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Low Back Pain in Adolescents (Scheurmann's Disease (Core Strengthening…
Low Back Pain in Adolescents
Serious Pathology
Red flags
Night Pain
Weight Loss
Reduced Activity Levels
Insideous Onset - No particular cause
Fever, lethargy
Refusal to walk
Immediate Referral if inconclusive
MRI/CT/Blood tests/Referral to paediatrician
Scheurmann's Disease
Core Strengthening
Promote extension exercises
manual therapy
gymnastics
Swimming
Regular change of position in workplace
Radiological Investigation to confirm
Spondylolisthesis
Cricket players; fast bowlers
gymnists
overweight patients
patients who do repetitive high impact work
core strenghtening
longitudinal taping to reduce use of back and increase use of hips
Scoliosis
More common in girls
Slump test
Regular observation
Monitoring by parents
Cobb Angle
Radiological Investigation to confirm
Immediately worried: must be particularly thorough with examination
Insideous onset; Benign as per all other investigations
Core strengthening
Manual therapy
Ergonomics, especially in very physical occupation
Lower limb flexibility
discuss physical recreation
consider discal origin