A backache is pain and stiffness in the back. The middle or lower back is the most common area to have pain. Backaches are more common during adolescence.
With a backache:
Backaches are usually caused by straining some of the 200 muscles in the back that allow us to stand upright. Often the strain is caused by carrying something too heavy (such as schoolbags), lifting from an awkward position, or overusing back muscles (for example, from digging).
The pain and discomfort are usually gone in 1 to 2 weeks. However, it is common for a child to have backaches many times, depending on your child's activities and health.
Give acetaminophen (Tylenol) or ibuprofen (Advil). Continue this medicine until 24 hours have passed without any pain. This is the most important part of the therapy because back pain causes muscle spasm and these medicines can greatly reduce both the spasm and the pain.
During the first 2 days, massage the sore muscles with a cold pack or ice pack for 20 minutes 4 times per day. To avoid frostbite, do not leave the cold packs on too long.
After 2 days, put a heating pad or hot water bottle on the most painful area for 20 minutes to relieve muscle spasm. Do this whenever the pain flares up.
The most comfortable sleeping position is usually on the side with the knees bent. The mattress should be firm if possible.
Have your child avoid lifting, jumping, horseback riding, motorcycle riding, and exercise until he is completely well. Complete bed rest is not necessary.
The best way to prevent future backaches is to keep the back muscles in good physical condition. This will require 5 minutes of back and abdominal exercises every day. (Your child should not do strengthening exercises until the back pain is gone.) Help your child become more physically active. Children should get at least 30 minutes of physical activity every day.
Also, teach your child how to lift heavy objects properly:
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