Ask the child when the pain started is the initial action by the nurse is most appropriate. This is because the nurse is obtaining the health history for the child who has been brought to the ambulatory care clinic with reports of a backache.
In young children and healthy teens, back discomfort is rather common. Back discomfort in children or teenagers who seek medical attention is very likely to have underlying disease that is found.
Non-specific pain or muscle strain, herniated disks, spondylolysis, scoliosis, and Scheuermann's kyphosis are among the common causes of back pain. Tumor, infection, and sickle cell crises are less prevalent reasons.
Treatment options for back pain that isn't clearly defined include nonsteroidal anti-inflammatory medications, physical therapy, and exercises done at home. Radiography, a complete blood count, an erythrocyte sedimentation rate, and a C-reactive protein assay should be done if the history and physical examination point to underlying disease.
Depending on the probable reason, further computed tomography, magnetic resonance imaging, or bone scanning may be required.
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