Image courtesy of Klahanie Chiropractic
For all the illnesses and injuries that kids do get, back pain is the one thing we don’t usually have to worry very much about. Back pain is actually very rare in kids, and even when it does show up, it’s usually temporary and not very serious.
The most common cause of back pain for kids is sports injuries. This makes total sense; they run, jump, kick, climb, chase, tag…and fall. My son slid off the slide and onto his back in the dirt just yesterday. I don’t know if that qualifies as a sports injury…let’s just call it an activity injury. But if we want our kids to be active and healthy and learn the life lessons that go along with being on sports teams, we have to be prepared for a few more aches and pains, including back aches.
Sometimes, though, when kids have back pain, it can mean something more serious. The potential seriousness is inversely proportionate to age, meaning that the older we get, the more stress we put on our backs, so the younger we are, the more likely back pain is to be caused by something serious, rather than just normal stress. So, if your child is very young and back pain persists, you should take them to the doctor, because it could be something that will need treatment.
Here are some symptoms and causes of back pain in kids:
- Spondylolisis. This is an injury of the spine most common to those athletes who bend their backs sharply, such as gymnasts. It can either be a defect of the vertebrae, or a stress fracture on the vertebrae, and can usually be healed by taking a 4-6 week break from the stressful activity.
- Spondylolisthesis. This is another vertebrae injury that results in two vertebrae sliding over each other and causing pain. Again, it sometimes heals itself with rest, but if it continues to cause the child trouble, it is sometimes treated with surgery to fuse the sliding vertebrae once the child is an adult.
- Disk injuries. These don’t start in the back at all, unlike falling or bending injuries. These happen to kids in sports that cause them to land very hard on their feet, causing jarring to go up their legs to injure disks in their spinal column. The pressure from below often thrusts disks into each other, causing injury.
- Infections. The possibility of an infection is one reason to take it very seriously if your child complains of back pain. Diskitis is an infection that settles between the disk and the vertebrae and can do a lot of damage to both bones and internal organs. If it’s a bacterial infection, antibiotics will be prescribed, and again, the child should rest as much as possible. Also, other infections, such as kidney infections and appendicitis, may feel like a back ache to a child, and those should also be treated immediately.
- Tumor. This is the scary one. Spinal tumors are fairly difficult to diagnose, so the earlier you get started on figuring out the cause of back pain, the better. The good news is that spinal tumors almost never result in back pain, so if your child’s back is hurting, it’s very likely they don’t have a tumor at all. Still, get it checked out. Obviously, something’s going on.
- Back strain. This often comes from kids carrying heavy backpacks that might weigh half as much as the child does. They sling them over one shoulder, rather than balancing weight across their backs by putting on both straps. Backpacks do not cause scoliosis, but they can over work the muscles of the shoulder, upper back and lower back.
Kids don’t get very much back pain, so this isn’t something we’ll have to deal with a lot. Even if they do have some, it’s usually just that they played too hard in their sport or activity, something that can be treated by a few ibuprofen, a warm bath, and a few days of taking it easy.
But as with all things, it’s the exceptions to these general truths that cause the problems, so keep your eyes open for long-lasting pain or severe pain, and make sure to bring that to the attention of your child’s doctor.