Backpack Misuse & Chronic Back Pain

Back pain is pervasive among American adults, but a new and disturbing trend is emerging. Young children are suffering from back pain much earlier than previous generations, and the use of overweight backpacks is a contributing factor, according to the American Chiropractic Association (ACA). In fact, according to the U.S. Consumer Product Safety Commission, the use of book bags or back carriers resulted in over 6,500 injuries in 2000 alone.

Over the past 10 years, the chiropractic profession is noticing a marked increase in the number of young children who are complaining about back, neck and shoulder pain. This new back pain trend among youngsters isn't surprising when you consider the disproportionate amounts of weight they carry in their backpacks— often slung over just one shoulder. A 2002 study conducted in Italy found that the average child carries a backpack that would be the equivalent of a 39-pound burden for a 176-pound man, or a 29-pound load for a 132-pound woman. Of those children carrying heavy backpacks to school, 60 percent had experienced back pain as a result.

Other studies have shown that slinging a backpack over one shoulder could exacerbate the curvature of the spine in scoliosis patients.

According to the ACA, preliminary results of studies being conducted show that the longer a child wears a backpack, the longer it takes for a curvature or deformity of the spine to correct itself. The question that needs to be addressed next is, Does it ever return to normal?

The results of these types of studies are especially important as more and more school districts— many of them in urban areas— remove lockers from the premises, forcing students to carry their books with them all day long.

What Can You Do?

  • Make sure your child's backpack weighs no more than 5 to 10 percent of his or her body weight. A heavier backpack will cause your child to bend forward in an attempt to support the weight on his or her back, rather than on the shoulders, by the straps.
  • The backpack should never hang more than four inches below the waistline. A backpack that hangs too low increases the weight on the shoulders, causing your child to lean forward when walking.
  • A backpack with individualized compartments helps in positioning the contents most effectively. Make sure that pointy or bulky objects are packed away from the area that will rest on your child's back.
  • Bigger is not necessarily better. The more room there is in a backpack, the more your child will carry— and the heavier the backpack will be.
  • Urge your child to wear both shoulder straps. Lugging the backpack around by one strap can cause the disproportionate shift of weight to one side, leading to neck and muscle spasms, as well as low-back pain.
  • Wide, padded straps are very important. Non-padded straps are uncomfortable, and can dig into your child's shoulders.
  • The shoulder straps should be adjustable so the backpack can be fitted to your child's body. Straps that are too loose can cause the backpack to dangle uncomfortably and cause spinal misalignment and pain.
  • If the backpack is still too heavy, talk to your child's teacher. Ask if your child could leave the heaviest books at school, and bring home only lighter hand-out materials or workbooks.

What We Can Do for You...

If you or your child experiences any pain or discomfort resulting from backpack use, call your doctor of chiropractic. Doctors of chiropractic are licensed and trained to diagnose and treat patients of all ages and will use a gentler type of treatment for children. In addition, doctors of chiropractic can also prescribe exercises designed to help children develop strong muscles, along with instruction in good nutrition, posture and sleeping habits.

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Testimonials

  • "SUCCESS!!
    I had been experiencing tightness in my lower left back and buttocks going down the exterior of my left leg for about six months. I tried adjusting my posture and doing frequent stretching exercises. Although the problem didn't get worse, neither did it improve.
    After my first visit with Dr. Rich, I noticed a huge improvement. The pain down my leg reduced by 80% and the tightness in my back and buttocks improved too. Thus far I have had four sessions and continue to feel better with each visit. If not for Dr. Rich's treatments, who knows how long I would have continued living day to day with this irritating constant pain."
    PF
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    I want to thank you all so much for the care I received following my recent motorcycle accident.
    I came to my therapy the following Tuesday with a knot in my back that felt the size of a racquetball. After three sessions of very deep and hard massage it was finally broken up and has not come back since.
    Additionally all the work that Dr. Rich did on my spine, knees, left foot and shoulder joints have both relieved a great deal of pain and resulted in what I believe is an overall improvement in function.
    All in all by the time Dr. Rich recently released me, I feel that my back and joints are in better condition than before the accident. They certainly feel better.
    I cannot thank you enough."
    JKB
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    I started treatment with Dr. Rich and Christina, his wonderful massage therapist about two months ago. I had an appointment to see the nutritionist and arrived early so someone suggested to get a massage and I shared my neck and shoulder discomfort.
    I ended up being treated by Dr. Rich and he adjusted my neck, back and shoulder and I could not be happier. I never thought that all of my neck, shoulder and back issues would go away. I am a nurse and had been suffering with this pain for about a year. I am now able to work out and use my shoulder. My neck doesn't hurt and I am a happier person.
    Thank you so much Dr. Rich and Christina!"
    OP