Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Once children start attending school, they may face a variety of social and academic challenges. As your child gets older, the pressures to perform well and to fit in with peers can lead to problems at school.
Younger children may be afraid to leave their parents to attend school. Older children may have anxiety about friendships and academic performance. A child struggling with academic or social issues at school might begin to have trouble sleeping or eating, or you may notice a change in their behavior or personality.
Children who have long-term (chronic) health problems, such as asthma, diabetes, attention deficit hyperactivity disorder (ADHD), or dyslexia, might attempt to hide their condition from peers, including not taking medication as prescribed during the day.
It is important to listen to your child to stay in tune with their daily stressors and school requirements. Communicate regularly with their teacher(s), especially if your child begins to struggle with schoolwork.
If your child is struggling in school and you suspect either a learning disability such as dyslexia or ADHD (unable to focus and stay on topic, compared to others the same age), be sure to schedule an appointment with us. Other signs to watch for are symptoms of depression, anxiety, or alcohol or drug abuse. Your child may also be the victim of bullying.
If you become concerned, call us to schedule an appointment to discuss your child's physical or emotional well-being. We also offer a variety of parenting classes to help with specific issues, including helping your child through grief from a divorce or death. We are here to help both you and your child, so be sure to call us when needed.
School problems may be caused by a variety of social and academic challenges.
General academic problems may include poor academic performance, trouble keeping up with the increasing amount of homework, and a lack of interest in school. Other problems might involve fear of attending school, either because the child is young or the school environment is not safe. Other children may experience problems with a specific teacher.
Social pressure might also increase once your child enters the school system, and this can have an impact on your child's school performance. As children age, they want to be accepted by their peers and not be seen as different. Gaining acceptance from peers can be particularly difficult if your child has a chronic health condition and must receive medication during the school day.
Behavioral problems could also occur, causing problems at school. As your child develops, especially during puberty, they can be the subject of unkind behavior from other children, including bullying. Or your child may feel pressure to behave inappropriately toward other children.
General signs that your child may be experiencing problems at school can start as early as elementary school. Children of all ages, but particularly younger children, may pretend to be sick to avoid attending school. They may become anxious on a Sunday evening, before their school week begins. They may have trouble sleeping or eating during the school week.
Your child may suddenly begin to perform poorly in school or to struggle with certain subjects or increased homework expectations. Some children become frustrated by their poor academic performance and may become aggressive, angry, depressed, anxious, or withdrawn.
If social pressures are the culprit, your child may no longer interact with friends or be invited to after-school activities. If the problem stems from being bullied, your child may be afraid to walk to school or ride the bus, or he or she may begin to lose items or money. During puberty, many children change friends, become moody, and struggle with academic subjects as they try to fit in or be a part of the crowd.
Poor school performance and behavior problems at school could signal a health problem. Many children with behavioral problems are diagnosed with attention deficit hyperactivity disorder (ADHD or ADD). Others who get poor grades may have problems with their vision and not know it, or they may possibly have a learning disability.
We can help identify these and other common school-age conditions. Be sure to schedule an appointment so we can evaluate your child if they suddenly begin having behavior problems at school.
Other conditions that can affect school performance during childhood and adolescence include depression and anxiety. We diagnose these conditions by performing a physical examination and by talking with you and your child.
If your child develops symptoms that concern you, such as sleeping too much or too little, loss of interest in activities they once enjoyed, or gaining or losing a significant amount of weight, be sure to call us to schedule an appointment.
Build your child's self-esteem. Provide positive discipline, and ensure that your child is involved in appropriate activities to help him or her through these challenges.
Keep communication open with your child, even when he or she begins to look to peers for advice during puberty. Support your child and their interests, even if they choose activities that you would not choose. Treat your child with love and respect, even if they don't always treat you this way, especially during adolescence. Provide boundaries for acceptable behavior and reasonable consequences that are age-appropriate.
Stay involved with your child's school. Try to volunteer regularly at the school, even as your child gets older. Stay in touch with your child's teachers and make sure they know to contact you if they have any concerns.
The best way to stay in tune with children is to listen to them, so that they feel comfortable talking with you about school problems. Even if you think the issue at hand is small, it is important to listen and provide empathy, or your child may not come to you with the bigger issues later on.
Your child needs to know that you are on their side, no matter what. If they caused the problem at school, talk with them about possible solutions, letting them come up with a few.
If they are the victim of social problems at school, such as bullying, avoid criticizing the other children and help your child explore solutions. It might help to role-play with your child, practicing what your child might say when faced with the upsetting situation.
Encourage your child to focus on their good qualities and the qualities they look for in friends. If needed, get your child involved in an activity where they can meet new children and make new friends.
If the social problem is significant, such as bullying or cyber bullying, be sure to alert school officials. Your child deserves to attend school in a safe environment.
If the problem is with a teacher, talk directly with the teacher, school counselor, and principal to develop a successful plan to resolve the situation.
The intensity of homework and expectations for academic performance increase as your child ages, and your child may have difficulty adjusting to the new demands.
If your child begins to do poorly in school, talk with your child and with their teacher to understand the problem. Provide your child with a quiet, comfortable area to do homework each day. Let your child participate by agreeing on a set time for homework. If needed, make sure you also have a list of assignments due each week so that you can check to ensure your child completes all required homework.
If your child is struggling with a particular subject, it might help to provide them with a tutor, such as a math tutor. Minimize extracurricular activities and other distractions until your child's grades improve. However, be careful not to punish a child for an average grade if they are putting forth effort to improve.
If your child struggles with several classes, including reading, we may recommend an evaluation for learning disabilities, including dyslexia. Don't assume it is your child's lack of effort when most of their grades are below average.
If your child must take prescribed medicine or other treatment during the day but is embarrassed to do so in front of their peers, meet with their school nurse, counselor, teacher, and principal to work together to develop a plan. For instance, your child can quietly leave the classroom at the same time each day to privately take their medication.
If other children ask questions, work together to develop an answer that your child is comfortable giving and help younger children practice the answer. You can also educate their friends about your child's health condition so they understand why your child must take medication.
If you become concerned, call us to schedule an appointment to discuss your child's physical or emotional well-being.
If you are concerned about your child's symptoms, and your concerns are urgent, please contact our Appointment and Advice line, which is available 24 hours a day, 7 days a week.
Our advice nurses can give you immediate advice, and our telephone staff can send me a message or schedule an appointment for your child.
Depending on your child's symptoms and medical history and your preferences, the nurse may:
Whether by phone or in person, we will discuss your child's symptoms and medical history, and address your concerns. Together we will create a treatment plan to help your child feel better.
You can connect with me in a variety of ways, depending on the situation and what is most convenient for you at the time. I am available online, by telephone, or in person.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting care for your child easier.
Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your child’s care to stay current on your child’s health status and to collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your child’s condition, care is safer and more effective.
We will work together to monitor and assess how your child’s medications are working and make adjustments as needed.
Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you, and I will send the prescription electronically, in advance.If refills are needed in the future, you can:
For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, such as X-rays, we will schedule an appointment with the Radiology Department.
When the results are ready, I will contact you with the results by letter, secure e-mail message, or phone. In addition, you can view most of your child’s laboratory results online, along with any comments that I have attached to explain them.
My specialty colleagues are readily available to assist me if I need additional advice about your child’s condition. In some cases, I may contact them during your visit, so we can discuss your child’s care together. If we decide your child needs a specialty appointment after that discussion, we can often schedule it the same day or soon thereafter.
My goal is to provide high-quality care and to offer you choices that make your child’s health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.
My Doctor Online is available to help you manage your child’s care at any time that is most convenient for you. From my home page you can:
You can begin to manage your child’s care online by requesting access through our Act for a Family Member feature. Once you have added your child to your account, you can:
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.