Category Archives: Sports Injuries

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Lumbar Stenosis Versus Cervical Stenosis

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Stenosis is a medical term used to describe an abnormal narrowing of a bodily passage. When dealing with back health, there are two major areas we see problematic stenosis. One is the lower back, or lumbar; the other is cervical, or up near the neck. While there are cases of congenital spinal stenosis, most spinal stenosis is the result of normal aging. It’s another common condition that’s important to be aware of for a several reasons. First, the risk of developing serious complications as a result of spinal stenosis can be reduced by taking the kind of preventative measures essential to overall spine health, such as regular exercise, proper nutrition, and modifying workplace or lifestyle behaviors that jeopardize spine health. Second, in certain cases, spinal stenosis can pose serious health risks, so it’s crucial to stay alert to signs something dangerous is developing.

Symptoms

Spinal stenosis of either variety generally places more pressure on nerves as it grows more severe. A lucky few may experience no symptoms, but overwhelming spinal stenosis compressed nerves cause uncomfortable sensations such as numbness, weakness, tingling, and/or pain. These symptoms can be similar for lumbar and cervical stenosis patients, although some are more indicative of one form.

Lumbar stenosis compresses the spinal nerve roots in the lower back. This can lead to symptoms associated with sciatica, namely tingling, numbness, etc. that radiates down the lower back through the legs. It can also lead to leg pain that occurs while walking, a symptom that may be alleviated when sitting or leaning forward, as when pushing a supportive device.

Unpleasant though its symptoms may be, lumbar stenosis doesn’t present as much danger overall health as cervical stenosis. Whereas lumbar stenosis compresses the spinal nerve roots, cervical stenosis causes compression of the actual spinal cord–a condition known as myelopathy. Myelopathy can lead to extreme weakness and paralysis. Early signs include loss of fine motor skills, “electric shock” sensations shooting through limbs, and arm pain.

Stenosis can occur in the mid, or thoracic section of the spine, but it’s rare, and much less likely to lead to any serious problems.

Treatment

Lumbar stenosis is often treatable with a combination of physical therapy, pain medications, and bed rest. Corticosteroid injections may also offer relief in some cases. Myelopathy, which can develop from cervical stenosis, is a significantly more threatening condition, and one which likely merits surgical intervention.
Diagnosing the source of spinal stenosis is an important step in establishing a long term wellness plan. If you’ve started experiencing symptoms of spinal stenosis, we encourage you to request an appointment with our spine care specialists.


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Sports Injuries to The Back in Young Athletes

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“Oh, my back!” isn’t really a phrase we expect coming out of a teen or preteen’s mouth. But actually, young athletes are prone to several sports injuries affecting the spine. Most can be treated with rest, but it’s important to pay attention to any signs and symptoms of potential back injury. These can have serious repercussions down the line, so it’s crucial to make sure the source of back pain or stiffness is known and strong preventative measures are applied.

Below, some of the most common kinds of back injuries experienced by young athletes.

Strains and Sprains

Strains and sprains can happen anywhere in the body, including in the muscles and ligaments of the back. These are by far the most common source of back pain in young athletes, and can be caused by overuse, improper body mechanics, poor technique, trauma, and lack of appropriate conditioning or stretching. Usually in these cases, an athlete will only experience the pain when moving, and it will be relieved when they rest. Strains and sprains should be treated first with rest and anti-inflammatory pain medication. Ice packs or heat packs applied to the affected area may also be helpful. Once the athlete has recovered, the return to exercise should be slow and cautious. A sports medicine professional or physical therapist can test to see if there’s an issue with body mechanics or technique and prescribe corrective exercises accordingly.

Spondylolysis and Spondylolisthesis

Spondylolysis is a stretch fracture in the vertebrae. It’s most often found in the fifth lumbar vertebra in the lower back. Spondylolisthesis occurs when the fracture weakens the bone to the point where it begins to shift out of position. Gymnasts and other athletes who do a lot of twisting are particularly vulnerable. Athletes suffering from these conditions usually complain of pain that gets more intense when they attempt to arch their back. X-rays and other imaging studies are used to confirm the diagnosis. Rest, medication, ice, and targeted rehabilitative exercises are the normal course of action, though severe cases of spondylolisthesis may require surgery to correct. Patients with spondylolisthesis should be monitored for slippage of the affected vertebrae regularly as they continue to grow. If the vertebrae slips too far out of place, it may be necessary to reconsider or switch sports.

Nerve Pinch Injuries

Trauma, particularly in contact or collision sports, is a common cause of nerve pinch injuries. These occur when the nerves off the spinal cord in the neck are pinched or stretched. These injuries, sometimes referred to as “stingers” result in pain, weakness, and “electectrical” or other strange sensations in the neck, shoulders, and arms. Usually, these injuries resolve themselves quickly but are very likely to recur–and potentially worsen. Athletes who’ve experienced these injuries should seek medical attention to prevent the injury from getting worse. Cervical collars and corrective exercises are among some of the treatments that may be prescribed.

Juvenile Kyphosis

Juvenile kyphosis causes pain in the mid-back. Young athletes suffering this condition display a back deformity caused by the wedging of three or more vertebrae. This wedging of consecutive vertebrae results in a rounded curve of the mid-back. Exercises and stretches can help with the pain, but can’t correct the curve. Back bracing or even surgery may be necessary in serious cases. If a young athlete is experiencing mid-back pain and/or their spine seems to be taking on a dome-like shape, it’s important to see a professional for a diagnosis and help managing the condition.

Although this list includes some of the most common causes of back pain sports injuries  and conditions in young athletes, it’s by no means exhaustive. Concerned about your back health? Call us to request an appointment – 732.720.2569.


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