کشیدگی عضله
کشیدگی عضلات اطراف ستون مهره شایعترین علت کمردرد در بچه ها و نوجوانان است. این درد ها معمولاً به چند روز استراحت و مصرف دارو و تقویت عضلات شکم و کمر جواب داده و خوب میشود. بعضی از نوجوانان کمردرد های شدیدتری دارند که معمولاً علت آنها سفت بودن عضلات همسترینگ ( عضلاتی که در سطح داخلی و کشاله ران قراردارد) و ضعف عضلات شکم است. اغلب این درد ها با نرمش های کششی و تقویتی خوب میشوند.
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)
کمر قوز دار یا کیفوز Kyphosis
در نوجوانان قوس زیاد بالای کمر که بصورت قوز کردن است و کمر را به جلو خمیده میکند میتواند موجب کمردرد شود. افزایش قوس کمر در این افراد بصورت افزایش قوس ستون مهره در ناحیه سینه ای است و به آن کیفوز شوئرمن Scheuermann’s kyphosis میگویند. در این بیماری مهره های ناحیه سینه ای تغییر شکل داده و موجب قوز میشوند. درد در این افراد در قسمت های بالایی ستون مهره است و با فعالیت بدنی شدیدتر میشود.
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)
شکستگی استرسی ستون مهره Stress fracture of the spine
این بیماری که آنرا اسپوندیلولیز Spondylolysis هم میگویند میتواند موجب کمردرد در نوجوانان شود. ورزش هایی که در آنها کمر زیاد میچرخد یا به عقب زیاد خم میشود مانند ژیمناستیک شیرجه یا فوتبال میتواند زمینه را برای بروز این بیماری فراهم کند. این عارضه معمولاً در سنین بلوغ یعنی زمانی که بیمار رشد سریع بدنی و قدی پیدا میکند دیده میشود. درد معمولاً خفیف است و به باسن و ساق تیر میکشد. درد با فعالیت بدنی بیشتر شده و با استراحت کم میشود. این بیماران در حین راه رفتن قدم های کوچک برمیدارند.
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)
سر خوردن مهره
به این عارضه اسپوندیلولیستزی Spondylolysthesis میگویند و به علت سر خوردن یک مهره کمری به سمت جلو روی مهره پایینی بوجود میاید. شایعترین محل آن، اتصال مهره های کمری به خاجی است یعنی معمولاً مهره پنجم کمری روی مهره اول خاجی یا ساکروم به سمت جلو سر میخورد. اگر این سر خوردن و به جلو آمدن مهره شدید باشد کانال نخاعی تنگ شده و به ریشه های عصبی فشار وارد میشود که این خود موجب علائم عصبی در نزد بیمار میگردد.
عفونت
در بچه های با سن کم عفونت دیسک Diskitis میتواند موجب کمردرد شود. عفونت مهره معمولاً در سنین ۵-۱ سالگی ایجاد میشود گرچه تا سنین نوجوانی هم دیده میشود. علائم این بیماری بصورت درد در پایین کمر و یا حتی شکم و خشکی ستون مهره است. لنگش در حین راه رفتن و امتناع بچه از راه رفتن از دیگر علائم بیماری است. وقتی بچه میخواهد از روی زمین چیزی را بردارد بجای خم شدن به جلو، دو زانو مینشیند و بدون خم کردن کمر جسم را گرفته و بلند میشود.
تومور
بندرت کمردرد میتواند به علت تومورهای استخوانی مثل استئوئید استئوما Osteoid osteoma ،استئوبلاستوما، گرانولوم ائوزینوفیلیک، کیست استخوانی آنوریسمی و تومورهای بدخیم مانند لوسمی باشد. این تومورها بیشتر در ستون مهره ای سینه ای و یا کمری هستند. در این بیماران درد همیشگی است و به مرور بیشتر میشود. هم در روز و هم در شب است و شدت آن معمولاً ارتباطی با فعالیت بدنی ندارد.
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)