Pediatric Back Pain

It is unusual for children to complain of back pain, but modern lifestyle makes these pains appear at a very early age.

Pain during walking, difficulty to stand up straight. These complaints may be frequent in older persons. But these symptoms appear to be no longer confined to the elderly, but are common in children as well. One of the most difficult situations that pass us by in bone clinics, is that you see a child not more than 8 years old,  is holding his\her back in pain just like an old man.


What Causes Pediatric Back Pain?


There are three main reasons for Pediatric Back Pain; school bag, how they sit in the classroom or home, and the design of tables and chairs in their schools. These three causes will contribute in either increasing or decreasing the complaints from Pediatric Back Pain.

1- Schoolbags:

There are several factors describing the relationship between school bag and the increased cases of Pediatric Back Pain.


First, their weight should not exceed 30% of the weight of the child. And therefore its content should be light and arranged in a certain way. The problem lies in the so many books and their heavy weight, which is a frequent complaint by both the student and the parents.



Second, the way children carry their bags should be correct. Always advise the student to wear the bag on the shoulders, to tighten the abdominal belt, to have the base bag parallel to the lower back and top of the bag parallel to the first of the neck.



Thirdly, the specification of the bag itself, where it should be basically light without books. It should also contain a belt for the abdomen (and another for the chest if possible), the back strap should be sponge, and finally the bottom of the bag is solid. Here we have to address an important issue on the deviation in the spine “scoliosis“. This problem is spread widely between little children and the reason behind it is carrying the bag on one shoulder, which is a big mistake that causes imbalance in the strength of the back muscles and thus leads to lateral curvature in the back and pediatric back pain.



2- Kids Sitting Posture:


The student spends most of his time sitting in the classroom or at home. His\her way of sitting definitely affects the strength of his spine.


3- The Poor Design For School Tables And Chairs:

In simple words, most schools use tables and chairs of a fixed size, while the sizes of children varies.

The study desk should provide a straight position for supporting the natural bends in the neck and lower back “the S-shaped back”.


Some Other Causes For Pediatric Back Pain

  • Sleep for long hours in a poor-quality bed or in bad sleeping position
  • Weak Muscles: This problem should be treated early so that the child does not get any abnormalities in the body
  • Curvature in the spine: A large proportion of children who suffer from pediatric back pain may suffer from spinal curvature
  • Lack of movement and lack of exercise
  • Obesity: Child obesity may be at risk of back pain, with excess weight on the spine and feet



Tips To Reduce Pediatric Back Pain Problem

  1. Provide bookcases inside the classroom so that each student can leave the books he does not need in the classroom and take with him only the books he will use at home.
  2. Provide some courses or seminars teaching the student how to sit properly when using the iPad or computer because their improper sitting posture increases their pediatric back pain problem.
  3. Create a healthy atmosphere for the students by providing some charts or wall magazines that relate to the safety of the spine such as the way they sit, stand, and carry the bag.
  4. Morning exercises are designed in a way that serves the spine and benefits it.
  5. Inform and educate the school teachers about the problems of the spine and ways to prevent pediatric back pain so they can in turn help the student


When To Seek Medical Help About Pediatric Back Pain


The German pediatrician, Gabriel Brinkhaus, advises parents to consult a specialist if their child has been suffering from pediatric back pain for more than a month, especially if the pain becomes disabling, preventing the kids from doing their normal everyday activities such as, exercising, playing or sleeping at night. A member of The German Society of Pediatrics and Adolescent Medicine (Deutsche Gesellschaft für Kinder- und Jugendmedizin – DGKJ) stressed the need to seek the proper diagnosis because such problems can be a symptom for another more serious problem in the back, such as infections, growth disorders or congenital malformations.