Lower Back Pain in Young Athletes

Lower back pain is common among young athletes, affecting approximately 21% of adolescent sports participants, with prevalence rates ranging from 37% to 66%. At Epoch Health, we frequently see young athletes experiencing lower back pain linked to physiological changes during rapid growth phases, combined with their high levels of physical activity.

Causes of Lower Back Pain in Young Athletes

The main causes typically fall into two categories:

  • Acute Injuries: Sudden trauma such as tackles or falls during high-impact sports like football, rugby, and gymnastics.

  • Overuse Injuries: Repetitive actions in sports such as cricket, dancing, ice skating, or gymnastics, leading to cumulative stress.

Common Lower Back Injuries in Young Athletes

  1. Soft Tissue Injuries

    • Often involve sprains, strains, and bruises to muscles and ligaments around the lumbar spine, usually caused by direct impact or rapid twisting motions.

  2. Spondylolysis

    • A fracture occurring in the vertebra's pars interarticularis, commonly at the L5 vertebra, due to repetitive movements such as flexing, extending, or twisting.

  3. Spondylolisthesis

    • This condition involves a vertebra slipping forward over another, frequently at the L5/S1 level. It typically follows untreated or poorly managed spondylolysis.

  4. Stress Fractures

    • Result from repetitive stress exceeding the bone’s capacity, often related to intense training routines or biomechanical issues.

Recognising Lumbar Bone Stress Injuries

Lumbar bone stress injuries (LBSI) are the most frequent cause of lower back pain we encounter at Epoch Health among young athletes. Symptoms to look out for include:

  • Pain primarily on one side of the lower back

  • Increased discomfort during activities involving backward bending

  • Reduced symptoms during periods of rest

  • Gradual worsening of symptoms without adequate rest

An accurate diagnosis typically requires imaging scans, and at Epoch Health, our chiropractors provide thorough assessments and recommend appropriate diagnostic imaging when necessary.

How Epoch Health Can Help

At Epoch Health, our multidisciplinary approach ensures comprehensive care for young athletes:

  • Chiropractic Care: Spinal adjustments and therapies to relieve pain and restore function.

  • Massage Therapy: Supporting recovery by addressing muscle tightness and promoting circulation.

  • Exercise Rehabilitation: Customized rehabilitation programs focused on strengthening core and back muscles.

  • Activity Modification Advice: Guidance on safely adjusting or temporarily halting certain physical activities to allow healing.

Early Intervention is Key

Early detection and professional management at Epoch Health are crucial for preventing long-term complications and helping young athletes return safely to their sport.

If your young athlete is experiencing lower back pain, contact Epoch Health today to schedule a consultation and get them on the path to recovery.

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Calf muscle strain injuries (CMSI)