The Washington Times - November 18, 2008, 03:24PM

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no possibility of trauma or overuse;

arthritis and joint pain;

change in activity level or the child tires easily;

pain that awakens the child from sleep;

no improvement with simple analgesics (e.g., acetaminophen [Tylenol], ibuprofen [Advil]);

pain changes (i.e., gets better or worse) with changes in the child’s position;

fever;

appetite changes;

loss of bowel or bladder control;

gait problems; or

motor weakness.

If your child shows any of these symptoms contact your physician to rule out anything more serious.

Click here for more information on back pain.