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Back pain in athletes.

James P Lawrence1, Hunter S Greene, Jonathan N Grauer

  • 1Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT 06510, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|December 7, 2006
PubMed
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Athlete back pain requires careful evaluation to differentiate self-limited issues from serious spinal pathology. A systematic approach aids recovery and return to sport for athletes experiencing back pain.

Area of Science:

  • Sports Medicine
  • Orthopedics
  • Spinal Pathology

Background:

  • Athlete back pain is a common clinical challenge.
  • Distinguishing self-limited symptoms from pathology is crucial.
  • Impact sports pose specific spinal risks due to loading and repetition.

Purpose of the Study:

  • To outline a systematic approach for evaluating and managing back pain in athletes.
  • To differentiate between various causes of back pain in athletic populations.
  • To inform treatment strategies for return to play.

Main Methods:

  • Review of risk factors in impact sports.
  • Correlation of training demands with spinal pathologies like degenerative disk disease and spondylolysis.
  • Emphasis on thorough history, physical examination, and imaging.

Related Experiment Videos

  • Discussion of nonsurgical treatment algorithms.

    • Main Results:

    • Elite athletes with intense training show higher rates of degenerative disk disease and spondylolysis.
    • Recreational athletes may benefit from physical conditioning to prevent lumbar injury.
    • Most cases of athlete back pain are nonsurgical and self-limited.
    • A systematic diagnostic and treatment approach can improve outcomes.

    Conclusions:

    • A structured evaluation is essential for athletes with back pain.
    • Identifying specific pathologies guides effective treatment and return-to-play decisions.
    • Further research is needed on the long-term effects of athletic activity on the lumbar spine.