12. Back pain related to sports
• Repetitive stress
• Acute injuries
• Relations to specific sports
13.
14.
15. Incidence
• 5-8% of injuries in all sports
• 15 % of spinal injuries ( all levels) in
US – related to sports and recreational
activity.
• MusculoLigamentous injures of
paraspinal muscles common causes in
all sports involving Rotation
16. Incidence
• MusculoLigamentous injures of
paraspinal muscles common causes in
all sports involving Rotation.
• ( Golf Baseball Tennis)
• Contact ( Basketball, football, soccer)
• Repetitive injury mechanisms
(
gymnastics, swimming, diving, volleyba
ll)
17. Incidence
• Full contact sports – football and rugby
common causes of spinal injury
• High speed sports such as down hill skiing
and snowboarding
• Reported incidence of spinal injuries among
snowboarders 3-4 times higher than Skiers.
• Jumping is responsible for 80% among
snowboarders and affect the thoracolumbar
spine.
22. Clinical Examination
• Important Clues pertaining to cause
• Helps formulate a Plan of action
• Important in determining any
Neurological involvement
31. Motion
• Range of motion and movement (Flexion
and Extension Lateral motions)
• F: daily
• I: easy
• T: 2-15 minutes
32. Aerobic Conditioning
• More than walking, jogging or running
• More than one way to get aerobic benefit
• 3-4 times per week
• Atleast 20 minutes duration
33. Strengthening
• Key component of any good exercise
program
• Even more important as we get older
• Pain causes inhibition which leads to
weakness
39. Injection therapy
• Specific Conditions are amenable to
injection therapy
• Epidural injections
• Facet joint injections.
40. Surgical treatment
• Neurological Deficits
• Instability
• Persistent pain
Need to establish One to One relation
between Symptoms and Pathology.
41. Overview of treatment approach
• Therapy- most useful for muscular
issues
• Limited use of NSAIDS recommended
• Injections useful for Pinched nerve and
facet joint issues
• Surgery- useful in case of Neurological
deficit, instability.
42. Take Home Message
• Prevention is better than Cure
• Low back pain is amenable to
conservative treatment.
• Evaluation needed for specific
conditions e.g Spondylolisthesis
• Small percent of cases need surgical
treatment.