Sport Injuries, Back Injuries, and Back Pain

Exercise is an important part of a healthy lifestyle, and sports are one approach many people choose to use to get their exercise.

• For people with back pain, sports can still be a viable option if they pay attention to their back.
• For others who participate in sports, knowing the type of strain various sports place on the back may help prevent a back injury.

Types of Sports-Related Back Injuries

When participating in any sport, injuries to any part of the spine are possible, as well as injuries to the soft tissue and fascia that help comprise the makeup of the body. Up to 20% of all injuries that occur in sports involve an injury to the lower back or neck.

Lower Back Injury

The lower back is subject to a great deal of strain in many sports. Sports that use repetitive impact (e.g., running), a twisting motion (e.g. golf), or weight loading at the end of a range-of-motion (e.g., weightlifting) commonly cause damage to the lower back.

Neck Injury

The neck is most commonly injured in sports that involve contact (e.g., football), which place the cervical spine (neck) at risk of injury.

Upper Back Injury

The thoracic spine (mid portion of the spine at the level of the rib cage) is less likely to be injured because it is relatively immobile and has extra support. Injuries seen here can involve rib fracture and intercostal neuralgia as well as intercostal muscle strains in sports that involve rotation of the torso (e.g. weight training with rotation), swimming, golf, tennis, and even skiing.

Stretching and Warm-Up Prior to Exercise

While static stretching prior to any type of exercise used to be recommended, a number of studies in recent years have shown that stretching the muscles prior to exercise is not needed. A number of studies have shown that it does not help prevent injury, and likely does no harm either.¹"Does stretching in your warm up prevent injury?", accessed via Peak Performance Online, copied from Georgia Tech Sports Medicine & Performance Newsletter.^,2Schrier I, "Stretching before exercise does not reduce the risk of local muscle injury: a critical review of the clinical and basic science literature," Clinical Journal of Sports Medicine, 1999, 9(4):221-227, accessed via UK PubMed Central.^,3"STATF Announces Results of Pre-run Stretch Study," USA Track & Field, 8/20/2010, accessed via USA Track& Field.

For every sport, a thorough warm-up should be completed before starting to play. The warm-up will target the muscles used in that sport, but it should also prepare the back for the stresses to come.

The warm-up used should be specific to the sport to be played. A typical warm-up should include:

• Increase circulation gradually by doing some easy movement (such as walking) to increase blood circulation to the muscles and ligaments of the back
• Stretch the lower and upper back and related muscles, including hamstrings and quadriceps
• Start slowly with the sport movements (e.g. swing the golf club, serve the ball)

Work with a Professional to Prevent or Manage Back Injury

There are professionals or instructors in almost every sport who are willing to share their expertise. Ideally, someone with this type of expertise can teach the correct form for a new sport or help develop and keep the proper technique for a current sport.

Before starting to work with any sports or exercise professional, it is advisable to inquire about his or her credentials. In general, if the individual is certified by the National Strength and Conditioning Association (NSCA), he or she should be up to date on the latest evidence related to stretching, exercise routines for specific sports, and additional information designed to benefit your personal routine.