Common Back Pain Issues in Different Sports

Back pain is a pervasive issue that affects the general population, making no exception for athletes. Athletes are at a heightened risk of experiencing back pain due to the strenuous and repetitive physical activities associated with their respective sports.

Whether you’re a professional athlete or someone who enjoys sports recreationally, understanding common back pain issues may prevent your symptoms from worsening or complications from developing.

What is Back Pain?

In Singapore, back pain is a common condition, which can range in intensity from a dull, constant ache to a sudden sharp pain. There are two types of back pain:

  • Acute back pain: Sudden and severe, often resulting from a specific incident or injury during sports activities. 
  • Chronic back pain: A longer-term issue, generally lasting for three months or more, and may not have an identifiable cause.

Types of Back Pain Commonly Experienced by Athletes

One of the most common causes of back pain for athletes is muscle strain, usually the result of heavy lifting, or sudden jerking motions that causes one or more back muscles, tendons or ligaments to stretch or tear. Other types of common back pain include:

  • Ligament Sprains: Caused by overstretching or tearing ligaments, often occurring from quick twists or pulls.
  • Herniated Discs: Common in sports that involve a lot of jumping or contact, like basketball or football.
  • Spondylolysis and Spondylolisthesis: Stress fractures that often occur in young athletes involved in sports that require hyperextension and rotation of the spine, such as gymnastics and wrestling.
  • Spinal Stenosis: Narrowing of the spinal canal, typically affecting older athletes.

Symptoms and Areas Most Affected

When athletes have lower back pain, it can impact their ability to stay active, participate in sports. If symptoms are left untreated, it can also affect and cause pain during day-to-day tasks. 

Common symptoms include:

  • Sharp or dull ache in the lower back
  • Stiffness or reduced range of motion
  • Pain that radiates down the legs
  • Tingling or numbness in the back, buttocks, or legs

Most affected areas: 

  • Lower back (lumbar region) 
  • And less frequently, the upper back (thoracic region) and neck (cervical region).

Risk Factors

General Risk Factors

  • Age: Older athletes are generally at a higher risk due to degenerative changes in the spine.
  • Lifestyle Choices: Poor diet, lack of exercise, and smoking can exacerbate back pain issues.
  • Pre-existing Conditions: Conditions such as osteoporosis, herniated discs, or spinal deformities can make athletes more susceptible to back pain.
  • Body Mechanics: Poor posture and ergonomics, both during athletic activity and daily life, can lead to back pain.

Sport-Specific Risk Factors

  • Repetitive Movements: Sports like golf, tennis, and cricket often require repetitive twisting and turning, increasing the risk of back pain.
  • Equipment Used: Inadequate or improperly fitted equipment, such as running shoes or weightlifting belts, can contribute to back pain.
  • Contact Sports: Athletes involved in contact sports like football or rugby are at higher risk due to frequent tackles and impacts.
  • Lifting Techniques: In weightlifting and similar sports, improper lifting techniques can significantly strain the back.
  • Running Surfaces: Athletes who run on hard surfaces without proper footwear are prone to back pain due to the increased impact.
  • Overtraining: Lack of rest and recovery time can put excess strain on the back, causing or exacerbating pain.

Back Pain in Different Sports

Football

The high-contact nature of football exposes athletes to risks of spinal injuries and muscle strains in the back during tackles and collisions.

Basketball

The frequent jumping and abrupt twisting movements in basketball can lead to sprains and strains in the lower back.

Golf

The repetitive nature of swinging a golf club can strain the back muscles and put significant stress on the spine.

Running

The constant pounding impact on the feet transfers to the spine, exacerbating back pain, especially if the athlete has poor running posture.

Swimming

While swimming is often recommended for back pain relief, overuse or incorrect strokes can lead to back muscle strains.

Weightlifting

Incorrect lifting techniques or lifting weights that are too heavy can put excessive stress on the back, leading to acute or chronic pain.

Diagnosis and Treatment

When it comes to addressing back pain, understanding the available diagnostic methods and treatment options is crucial. Understanding your options is the first step towards alleviating discomfort and regain mobility.

Standard Diagnostic Methods

  • MRI (Magnetic Resonance Imaging): Provides detailed images of soft tissues like muscles and ligaments, commonly used to diagnose disc issues and other soft tissue abnormalities.
  • X-rays: Primarily used to evaluate bone structure and identify fractures or alignment issues.

Range of Treatment Options

  • Physical Therapy: A first-line treatment involving targeted exercises to strengthen back muscles and improve posture.
  • Pain Management: 
    • Minimally-invasive injections: these treatments have little to no downtime and patients may resume their normal activities promptly. They may be administered in the areas believed to be the source of pain, such as into a muscle or ligament. 
  • Non-invasive treatments: Uses technology such as Radio Frequency Therapy and Low-Level Laser Therapy designed to stimulate healing and manage pain

Your sports medicine specialist will assess and use individualised approaches to diagnose and treat your back pain. 

Prevention Strategies

Lifestyle adjustments and Exercises 

Exercises that strengthen the core and back muscles, such as Pilates or targeted resistance training. These exercises not only stabilise the spine but also provide better support during sports activities, reducing the risk of injury.

Importance of warm-ups and cool-downs

A well-structured warm-up prepares the muscles and joints for the physical stress they’re about to undergo, while a cool-down helps to relax the muscles, increase flexibility, and promote recovery. 

Conclusion

Understanding the specifics of back pain in relation to various sports is the first step to effective back pain treatment and injury prevention. Different sports expose athletes to unique sets of risks, making a one-size-fits-all approach to diagnosis and treatment inadequate. Early intervention and tailored treatment strategies optimise the chances for a speedy and complete recovery, allowing athletes to return to their sports with minimal disruption.  Consult a sports medicine specialist today for an accurate diagnosis & personalised treatment plan. 

At MSMC, we treat a variety of different sports injuries. Learn more about other common sports conditions here: https://msmc-clinic.com/conditions/sports-injuries/