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Sportsmen and sportswomen

In general, sport is recommended as good for your back and your general health. However, some sports increase the risk of back pain, especially if practiced intensively or competitively. These are basically sports which

a) entail flexo-extension of the spine, especially associated with loading and sudden or sustained twisting;

b) subject the spine to vibrations; or

c) tend to develop the muscles more on one side than the other. In the long term these generate an imbalance in the dynamics of the spine, in the spread of loads and even in appearance.

However, a program of exercises that sufficiently develop the muscles of the spinal column and the use of suitable sporting material reduce the risk entailed in some sports.

You need to be examined by a doctor before starting a new sport. This is not only to assess your back, but also your cardiovascular system and your general state of health, in order to be able to recommend the most suitable levels of exercise. Moreover, if your spine hurts when doing any sport or exercise, you should stop and visit a specialist.

The back muscles also work in movements for which they should not apparently be used, given that they help maintain balance when moving different parts of the body. It is therefore recommended that before doing any sport you ensure that your back muscles are well developed. The more developed they are, the less risk you run of suffering back injuries when practicing any kind of sport.

For that purpose it may be advisable to do specific exercises for a time to develop your back muscles before taking up any sport. Exercises that are suitable for one person may be counter-productive for another, and so you need to see a specialist who will carry out a physical examination and a muscular balance to determine what exercises you should do and how intensively.

What increases the risk of back pain in sportsmen and sportswomen?

Because of the postures and movements that they entail, some sports increase the risk of organic disorders of the spinal column, such as:

- Scoliosis and Spondilolysthesis, which have been shown to occur frequently in growing girls who practise eurhythmics at competition level.

- Herniated discs in sports involving flexo-extension under a load, like some styles of weight-lifting, exposure to repeated jumps and vibrations, as in basketball, or sudden and repeated twisting, as in golf or squash.

However, for a sport to actually cause an organic disorder of the spinal column, it must be practiced with a high degree of constancy and intensity. It therefore only normally occurs in professional sportspeople.

Other sports can readily produce muscle spasms because they entail very intense efforts. Lack of training and incorrect style render one liable to spasms with less intense efforts, and these therefore also occur in amateur sportspeople.

Finally, other sports expose practitioners to other factors that increase the risk of back pain, such as vibrations.

Can back pain have harmful consequences for sportspeople?

Yes, It can even prevent people from practising some sports or it can spell the end of a professional sporting career.

The possible negative consequences are:

- The pain can become chronic. If the right treatment is not applied and the person continues to practice the sport that brought it on while in pain, thus exposing him/herself to the same risk factors, then the pain can become chronic. There is a neurological mechanism that makes the pain harder to cure if it persists for a long time.

- Inappropriate treatment. . Some sportspeople overdo symptomatic treatments, which may be exceptionally indicated in the short term for some cases but can have undesirable long-term effects. Cases in point are the administration of corticoids or other pharmaceuticals.

- Interrupting the practice of a sport. Most sports require the back muscles to be powerful, to function correctly and to be well coordinated in order to maintain the various postures, keep one's balance and execute rapid body movements. Besides the fact that the pain itself may cause someone to abandon the sport, there are a number of neurological mechanisms that can cause the muscles to spasm or malfunction when there is back pain, thus making it difficult to practice the sport properly.

The good news is that with the right training, effective prevention measures and proper treatment, you can easily practise a sport all your life without limitations due to back pain.

How to prevent and treat back pain in sportspeople.

There are a number of measures that have proven effective in preventing back pain in sportspeople:

  • The appropriate training, applied progressively with a preliminary warm-up period.
  • The development of the back and abdominal muscles before practicing sports in which they are involved. This site contains a section showing specific exercises for this purpose.
  • Use of the correct style when practicing a sport. This includes complying with the rules of postural hygiene for each sport.
  • If you experience pain, you must apply the right treatment. This site contains a section that lists all the existing treatments for back pain, and there is another that indicates the common patterns of treatments that have proven effective.

     



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