Do school bags cause back problems?

Conclusion. Based on evidence from five longitudinal studies (n=1851 children and adolescents) and more than 60 cross-sectional studies, there is no convincing evidence that aspects of schoolbag use increase the risk of back pain. There is some evidence that the perception of heaviness is associated with back pain.



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Purses, backpacks, and other bags can all cause your spinal muscles to be off-balanced. The tension on your muscles accumulates, and after time can lead to you needing to visit a chiropractic clinic.

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Pain caused from excessive loads has gained the term “backpack syndrome.” Backpack syndrome causes headaches, neck and back pain, and fatigue. There have been studies examining the effects of carrying backpacks on one shoulder versus both shoulders. Carrying a bag on one shoulder causes significant asymmetries.

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But wearing a backpack incorrectly, or carrying one that's too heavy, can have harmful effects on the spine. Incorrect backpack use is associated with back pain, neck pain, bad posture, and intervertebral disk compression, possibly leading to a herniated disk.

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Continuous use of heavy backpacks, bags, suitcases, briefcases, and purses can cause muscle weakness and fatigue. This pushes the spine out of alignment. It also causes bad posture and other conditions that lead to scoliosis in children and teens (since the spine is still developing at these ages).

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According to a recent estimate, 96 percent of children in school are carrying way too much on their backs. In fact, 5,000 children every year go to the emergency department for backpack injuries. And, more than 14,000 children are treated yearly for related problems.

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Although backpacks do not cause scoliosis, carrying heavy items can cause other forms of spinal problems. This is usually the case if the backpack is very heavy and the straps are too loose, or when the child leans forward to compensate for the extra weight; thereby causing a misalignment of the spine.

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“To compensate, we shift our upper back and head forward to counter the weight.” According to Hallmeyer, this can contribute to a hunched posture — similar to the posture many people assume when using their smartphones — and muscle pain. Avoid the hunch and chronic pain by simply tightening your backpack straps.

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Back pain from carrying backpacks can be avoided with the following solutions:
  1. • Check your posture. Carrying a backpack, especially a heavy one can change your spinal alignment. ...
  2. • Lessen the load. ...
  3. • Wear your backpack properly. ...
  4. • Consider backpacks with padded shoulder straps. ...
  5. • See a specialist.


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When looking for the best type of backpack for back pain, comfort is key! Make sure to select a bag with adjustable straps so that you can customize it according to your needs. Look for one with a padded back panel too – breathable fabric is an added bonus!

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Keep your head high while lifting and carrying. Switch a purse or bag position frequently to avoid fatigue. For crossbody bags, switch shoulders often. Square your shoulders and avoid lifting shoulders to keep straps from slipping.

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Security experts say that crossbody handbags are a good bet since you can easily keep an eye on your belongings. With these bags, your items are safely secured to the front of you or your side via bag straps that go all the way around your body.

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Depending on the heaviness of your shoulder bag, carrying it predominantly on one shoulder can also cause the opposite side of your spine to spasm, causing tightness and pain in your lower back and sacrum. If you want to avoid any of these results, using a backpack instead of a shoulder bag can be the answer.

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Although it might not be quite so heavy, some kids actually do carry around a lot of weight in their backpacks. These heavy loads place stress on the spine and shoulders of children, causing muscle strain and fatigue. For some kids the aches and pains are bad enough to seek medical attention.

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Parents are often surprised at how much their child's backpack actually weighs. As a general rule, to prevent injury, a full backpack should weigh no more than 10 to 20 percent of your child's body weight. How a student wears a backpack is often just as important as its overall weight.

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