Diagnosis and treatment of low back pain in the pediatric population

Alysha J. Taxter, Nancy Chauvin, Pamela F. Weiss

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Back pain in the pediatric population is a common complaint presenting to sports medicine clinics. There is a wide differential that should be considered, including mechanical, infectious, neoplastic, inflammatory, and amplified musculoskeletal pain. The history, pain quality, and examination are key components to help distinguish the etiologies of the pain and direct further evaluation. Laboratory investigations, including blood counts and inflammatory markers, can provide insight into the diagnosis. The HLA-B27 antigen can be helpful if a spondyloarthropathy is suspected. Imaging as clinically indicated typically begins with radiographs, and the use of MRI, CT, or bone scan can provide additional information. Proper diagnosis of back pain is important because prognosis and treatments are significantly different. We review the pertinent evaluation, differential diagnoses, and treatment of low back pain in the pediatric population.

Original languageEnglish (US)
Pages (from-to)94-104
Number of pages11
JournalPhysician and Sportsmedicine
Volume42
Issue number1
DOIs
StatePublished - 2014

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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