UNDERSTANDING NECK PAIN IN YOUNG CHILDREN: A GUIDE FOR PARENTS

Neck pain in young children can be a concerning issue for parents. While it might seem unusual, children can experience neck discomfort due to a variety of reasons. Understanding the causes, identifying the signs, knowing what to expect when visiting the doctor, and learning how to manage it at home can help parents address the issue effectively.

Neck pain in children is not as common as in adults. It can result from various causes, ranging from minor strains to more serious conditions. Several factors can contribute to neck pain in young children:

1. Poor Posture: Prolonged use of electronic devices, such as tablets and smartphones, can lead to poor posture and strain on the neck muscles.
2. Injury: Falls, sports injuries, or accidents can cause minor muscle strains and sprains, or on rare occasion, more severe neck injuries.
3. Infections: Throat infections, such as tonsillitis or lymphadenitis, can cause referred pain to the neck.
4. Torticollis: Also known as “wry neck,” this condition involves the muscles of the neck contracting, causing the head to twist to one side.
5. Meningitis: Although rare, this serious infection can cause neck stiffness and pain, along with other symptoms like fever and headache.

The presentation of neck pain in children depends on the underlying cause. Parents should be vigilant for the following signs:

• Persistent Pain: Complaints of pain that do not resolve with rest or simple measures.
• Limited Range of Motion: Difficulty in moving the neck or turning the head.
• Tenderness: Pain when touching or pressing on the neck muscles.
• Swelling: Visible swelling in the neck area.
• Other Symptoms: Fever, headache, or vomiting that accompanies neck pain can be signs of a more serious condition.

Should you be concerned about your child, always consult your doctor. When you visit the doctor, they will conduct a thorough evaluation to determine the cause of your child’s neck pain. In cases where there is uncertainty, they may send for further tests such as bloodwork or x-rays.

The good news is most cases of neck pain resolve on their own within a few days to weeks. For minor neck pain, there are several home management strategies that parents can implement:

1. Rest: Encourage your child to rest and avoid activities that may aggravate the pain.
2. Ice and Heat Therapy: Apply ice packs initially to reduce inflammation, followed by warm compresses to relax the muscles.
3. Pain Relief: Over-the-counter pain medications like acetaminophen or ibuprofen can help manage pain and reduce inflammation. Always follow the dosing instructions for children.
4. Gentle Stretching: Once the acute pain subsides, gentle neck stretches can help improve flexibility and strength.
5. Ergonomic Adjustments: Ensure that your child’s study or play area promotes good posture. The screen of electronic devices should be at eye level to avoid straining the neck.

While neck pain in young children can be unsettling, with proper understanding and management, it can often be effectively addressed. By knowing the causes, recognizing the signs, seeking timely medical advice, and applying appropriate home care strategies, parents can help their children recover and maintain healthy neck function. If neck pain persists or is accompanied by other concerning symptoms, it is crucial to seek medical attention promptly to rule out any serious underlying conditions.

Yours in Health,

Dr Heidi Chapman and The Chiropractic Health Centre

MHSc: Chiro (SA)