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Intervertebral disc herniation in elite athletes.

Jonathan T Yamaguchi1, Wellington K Hsu2

  • 1Department of Orthopaedic Surgery, Northwestern University, Feinberg School of Medicine, 676 North St. Clair Street, NMH/Arkes Family Pavilion Suite 1350, Chicago, IL, 60611, USA. jonathan.yamaguchi@northwestern.edu.

International Orthopaedics
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PubMed
Summary

Intervertebral disc herniations cause significant neck and back pain in athletes. Prevention and early diagnosis are key, with surgery offering excellent outcomes when conservative care fails.

Keywords:
Cervical spineElite athletesHerniationsIntervertebral discLumbar spineReturn to play

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Neurology

Background:

  • Intervertebral disc herniations are a frequent cause of athletic neck and back pain.
  • Athletes may experience higher prevalence due to spinal pressure and unhealed microtraumas.

Purpose of the Study:

  • To review the current understanding of intervertebral disc herniations in athletes.
  • To highlight prevention strategies, diagnostic methods, and treatment outcomes.

Main Methods:

  • Literature review focusing on athletic populations.
  • Analysis of diagnostic imaging modalities like MRI and CT myelography.
  • Evaluation of conservative and operative treatment approaches.

Main Results:

  • Prevention strategies include spinal stability, proper technique, and rule adjustments.
  • MRI is the preferred imaging, with CT myelography as an alternative.
  • A six-week conservative trial is standard; surgery yields excellent results if conservative care fails.

Conclusions:

  • Further research into prevention and alternative treatments is warranted.
  • Intervertebral disc herniations in athletes require tailored management strategies.
  • Operative treatment provides favorable outcomes for refractory cases.