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2016, Number 4

Ortho-tips 2016; 12 (4)

Lumbar pain in runners

Tejeda BM
Full text How to cite this article

Language: Spanish
References: 10
Page: 214-218
PDF size: 473.97 Kb.


Key words:

Low back pain, runners, athletes, lumbar disc herniation, degenerative disc disease.

ABSTRACT

Low back pain is a common medical presentation in human being, and also common in sports. In runners, despite of frequent impacts when running, they have the same frequency of low back pain than general population. The main cause for low back pain in runners is strain in lumbar muscles, and most of times can be treated in a nonsurgical fashion. However, in some individuals with previous injuries (disc herniation, spondylolysis, spondylolisthesis, degenerative disc disease, arthritis, etc.), when they run, it might be possible to suffer low back pain, that is why it is necessary to switch the way they are running or jogging, the surface on where they run, as well as the time and the distance they spend running. These changes might be enough for most of people to continue running or jogging. In a handful of cases, intense low back pain with no improvement with conservative treatment, with sciatica o radicular pain, it might be necessary to perform a surgical procedure, according to the specific cause of pain. Most of the patients who underwent a surgical procedure in the lower spine, with a reasonable amount of time, can be running or jogging again, in accordance of their physical capacity.


REFERENCES

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  3. Garbutt G, Boocock MG, Reilly T, Troup JD. Running speed and spinal shrinkage in runners with and without low back pain. Med Sci Sports Exerc. 1990; 22 (6): 769-772.

  4. McCance SE. Runners: when to seek treatment for lower back pain. Spine-health.com [Internet]. 2008.

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  6. Petering R, Webb Ch. Treatment options for low back pain in athletes. Portland, Oregon: Oregon Health and Sciences University; 2011.

  7. Schnitzer TJ, Ferraro A, Hunsche E, Kong SX. A comprehensive review of clinical trials on the efficacy and safety of drugs for the treatment of low back pain. J Pain Symptom Manage. 2004; 28 (1): 72-95.

  8. Deshpande A, Furlan AD, Mailis-Gagnon A, Atlas S, Turk D. Opioids for chronic low-back pain. Cochrane Database Syst Rev. 2007; (3): CD004959.

  9. Staal JB, de Bie RA, de Vet HC, Hildebrandt J, Nelemans P. Injection therapy for subacute and chronic low back pain: an updated Cochrane review. Spine (Phila Pa 1976). 2009; 34 (1): 49-59.

  10. Paoloni M, Di Sante L, Cacchio A, Apuzzo D, Marotta S, Razzano M, et al. Intramuscular oxygen-ozone therapy in the treatment of acute back pain with lumbar disc herniation: a multicenter, randomized, double-blind, clinical trial of active and simulated lumbar paravertebral injection. Spine (Phila Pa 1976). 2009; 34 (13): 1337-1344.




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