XXXX : more than just the pars.

@entity1 @entity615 @entity158
UNASSIGNED: Back @entity158 in a pediatric @entity1 can present a worrisome and challenging diagnostic dilemma for any physician. Although most @entity615 can be attributed to muscle strains and poor mechanics, it is necessary to appreciate the full differential of etiologies causing @entity615 in the pediatric population. The physician must recognize areas of mechanical weakness in the skeletally immature spine and the sport specific forces that can predispose a @entity1 to injury. A comprehensive history involves determining the onset, chronicity, and location of the @entity158 . A focused physical exam includes a neurological exam as well as provocative testing. The combination of a thorough history and focused physical exam should guide appropriate imaging. Radiographic tests are instrumental in narrowing the differential, making a diagnosis, and uncovering associated pathology. Treatment modalities such as activity modification, heat/cold compresses, and NSAIDs can provide @entity158 relief and allow for effective physical therapy. In most cases nonoperative methods are successful in providing a safe and quick return to activities. Failure of conservative measures requires referral to an orthopedic surgeon, as surgical intervention may be warranted.
