Until recently, back pain was thought to be an uncommon pediatric problem that warranted significant investigation because it was almost always due to an underlying organic, often serious, cause (1-3). However, subsequent studies have shown that back pain is a relatively common complaint in children, and that the incidence increases with age. While less than 10% of children 10 years and younger report having had back pain, by mid to late adolescence over 50% will have had at least one episode of back pain [reviewed in (4,5)]. In the adolescent, back pain is equally likely to occur in either the mid back (thoracic) or low back (lumbosacral) region (6). In contrast, the younger child predominantly has mid back pain and the adult, low back pain (LBP) (6).
Compared to the younger child, mechanical and rheumatic etiologies are generally more common, and infectious etiologies less common in adolescents. Adolescents who participate in organized competitive sports are prone to back pain related to overuse and injury (7). Adolescents are less likely than adults to have disk herniation, spinal stenosis, or osteoarthritis as causes of back pain. Similar to adults, most adolescent back pain has no obvious etiology and is felt to represent nonspecific back pain (4,8-12). Although adult LBP accounts for as much as a third of workers' compensation costs, most adolescent back pain is felt to be mild, self-limited, and not associated with long-term disability (4,8,13).
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Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.