Back pain in children is very much more likely to have a serious underlying disorder compared to adult back pain and deserves careful attention.
There are important differences in the etiology, diagnosis and management of backache in children, the younger the child and the longer the history the more likely it is that a serious underlying condition is responsible for the symptoms.
Rest improves pain. Pain is sharp, mild to moderate in intensity and can radiate to the buttock.
On examination patients may have a waddling gait associated with hamstring tightness and a lordotic posture. The classic Phalen-Dickson sign (knee-flexed, hip-flexed gait) may occur especially if there is associated spondylolisthesis.
Discourage high risk or extreme sports, particularly in at risk children (age, build etc)
Beware of certain sports in younger children (rowing, diving, gymnastics,7 cricket bowling). Advice from sporting bodies and sports medicine specialists should be sought by schools, sporting bodies and clubs. Individual children may need to consult.
Encourage sports which improve isometric muscle endurance as high isometric muscle endurance is associated with less back pain.
The primary goals of an exercise program for spine are to make the muscles of the back, stomach, hips and thighs strong and flexible.
Exercises should be incorporated into an overall program of aerobic conditioning such as walking, bike riding, swimming, or jogging.
Initial Exercise Program Ankle Pumps Heel Slides Abdominal Contraction Wall Squats Heel Raises Straight Leg Raises
Intermediate Exercise Program Single Knee to Chest Stretch Hamstring Stretch Lumbar Stabilization Exercises with Swiss Ball Standing with Ball between Your Low Back and the Wall Lie on your Stomach over Ball
Advanced Exercise Program Hip Flexor Stretch Piriformis Stretch Lumbar Stabilization Exercises with Swiss Ball