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Updated: Jul 18, 2026

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
Back and neck pain in triathletes.
Alan T Villavicencio1, Sigita Burneikiene, Theresa D Hernández
1Boulder Neurosurgical Associates, Boulder, Colorado 80304, USA. atv@bnasurg.com
Triathletes experience high rates of neck and back pain, with previous sports injuries and overuse being key risk factors for spinal problems. This study highlights the impact of these factors on pain incidence in this athletic population.
Area of Science:
- Neurology
- Sports Medicine
- Epidemiology
Background:
- The growing popularity of triathlons has led to an increase in athletes seeking neurosurgical care for spinal conditions.
- Understanding the prevalence and risk factors for spinal pain in triathletes is crucial for injury prevention and management.
Purpose of the Study:
- To determine the lifetime incidence of neck and back pain in triathletes.
- To assess the prevalence of discogenic pain among triathletes.
- To identify specific risk factors contributing to spinal disorders in this population.
Main Methods:
- An online questionnaire collected data on triathlete demographics, training, injury history, and spinal pain.
- Lifetime incidence of low-back and neck pain was calculated.
- Discogenic pain was defined based on symptom duration and characteristics.
- Statistical analysis identified predictors of spinal pain, including participation history and prior injuries.
Main Results:
- 67.8% of triathletes reported lifetime low-back pain, with 23.7% possibly discogenic.
- 48.3% reported lifetime neck pain, with 21.4% potentially discogenic.
- Previous sports injuries and triathlon participation history predicted low-back pain.
- Prior injuries predicted neck pain, with overuse showing a tendency toward neck pain.
Conclusions:
- Sports-related injuries and overuse are significant risk factors for long-term spinal problems in triathletes.
- Both mechanisms contribute to low-back pain.
- Neck pain is linked to injury events and shows a tendency with overuse injuries.
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