Lower Back Pain: How to Care for Your Child

Lower back pain can happen for many different reasons. It can come on slowly or suddenly and be a dull ache or sharp stabbing pain. It usually gets better within a few weeks. Follow these instructions to care for your child.

Care Instructions

  • Your child should try to continue with regular activities. Bed rest is not recommended. They can go to school, drive, and do low-impact activities such as walking, biking, or swimming. If the activity makes the pain worse or they feel like they can't continue it, they can take a break and try it later or the next day.
  • To ease strain on the back, your child should take a break from heavy lifting.
  • Follow your health care provider's recommendations for: 
    • how long to take a break from sports, high-impact activities, and anything that involves a lot of twisting or bending
    • any stretching or strengthening exercises
    • seeing a physical therapist

For pain, your child can:

  • Take ibuprofen (such as Advil®, Motrin®, or a store brand), if recommended by your health care provider. Follow the directions on the label for how much they should take and how often.
  • Put a cold pack on the back for 15–20 minutes every 3–4 hours for the first few days after the injury. Place a towel or cloth between the cold pack and the skin.
  • After 2-3 days, apply a heating pad or heat pack to the back, massage the area, or soak in a warm tub once or twice a day.

Call Your Health Care Provider if...

Your child:

  • has pain that is severe or gets worse
  • still has pain after about 2 weeks
  • has back pain that wakes them from sleep
  • has pee or poop accidents
  • can't do everyday activities like driving and walking because of the back pain
  • has leg pain, weakness, tingling, or numbness
  • has a change in the way they walk

More to Know

What causes lower back pain? Lower back pain may be caused by:

  • lifting heavy objects
  • sitting in one position for too long
  • sports or activities that involve a lot of twisting or bending
  • other medical conditions

What can help prevent back pain? It may help for your child to:

  • Work with a sports trainer to make sure they don't overtrain and that they warm up and cool down correctly.
  • Avoid carrying very heavy objects. 
  • Get plenty of physical activity to keep muscles strong.
  • Stay at a healthy weight.