Back Pain in Children and Adolescents

Lamb, Micah; Brenner, Joel S.

doi:10.1542/pir.2019-0051

Cited by 7 publications

(6 citation statements)

References 69 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although pain can occur in any segment of the spine, it is mostly located in the lumbosacral area. Studies indicate that lumbosacral pain affects 10% of the global population (619 million people), including adults (The Lancet Rheumatology, 2023), adolescents and children (Lamb and Brenner, 2020). Cervical pain is reported to affect 203 million individuals worldwide (Wu et al, 2023).…”

Section: Spinal Pain Syndromementioning

confidence: 99%

Do patients in neurosurgical wards benefit from psychotherapy? A brief discussion on the application of cognitive-behavioural therapy in patients treated for spinal conditions

Pawełczyk,

Lusa,

Radek

2023

Psychiatr Psychol Klin

View full text Add to dashboard Cite

The present article reviews the existing literature on the application and effectiveness of cognitive-behavioural therapy in a group of patients with spine problems. It encompasses publications describing the use of cognitive-behavioural therapy in the treatment of patients with back pain and spinal cord injuries of various aetiologies, as well as those experiencing disabilities and difficulties in social and emotional functioning. The findings confirm that cognitive-behavioural interventions are effective in reducing the intensity of pain, improving mobility, reducing the duration of professional inactivity, facilitating adaptation to disability, and enhancing overall life satisfaction. They also support the effectiveness of therapeutic interventions in addressing depressive and anxiety disorders among these patients. It appears that both the traditional and newer approaches of cognitive-behavioural therapy offer potential in patients with spine issues and their families and caregivers. However, due to the insufficient number of randomised and controlled studies, high heterogeneity among study groups, and diversity of research protocols, it is not possible to definitive formulate final conclusions or recommendations at this stage. Nevertheless, the literature findings herein support further exploration of cognitive-behavioural therapy among patients experiencing spine problems.

show abstract

Section: Spinal Pain Syndromementioning

confidence: 99%

Do patients in neurosurgical wards benefit from psychotherapy? A brief discussion on the application of cognitive-behavioural therapy in patients treated for spinal conditions

Pawełczyk,

Lusa,

Radek

2023

Psychiatr Psychol Klin

View full text Add to dashboard Cite

show abstract

“…The available evidence recommends that every child with a complaint of back pain needs an extensive evaluation using advanced imaging and blood work to establish an underlying cause ( 3 – 5 , 8 , 10 – 13 ). The differential diagnosis of back pain in childhood is broad and different from that seen in adults.…”

Section: Introductionmentioning

confidence: 99%

“…Back pain is labeled symptomatic or “specific” when there is an obvious etiology, particularly inflammatory, neoplastic or infectious conditions. It is commonly described as mechanical or “non-specific” ( 3 – 5 , 8 ).…”

Section: Introductionmentioning

confidence: 99%

Clinical presentation and imaging findings in juvenile-onset back pain: a ten-year hospital-based retrospective analysis in Douala (Cameroon)

Kemta Lekpa,

Eloundou,

Moulion Tapouh

et al. 2024

Front. Pediatr.

View full text Add to dashboard Cite

IntroductionStudies exploring the clinical and imaging characteristics of juvenile-onset back pain (JOBP) are scarce. The purpose of this study was to assess the clinical presentation, imaging findings, and factors associated with JOBP.MethodsA retrospective record-based study was conducted among all pediatric cases presenting to the Rheumatology unit of the Douala General Hospital, Cameroon, from January 2014 to December 2023. The study did not include children whose back pain began after 16 years of age.ResultsOf the 216 records of patients under 18 examined, 67 children (31 girls) were diagnosed with JOBP. The median age was 15 [13–16] years. More than two-third of the children included in this study had chronic pain (n = 46; 68.65%). Pain was mild to moderate in intensity in 48 children (71.6%). Radiculopathy was present in 10 children (14.92%). The most common location of back pain was the lumbar region (n = 64; 95.52%). Some children experienced pain in more than one location. The location of the pain was not associated with gender, duration of the pain, radiculopathy, or practice of a competitive sport (p > 0.05). Musculoskeletal abnormalities on imaging were found in 38 children (62.29%). In multivariate analysis, peripheral joint involvement [aOR = 0.253 (0.073–0.878); p = 0.030] and mild pain intensity [aOR = 0.077 (0.014–0.422); p = 0.003], were independently associated with the presence of musculoskeletal abnormalities on imaging.ConclusionJOBP affects a third of children and adolescents of our clinic population. The common musculoskeletal abnormalities found on spine imaging are disc diseases and scoliosis.

show abstract

“…These causes can manifest as low back pain and stiffness, and they often get worse in the morning. Less common but more serious causes include malignancies and infections, such as common appendicitis, pneumonia, and rarely pancreatitis [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Children with back pain – a radiologist’s approach

Potoczna,

Bereda,

Mania

et al. 2023

Pol J Radiol

View full text Add to dashboard Cite

IntroductionThe aim of the study was to analyse magnetic resonance imaging (MRI) of paediatric patients referred because of back pain.Material and methodsThe retrospective analysis included the medical records of 328 patients referred in 2020-2022 to the Department of Paediatric Radiology for spine examination. The criterion for inclusion in the analysed group was back pain as the dominant symptom. This symptom occurred in 20% (68 patients) of referrals for MRI examinations. The examination was performed with the 3T Magnetom Spectra.ResultsIn 68 patients aged 2 to 17 years, with back pain as the first diagnosis, 53% (36 patients – 16 girls and 20 boys) showed abnormalities. The rest of the tests were assessed as normal. Among the patients with an abnormal MR image, the largest group were children with degenerative changes diagnosed: 10 children (28%) aged 13-17 years. In 9 patients (25%) aged 2-16 years the final diagnosis qualified the patients to the group of oncological diagnoses. Another group of 7 (19%) patients, aged 6-14 years, comprised children diagnosed with inflammation. The group of 5 patients, aged 3-17 years, presented symptoms most likely related to the trauma. One 7-year-old boy was diagnosed with large calcifications within the intervertebral disc.ConclusionsBack pain, with accompanying neurological symptoms, should not be underestimated. Although in most clinical situations the MR image is normal, in the case of persistent symptoms and neurological abnormalities confirmed by the clinician, extending the diagnostics with MR imaging should be considered. This imaging can accelerate the correct diagnostic path or make a very precise diagnosis.

show abstract

Back Pain in Children and Adolescents

Cited by 7 publications

References 69 publications

Do patients in neurosurgical wards benefit from psychotherapy? A brief discussion on the application of cognitive-behavioural therapy in patients treated for spinal conditions

Do patients in neurosurgical wards benefit from psychotherapy? A brief discussion on the application of cognitive-behavioural therapy in patients treated for spinal conditions

Clinical presentation and imaging findings in juvenile-onset back pain: a ten-year hospital-based retrospective analysis in Douala (Cameroon)

Children with back pain – a radiologist’s approach

Contact Info

Product

Resources

About