Back Spasm, No Trauma (Child)
Anything that puts stress on the muscles, ligaments, and bones can cause back pain and spasms. A muscle spasm is an involuntary muscle contraction. The muscles cramp up and become very tight. They may feel hard. Muscle spasms can be very painful. They may occur in the upper or lower back, on 1 or both sides of the spine. This condition is called a back spasm.
Back spasms in children can be caused by too much exercise or muscle fatigue. A too-soft mattress or heavy school backpack can also contribute to back spasms.
Illnesses can also cause back pain. It's often difficult or impossible for a young child to explain what they feel and what the problem is. Because children have trouble describing things, it may be hard for you to figure out if an illness is causing your child's pain, rather than an injury. Other causes may include dehydration, bladder infections, appendicitis, or abdominal infections. Follow up with your child's doctor if your child has any of these symptoms:
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Fever, chills, or weight loss
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Weakness or numbness
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Trouble walking
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Pain that radiates down 1 or both legs
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Bowel or bladder problems
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Pain that keeps the child from sleeping
The earlier the cause of a problem is found, the better. Have your child see their doctor if the back pain lasts for more than a few days or gets worse. Depending on what the doctor finds after talking with you and examining your child, tests may be done.
Muscle spasms may go away with slow stretching or massaging of the muscles. The doctor may prescribe pain and anti-inflammatory medicines. Treatment depends on the cause of the spasm. Mild pain caused by minor problems often goes away in a few weeks.
Home care
Your child's doctor may prescribe medicines to treat the pain and inflammation. Follow the doctor’s instructions when using these medicines. The medicines are often given until your child is pain-free.
General care
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During the first 24 to 72 hours after an injury, apply an ice pack to the painful area for 20 minutes, then remove it for 20 minutes. Do this over a period of 60 to 90 minutes, or as often as your child will tolerate it. This will reduce swelling and pain. To make an ice pack, put ice cubes in a plastic bag that seals at the top. Wrap the bag in a clean, thin towel or cloth. Never put ice or an ice pack directly on the skin.
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You can start with ice and then switch to heat. Heat (a warm bath or heating pad) reduces pain. Heat can be applied to the painful area for 20 minutes, then removed for 20 minutes. Do this over a period of 60 to 90 minutes, or as often as your child will tolerate it. Never put a heat pack directly on the skin. As a safety precaution, don't let your child sleep on a heating pad. Sleeping with a heating pad can lead to skin burns and tissue damage.
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You can switch between ice and heat therapy.
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Massage can help relax the back muscles. Try rubbing the area that hurts. Be gentle. The idea is to relax the muscles, not manipulate them.
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Allow your child to continue most normal activities as tolerated. Bed rest is not needed. Your child should not lift or jump until the muscles have healed.
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Help your child do any exercises advised by the doctor. Exercises can help prevent the back pain from coming back. When your child is no longer in pain, they should resume physical activity and active play (walking, running, bike riding) each day.
Follow-up care
Follow up with your child's doctor as advised.
Special note to parents
Talk with the doctor about guidelines for safe backpack use.
Call 911
Call 911 if:
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Your child has trouble breathing.
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Your child acts confused.
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Your child has abnormal drowsiness or trouble waking up.
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Your child faints or loses consciousness.
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Your child has a fast or very slow heart rate.
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Your child loses bowel or bladder control.
When to contact your doctor
Contact your child's doctor right away if:
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Your child has a fever of 100.4°F (38°C) or higher, or as advised by the doctor.
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Your child has chills.
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Your child has severe cramping.
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Your child's cramping lasts a long time, doesn't go away with stretching, or keeps coming back.
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Your child has pain, tingling, or weakness in the legs.
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Your child has trouble walking.
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Your child's pain wakes them up at night.
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Your child loses weight.