Asian Spine J.  2018 Aug;12(4):754-764. 10.31616/asj.2018.12.4.754.

Outcomes of Various Treatment Modalities for Lumbar Spinal Ailments in Elite Athletes: A Literature Review

• Gadia A
• Shah K
• Nene A

• KMID: 2426612
• DOI: http://doi.org/10.31616/asj.2018.12.4.754

Abstract

Lumbar spinal injuries are common in elite athletes, who can present with a spectrum of ailments ranging from lumbar strain to prolapsed intervertebral discs. Sequelae can include neurological impairment and lumbar instability among other possible outcomes. This group of patients is unique in terms of their clinicoradiological presentation and treatment modalities. The primary goals of treatment are a rapid return to play and prevention of recurrence, thus prolonging the athlete's professional career. Treatment modalities can range from activity restriction to nerve root blocks and surgery. A successful treatment outcome is based on timely diagnosis, treatment suiting the demands of the particular sport, and early rehabilitation. A multidisciplinary team approach involving the coach, rehabilitation specialist, pain management specialist, and spine surgeon helps in planning appropriate treatment. In this article, we review special considerations in the elite athletic population with lumbar spinal ailments as well as the outcomes of various treatment modalities.

Keyword

Low back pain; Athletes; Return to sport; Treatment; Pain management

MeSH Terms

Athletes*
Diagnosis
Humans
Intervertebral Disc
Low Back Pain
Pain Management
Recurrence
Rehabilitation
Return to Sport
Specialization
Spinal Injuries
Spine
Sports
Treatment Outcome