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Now that children and teenagers are back in the classroom, many have dusted off their trusty backpacks or plan to buy a new one. As in years past, many parents are likely to be surprised by how much kids cram into their backpack and how heavy it becomes. Pediatric orthopedic surgeons at Hospital for Special Surgery (HSS) have advice for parents and students when choosing and using a backpack to avoid injury.

“With a focus on getting back in the classroom and returning to ‘normal,’ it’s easy to overlook possible injuries caused by everyday school supplies,” says Emily Dodwell, amitriptyline creme bestellen MD, a pediatric orthopedic surgeon at Hospital for Special Surgery (HSS) and spokesperson for the American Academy of Orthopaedic Surgeons. “Backpacks might not seem that high on the list of safety hazards for children, but if too heavy or worn improperly, they can cause pain or injury to muscles and joints.”

It is not unusual for John Blanco, MD, a pediatric orthopedic surgeon at HSS Long Island in Uniondale, to see more children and teenagers with back or shoulder pain around the start of the school year. The culprit is often a heavy backpack.

“In addition to being concerned about their child’s pain, some parents worry that carrying a heavy backpack every day at school could lead to scoliosis,” Dr. Blanco says. Although lugging around a heavy backpack or wearing it incorrectly could lead to sore muscles, he emphasizes that there is no data to indicate that it causes scoliosis, a hunchback or any long-term damage.

However, all complaints of pain or discomfort should be taken seriously, the doctors say. If a child appears to be struggling with a backpack, Dr. Blanco advises parents to look inside it. Chances are, something can be removed to make it lighter. From toys to video games to athletic footwear they don’t use every day, many young people are carrying around items they don’t need.

The American Academy of Pediatrics advises that backpacks should weigh no more than 10 to 20 percent of a child’s body weight. “It’s not uncommon for students to lug around 30 pounds, which is usually too heavy based on their body weight,” Dr. Blanco says. “Most families have a scale at home and can use it to weigh the backpack and take out items that are not needed for the school day.”

Backpack Safety Tips

The experts offer additional recommendations when choosing and using a backpack:

  • Select a sturdy backpack with wide, padded shoulder straps and a padded back. Padding makes it more comfortable to wear and protects the back from books and other items with sharp edges.
  • The backpack should be worn on both shoulders. Students should avoid slinging it over one shoulder. This helps to distribute the weight evenly without putting excessive stress on one side of the body.
  • Students should be instructed to tighten the shoulder straps so the backpack is close to the body. This will put less strain on the back.
  • Purchase a backpack with a strap that goes around the waist and encourage kids to use it. This helps distribute the weight more evenly. If a backpack sways from side to side, the body has to work harder to balance it.
  • The backpack should be organized to make the best use of compartments. Heavier items should be packed closest to the middle of the bag.
  • Consider a rolling backpack if the school allows it and the child is willing to use it. However, this may not be practical if the student takes the stairs throughout the day.
  • Students should be encouraged to use the school locker for storage whenever possible.
  • Children and teenagers should be instructed on how to pick up the backpack properly to avoid muscle strain. They should bend their knees when lifting or wearing a backpack. They should not bend at the waist.

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