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Back Pain in Children- How Sinister?

Pankaj Kandwal1, G Vijayaraghavan2, Ankur Goswami2

  • 1Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, 249201, India. pankajkandwal27@gmail.com.

Indian Journal of Pediatrics
|September 29, 2015
PubMed
Summary

Pediatric back pain is rising, often without a clear diagnosis. A thorough history and physical exam are key to distinguishing non-specific pain from serious causes in children and adolescents.

Keywords:
AdolescentBackacheChildrenScheuermann diseaseSpinal tumorSpondylolisthesisSpondylolysisTubercular spondylodiscitis

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Area of Science:

  • Pediatric medicine
  • Orthopedics
  • Rheumatology

Background:

  • Childhood back pain incidence is increasing.
  • Extensive diagnostics often yield non-specific findings.
  • Differentiating pain causes is crucial for appropriate management.

Purpose of the Study:

  • To review common causes of pediatric back pain.
  • To outline clinical presentations and diagnostic approaches.
  • To discuss management strategies for back pain in children.

Main Methods:

  • Literature review of pediatric back pain.
  • Analysis of clinical presentations.
  • Summary of diagnostic investigations and treatments.

Main Results:

  • History and physical examination are vital for diagnosis.
  • Diagnostic workup is indicated for severe or persistent symptoms.
  • Common causes, presentations, and management are detailed.

Conclusions:

  • Effective differentiation of back pain causes is possible with clinical assessment.
  • Timely and appropriate investigations guide management.
  • Understanding common pediatric back pain etiologies improves patient outcomes.