Evaluating low back pain in adolescents

Autor: Ann Wallace Tazewell, Lorae Schafer, Candice Creecy, Sarah J Garvick, Megan Miller, Alex Spooner, Tanya Gregory
Rok vydání: 2019
Předmět:
medicine.medical_specialty
Adolescent
MEDLINE
Physical examination
Intervertebral Disc Degeneration
Sarcoma
Ewing

Medical Oncology
Nurse Assisting
Diagnosis
Differential

03 medical and health sciences
Young Adult
0302 clinical medicine
Rheumatology
Intervention (counseling)
Internal medicine
medicine
Back pain
Humans
Spondylitis
Ankylosing

030212 general & internal medicine
Spinal Cord Neoplasms
Spondylolysis
Young adult
Child
Medical History Taking
Physical Examination
Referral and Consultation
030222 orthopedics
Spinal Neoplasms
medicine.diagnostic_test
business.industry
Low back pain
Magnetic Resonance Imaging
Radiography
Orthopedics
Scoliosis
Orthopedic surgery
Physical therapy
Sprains and Strains
medicine.symptom
Spondylolisthesis
business
Low Back Pain
Intervertebral Disc Displacement
Zdroj: JAAPA : official journal of the American Academy of Physician Assistants. 32(12)
ISSN: 1547-1896
Popis: Low back pain in adolescents is a common complaint in primary care. With an average prevalence rate of 40%, adolescent low back pain correlates with greater healthcare use, higher incidences of adult back pain, and negative effects on overall well-being. A thorough history and physical examination can increase early detection and accurate diagnosis while ensuring the judicious use of diagnostic modalities. Although underlying serious pathology is rare in adolescents with low back pain, clinicians should recognize specific signs and symptoms that necessitate urgent evaluation and intervention. This article emphasizes the value of using a thorough history and physical examination to guide the initial diagnostic workup and to enhance the early detection and accurate diagnosis of adolescents who present with low back pain.
Databáze: OpenAIRE