Diagnosis and treatment of low back pain in the pediatric population.

TitleDiagnosis and treatment of low back pain in the pediatric population.
Publication TypeJournal Article
Year of Publication2014
AuthorsTaxter AJ, Chauvin NA, Weiss PF
JournalPhys Sportsmed
Volume42
Issue1
Pagination94-104
Date Published2014 Feb
ISSN0091-3847
KeywordsChild, Humans, Low Back Pain, Pediatrics
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.

DOI10.3810/psm.2014.02.2052
Alternate JournalPhys Sportsmed
PubMed ID24565826
PubMed Central IDPMC4112374
Grant ListT32 HD064567 / HD / NICHD NIH HHS / United States