• Pediatric emergency care · Nov 2021

    Back Pain in Adolescents: Characteristics, Quality of Life, and Drug Self-Management: A Cross-Sectional Study of 1301 Italian Students.

    • Chiara Iacovelli, Marco Germanotta, Daniele Coraci, Rita Mosca, Maria Teresa Vincenzi, Alessandro Gilardi, Luca Padua, and Irene Aprile.
    • From the IRCCS Fondazione Don Carlo Gnocchi, Milan.
    • Pediatr Emerg Care. 2021 Nov 1; 37 (11): e716e718e716-e718.

    ObjectivesBack pain is one of the major problems for the public health system in the western world. The purposes of this study were to assess back pain in a large cohort of adolescents; to evaluate the prevalence, intensity, and features; and obtain information about drug management of this symptom.MethodsOne thousand four hundred seventy-one healthy students aged 14 to 19 years were enrolled in the study. The subjects underwent a face-to-face interview using an ad hoc questionnaire, the Numeric Rating Scale, the Neuropathic Pain Symptom Inventory, and the Short-Form 36 questionnaire.ResultsSixty-eight percent of adolescents reported moderate to severe pain, with a higher prevalence of moderate/severe pain in female. The intensity of pain was higher (P < 0.001) in females than in men. A correlation was found between pain and quality of life. Considering the adolescents with severe pain, 21.6% requested a doctor's opinion, and 18% used analgesics (63.2% of them without a doctor's prescription), with a frequency of about 2 times per month.ConclusionsWe found that the prevalence of back pain in adolescents is very high, with the consequences on quality of life, and it becomes frequently a self-managed symptom. This should encourage research on the causes of pain in order to limit the risk factors underlying the pain development and obtain a good prevention strategy.Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

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