Back pain is common in young people, and for the majority of young people, it is mild, infrequent and may not result in medical consultation. Similar to adults, most adolescent back pain is non-specific in nature, and no obvious cause can be found. Differential diagnoses include inflammatory spine disease, idiopathic pain syndromes, tumour, infection and metabolic, vascular and referred pain. A full clinical history including psychosocial assessment, mechanical factors, lifestyle including sports, family history and psychosocial factors in addition to a full examination is important in all young people presenting with back pain. Management requires a multidisciplinary approach involving physiotherapy and occupational therapy in most cases.
Adolescent back pain Multidisciplinary Spinal red flags
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