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Back Pain

What Is Back Pain?

  • Pain or discomfort in the upper, middle or lower back.
  • Muscle strain from exercise and back injury.

Causes of Back Pain

  • The strain of back muscles - back pain that occurs in adults is usually caused by muscle strain resulting from overexertion. The pain mainly localizes in the mid or lower back.
  • Physical activity - lifting or carrying heavy weights, bending or unbending the back forcefully.
  • Physical exercise - change in the type of exercise.
  • Backpack - a common cause of back pain in school-age children. It can also cause shoulder and neck pain. The risk is highest in children of transitional age because their muscles are not yet formed.
  • Kidney infection - pain on one side of the mid-back. Other signs include fever and pain when urinating.
  • Kidney stone - pain is localized on one side in the mid-back and radiates to the lower abdomen. Urine contains blood.

The Severity of the Pain

  • Mild: the child feels and complains of pain, but the pain does not interfere with regular activity. The rhythm of school, play and sleep does not change.
  • Moderate: pain makes it difficult for the child to do some activities. The pain may wake the child up.
  • Severe: robust and unbearable pain. It interferes with any regular activity.

Contact a Doctor Immediately In the Following Situations

  • Strongly expressed severe pain.
  • Pain begins after injury (e.g. traffic accident, sport, fall from height). Do not move the child at this time until the ambulance arrives.
  • You think the child has a life-threatening or urgent condition.
  • Cannot urinate at all or produces urine in droplets.
  • Pain or burning when urinating and fever.
  • Urine contains blood.
  • They cannot walk at all or has difficulty walking.
  • Pain radiates to the buttocks or hips.
  • There is numbness in the limb.
  • The child does not look well.

Contact Your Doctor within 24 Hours in the Following Situations

  • Pain or burning sensation when urinating, without fever;
  • Fever;
  • Your child is not walking normally for three days or more;
  • Age;
  • Upper back pain;
  • Pain lasting more than a week;
  • The cause of the back pain is undetermined;
  • Back pain has occurred within the past two weeks as a result of excessive physical activity;
  • Back pain is a frequent problem.

Help at Home

Painkillers

  • Paracetamol;
  • Ibuprofen;
  • It relieves back pain and relieves muscle cramps.

Cold Compresses or Ice Packs

  • For pain or swelling, use ice wrapped in cloth for 20 minutes;
  • Repeat four times on the first day;
  • Relieves pain and relieves muscle spasms;
  • Avoid local frostbite.

Use Heat After 48 Hours

  • If the pain lasts more than two days, apply heat to the painful muscle area for 10 minutes;
  • Heat increases blood flow and promotes healing;
  • Avoid burns.

Sleep on the Side

  • Lay a child on their side and put a pillow between their legs;
  • If the child sleeps only on the back, put the pillow under the legs;
  • Do not lay the child on the  stomach;
  • Do not lay the child on a soft mattress.

Physical Activity

  • Do not let the child do any sport or work that makes the pain worse;
  • Do not allow weight lifting or jumping;
  • After 48 hours, start doing light exercises for the spine;
  • Strict bed rest is not necessary.

Back Pain Prevention

  • Limit the weight to be carried. It must be less than 15% of the body weight. For example, a child weighing 45 kg should not carry a weight greater than 7 kg.
  • A sign that the child is carrying a hefty weight is that they lean forward when walking.
  • Ensure that your child has a good-quality backpack with broad shoulder support.
  • Do not allow the child to carry the load on one shoulder only, which causes pain in the shoulders and neck.

What to Expect

  • Unreasonable back pain usually goes away after a few days.
  • Back pain caused by muscle strain will disappear after 1-2 weeks.