Low Back Pain and Young Athletes: Difference between revisions
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== Subjective assessment == | == Subjective assessment == | ||
There is usually poorly localized lumbar pain without any associated neurologic symptoms. <br>Specific area of pain and neurologic symptoms are more likely to show an underlying pathology.<br>Knowing the onset of symptoms can help distinguish between acute or chronic overuse injury, and postural and developmental abnormalities. | |||
The clinical history of a patient should include an in depth description of:<br> | |||
Table: | |||
Specific questions<br>Pain Location<br>Type<br>Aggravating and easing factors<br>Onset<br>Duration<br>Any night pain<br>Trauma Repetitive/overuse microtrauma <br>Acute macrotrauma<br>Specific movement of trauma<br>Body positioning in trauma<br>Mechanical symptoms Is the pain worse on movement? <br>What specific movement? <br>Does the pain cease during rest?<br>Inflammatory symptoms Is there any morning stiffness? <br>Does it get better with movement?<br>Neurological symptoms Radiculopathy<br>Pins and needles<br>Bowel or bladder dysfunction<br>Weakness<br>Systemic symptoms Does the patient have a fever, night sweats or recent weight loss?<br>Gait Does the patient have a foot drop?<br>Previous treatments Has the patient had previous treatment for the same or similar condition? <br>Was the treatment successful?<br>Lifestyle Does the pain have any effect on their psychosocial well-being? Does it interfere with school or interests?<br>Past medical history Does the patient suffer from any medical conditions such neurological disorders, scoliosis, malignancy, osteoporosis, chronic inflammatory joint disease or has any treatment with immunosuppressive agents? Has the patient had any previous injury or surgery?<br>Family History Is there any of family history of orthopaedic, rheumatic s or neurologic conditions? Psoriasis? Inflammatory bowel disease? Ankylosing spondylitis? | |||
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== Objective assessment == | == Objective assessment == |
Revision as of 17:45, 9 January 2015
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Top Contributors - Hin Ying Chan, Adam Finlay, Lynda Bend, Wanda van Niekerk, David Murray, Kim Jackson, Evan Thomas, 127.0.0.1 and Aya Alhindi
Introduction[edit | edit source]
8) Taking Part 2013/14 Annual Child Report
Low back pain (LBP) occurs in approximately 10% to 15% of young athletes (d’Hemecourt, Gerbino and Micheli, 2000). Schmidt et al 2014 found that competitive adolescent athletes compared to aged matched individuals have increased prevalence of back pain
Epidemiology
[edit | edit source]
Growth and Development of the Spine[edit | edit source]
Risk Factors[edit | edit source]
Prevention[edit | edit source]
Assessment[edit | edit source]
Subjective assessment[edit | edit source]
There is usually poorly localized lumbar pain without any associated neurologic symptoms.
Specific area of pain and neurologic symptoms are more likely to show an underlying pathology.
Knowing the onset of symptoms can help distinguish between acute or chronic overuse injury, and postural and developmental abnormalities.
The clinical history of a patient should include an in depth description of:
Table:
Specific questions
Pain Location
Type
Aggravating and easing factors
Onset
Duration
Any night pain
Trauma Repetitive/overuse microtrauma
Acute macrotrauma
Specific movement of trauma
Body positioning in trauma
Mechanical symptoms Is the pain worse on movement?
What specific movement?
Does the pain cease during rest?
Inflammatory symptoms Is there any morning stiffness?
Does it get better with movement?
Neurological symptoms Radiculopathy
Pins and needles
Bowel or bladder dysfunction
Weakness
Systemic symptoms Does the patient have a fever, night sweats or recent weight loss?
Gait Does the patient have a foot drop?
Previous treatments Has the patient had previous treatment for the same or similar condition?
Was the treatment successful?
Lifestyle Does the pain have any effect on their psychosocial well-being? Does it interfere with school or interests?
Past medical history Does the patient suffer from any medical conditions such neurological disorders, scoliosis, malignancy, osteoporosis, chronic inflammatory joint disease or has any treatment with immunosuppressive agents? Has the patient had any previous injury or surgery?
Family History Is there any of family history of orthopaedic, rheumatic s or neurologic conditions? Psoriasis? Inflammatory bowel disease? Ankylosing spondylitis?
Objective assessment[edit | edit source]
Specific Conditions[edit | edit source]
Spondylolysis and Spondylolisthesis[edit | edit source]
Links to relevant Physiopedia pages:
http://www.physio-pedia.com/Spondylolysis
http://www.physio-pedia.com/Lumbosacral_spondylolysis
Posterior Element Overuse Syndrome[edit | edit source]
Vertebral Body Apophyseal Avulsion Fracture[edit | edit source]
Disc Herniation[edit | edit source]
Scheuermann's Kyphosis[edit | edit source]
Link to relevant physiopedia page: