significant underlying condition and should be evaluated immediately spine specialist.

Children who have just completed their first growth spurt, and appears back pain should be evaluated. There are many other symptoms in children that should alert parents or physician closer evaluation should be completed. These include:

• Decreased physical activity, or trouble walking
• Weight Loss
• fever or night sweats
• leg pain
• Urinary or bowel issues
• trouble sleeping

the cause of back pain in children

childhood and teenage obesity is currently increasing in America, and together with reduced physical activity, muscle strain or sprain has become an increasing cause of low back pain in children. Increasing physical activity and exercise combined with weight loss and diet control will help to reduce the incidence of why children.

Other more serious causes include stress fractures, cancer and infections. Herniated discs are less common in children and early detection and treatment of serious causes is important. Always see your doctor if your child has back pain lasts longer than a few days or progressively worsen.

History:

, the physical examination, history gives the doctor a lot of information and becomes the focal point of what the source of the problem is identified. Providing your child's doctor as much information he or she has a medical history, complaints, changes in activity patterns, and the presence of other symptoms or behavior changes are important and should not be taken lightly, and will help direct physicians plan for diagnostic studies.

General Medical Issues:

• What is the overall health of your child, including illness or medical problems?
• What is your family medical history?
• Whether the recent accidents, falls or other trauma?
• Are there issues with urination or bowel?

sport or activity related issues:

• Is your child playing or stopped their activity level decreased?
• What are their primary and secondary sports or recreational activities?
• How often do you play, compete, or train?
• What areas do they play, compete or train?

spine related issues:

• Where is a particular pain or stiffness?
• Does it expand in the legs?
• How long they have been experiencing these symptoms?
• How did it start?
• Is the pain worse at night?
• Did the symptoms begin slowly or happened suddenly?

physical examination:

a systematic review is a very important part of the process and should not be glossed over. This will include a detailed musculoskeletal examination of the spine and limbs in search of neurological problems, muscle weakness or atrophy of the imbalance.

Your child will be asked to change into a dress with exposed back follows a simple initial evaluation of their ability to walk, stand, bend, and sit down. Their attitude will be closely followed by the hands of a musculoskeletal evaluation of the spine and extremities. These include the sensory evaluation, testing for motor strength, reflex examination or other signs of spinal cord compression, and testing of the blood vessels.

This part of the evaluation is intended to be comprehensive and will help provide clarity for the surgeon, thereby reducing its ability to list the conditions or causes. From here, the spine surgeon will be able to focus their diagnostic testing to further narrow the potential causes.

diagnostic studies:

1.Plain X-rays:. Standard baseline x-rays may include scoliosis series, or a regional film gate, thoracic, or lumbar spine at different angles

2.Bone Scans: This is a very sensitive test, but is not specific to any particular diagnosis. This allows the surgeon to focus the diagnostic possibilities. If the test is negative, we will often order a MRI. If the test shows a "hot" spots, we often order CT and focus on areas of increased activity. They can reveal infection, tumors, fractures, and a special camera.

3.Magnetic Imagint resonance (MR): creates a magnetic field and creates an image of the body without radiation. It is very good at looking at soft tissue, unlike bone. Examples would include the spinal cord, nerve roots, and disk space.

4.Computed tomography (CT) scan:. It is a specialized X-ray machine that allows the surgeon to see the full details of the bone better than MRI in three dimensions

laboratory tests:

Laboratory tests may include complete blood cell and other tests that look for signs of local or system-level inflammation.

treatment for back pain:

Treatment is tailored to the cause. After more serious conditions are excluded, then conservative treatment, if it is possible to become a major focus of treatment, including, weight loss, exercise, physical therapy, nonsteroidal anti-inflammatory, and if necessary, limited use of narcotics.

The most common causes of low back pain in children:

Rounded Back
Scheuermann's kyphosis is a round back deformity thoracic (mid back to chest level) of the spine, and can be a significant source of pain in the teenage population that matches the patient's growth špricati.Kralješci become wedged, causing a rounded back or slouching posture. Scheuermann's kyphosis is more common in boys than girls, and usually occurs between 14 and 17 years.

The treatment for this condition consists of a healthy, serial casting for a young stiff curves, exercise, physical therapy, anti-inflammatory drugs, and rarely surgery

Stress fractures of the spine
Stress fracture is usually located inside of the vertebrae called the pars inter-articularis. This condition is also known as spondylolysis. It is a known cause of back pain in children and adolescents, but is often asymptomatic and may remain so for many years after initial fracture.

These spondylolysis stress fracture can occur during a child's growth spurts or relating to sporting activities associated with repeated hyperextension activities. Those most at risk are the gymnast and football lineman who repeatedly have to twist and hyperextend the lumbar spine.

the treatment is focused on reducing hyperextension activities, rest, nonsteroidal anti-inflammatory drug, the core trunk stabilization exercises, and perhaps 2-4 months of consolidation.

Surgery is rarely helpful in determining the gap and will often heal by fibrosis, as opposed to normal bone that bridges the gap.

When a young child at the time of pars fracture (spondylolysis) occurs, then it can thrive in a slipped vertebra is called spondylolisthesis.

slipped vertebra
Spondylolisthesis is a condition where one vertebra slips forward over the vertebra in nastavku.Najčešći levels near the bottom of the lumbar spine to the fourth or fifth lumbar vertebra slipped kralježak.Većina these are mild and require very little processing, but little can be painful and can lead to a point where results in severe compression of spinal nerves.

is an important part of treatment in younger patients is prevention consists of close observation for signs of progression which can lead to significant disability. In the adolescent, treatment may include stabilization of the basic hull and bracing. Surgery to stabilize the spine in severe cases will be considered.

Infection
Infection of disk space (diskitis) in young children, can lead to back pain. This condition usually affects children aged between 1 and 5 years, although older children, adolescents and adults may also be affected.

diskitis Symptoms in children may include the following.

• low back pain or stiffness in the spine
• Refusal to ambulate or run
• Walk with a limp
• Bending forward with a straight spine when reaching for something on the floor

diskitis For treatment, the child may need a few days rest and antibiotics taken through the bloodstream (intravenously or IV) or in tablets. In some cases, older children may need casting or hold on to strengthen the spine (for comfort), if the infection reduces the disk space. Surgical drainage of the infection is rarely necessary.