Shoulder and Spine Pain in Teens: Causes and Solutions - Orthopedics

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I occasionally experience pain in my shoulders and spine?


Hello, Doctor Shi: I am a 14-year-old student in the ninth grade.
My backpack is heavy, which is manageable, but I often experience unexplained pain in my shoulders and spine.
I have seen a doctor and have taken medication, but there has been no improvement.
Could you please explain to me why this situation might occur? Also, how can I seek medical help? Thank you for your hard work.

Lizi~^^, 10~19 year old female. Ask Date: 2003/10/23

Dr. Shi Guozheng reply Orthopedics


It may be caused by poor posture.
Typically, students spend long hours studying, sitting at their desks for extended periods.
If their posture is not correct, it can easily lead to back pain or shoulder pain.

Reply Date: 2003/10/23

More Info


Shoulder and spine pain in teenagers is a common issue that can arise from various factors, particularly due to lifestyle habits and physical stressors. As a 14-year-old student, you are likely experiencing pain related to several potential causes, including poor posture, heavy backpacks, and prolonged periods of sitting, especially while studying or using electronic devices.


Causes of Shoulder and Spine Pain in Teens
1. Poor Posture: Many teenagers spend long hours hunched over desks or screens, which can lead to muscle strain and discomfort in the shoulders and spine. Poor posture can cause the muscles in the neck and upper back to become tense and fatigued, resulting in pain.

2. Heavy Backpacks: Carrying a heavy backpack can place significant strain on the shoulders and spine. The general recommendation is that a backpack should not exceed 10-15% of a person's body weight. If your backpack is too heavy, it can lead to muscle imbalances and pain.

3. Muscle Strain: Engaging in sports or physical activities without proper warm-up or conditioning can lead to muscle strains. Overuse injuries are also common in adolescents who are active in sports.

4. Growth Spurts: During adolescence, rapid growth can lead to temporary imbalances in muscle strength and flexibility, which may contribute to discomfort in the shoulders and back.

5. Stress and Anxiety: Emotional stress can manifest physically, leading to muscle tension and pain. Academic pressures and social challenges can exacerbate these feelings.


Seeking Medical Help
If you have already seen a doctor and have not experienced improvement, it may be helpful to consider the following steps:
1. Follow-Up with a Specialist: If your primary care physician has not provided relief, consider seeing an orthopedic specialist or a physical therapist who can assess your posture, muscle strength, and overall biomechanics.

2. Physical Therapy: A physical therapist can develop a personalized exercise program to strengthen the muscles around your shoulders and spine, improve your posture, and increase flexibility. They can also teach you proper body mechanics to reduce strain.

3. Ergonomic Adjustments: Evaluate your study environment. Ensure that your desk and chair are ergonomically designed to support good posture. Your computer screen should be at eye level, and your chair should support your lower back.

4. Backpack Management: Consider using a backpack with padded straps and a waist belt to distribute weight more evenly. Regularly check the contents of your backpack and remove unnecessary items.

5. Exercise and Stretching: Incorporate regular physical activity into your routine. Activities like swimming, yoga, or pilates can help strengthen your back and shoulder muscles while improving flexibility. Stretching exercises can also alleviate tension.

6. Mindfulness and Stress Management: Techniques such as mindfulness, meditation, or deep-breathing exercises can help manage stress and reduce muscle tension.

7. Medication: If pain persists, over-the-counter pain relief medications, such as ibuprofen or acetaminophen, may help. However, it is essential to consult with a healthcare provider before starting any medication.


Conclusion
Shoulder and spine pain in teenagers can often be managed effectively with the right approach. It is crucial to address the underlying causes, such as posture and backpack weight, and to seek appropriate medical advice. By making lifestyle adjustments and possibly engaging in physical therapy, you can significantly reduce your pain and improve your overall well-being. If your symptoms continue or worsen, do not hesitate to seek further medical evaluation. Remember, taking proactive steps now can lead to better health outcomes in the future.

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