Lumbar Disk Problems in the Athlete Differential Diagnoses

  • Author: Luis E Palacio, MD; Chief Editor: Sherwin SW Ho, MD   more...
 
Updated: Feb 7, 2012
 
 

Differential Diagnoses

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Contributor Information and Disclosures
Author

Luis E Palacio, MD  Director of Primary Care Sports Medicine, Northern Nevada Medical Group

Luis E Palacio, MD, is a member of the following medical societies: American Academy of Family Physicians, American College of Sports Medicine, and American Medical Society for Sports Medicine

Disclosure: Nothing to disclose.

Coauthor(s)

Jeffrey W R Dassel, MD  Associate Director, Sports Medicine and Faculty, Department of Family and Community Medicine, Christiana Care Health System

Jeffrey W R Dassel, MD, is a member of the following medical societies: Alpha Omega Alpha, American Academy of Family Physicians, American Medical Society for Sports Medicine, and Society of Teachers of Family Medicine

Disclosure: Nothing to disclose.

Annie Collier, MD  Staff Physician, Department of Emergency Medicine, Our Lady of Mercy Medical Center

Annie Collier, MD is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

John Munyak, MD  Associate Program Director, Director of Sports Medicine Education, Department of Emergency Medicine, Lincoln Medical and Mental Health Center

Disclosure: Nothing to disclose.

Specialty Editor Board

Andrew D Perron, MD  Residency Director, Department of Emergency Medicine, Maine Medical Center

Andrew D Perron, MD is a member of the following medical societies: American College of Emergency Physicians, American College of Sports Medicine, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Jon B Whitehurst, MD  Clinical Instructor of Surgery, University of Illinois College of Medicine; Partner, Rockford Orthopedic Associates; Orthopedic Chairman, Rockford Memorial Hospital

Jon B Whitehurst, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America

Disclosure: Nothing to disclose.

Chief Editor

Sherwin SW Ho, MD  Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago Division of the Biological Sciences, The Pritzker School of Medicine

Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, Arthroscopy Association of North America, and Herodicus Society

Disclosure: Breg, Inc. Consulting fee Consulting; Biomet, Inc. Consulting fee Consulting; GMV, Inc. Arthroscopy Simulator Evaluation and teaching; Smith and Nephew Grant/research funds Fellowship funding; DJ Ortho Grant/research funds Course funding; Athletico Physical Therapy Grant/research funds Course, research funding

References

  1. McCormack RG, McLean N, Dasilva J, Fisher CG, Dvorak MF. Thoraco-lumbar flexion-distraction injury in a competitive gymnast: a case report. Clin J Sport Med. Jul 2006;16(4):369-71. [Medline].

  2. Ong A, Anderson J, Roche J. A pilot study of the prevalence of lumbar disc degeneration in elite athletes with lower back pain at the Sydney 2000 Olympic Games. Br J Sports Med. Jun 2003;37(3):263-6. [Medline].

  3. Kinkade S. Evaluation and treatment of acute low back pain. Am Fam Physician. Apr 15 2007;75(8):1181-8. [Medline]. [Full Text].

  4. Smeal WL, Tyburski M, Alleva J, Prather H, Hunt D. Conservative management of low back pain, part I. Discogenic/radicular pain. Dis Mon. Dec 2004;50(12):636-69. [Medline].

  5. Baker RJ, Patel D. Lower back pain in the athlete: common conditions and treatment. Prim Care. Mar 2005;32(1):201-29. [Medline].

  6. Peng B, Zhang Y, Hou S, Wu W, Fu X. Intradiscal methylene blue injection for the treatment of chronic discogenic low back pain. Eur Spine J. Jan 2007;16(1):33-8. Epub 2006 Feb 22. [Medline].

  7. Kraft DE. Low back pain in the adolescent athlete. Pediatr Clin North Am. Jun 2002;49(3):643-53. [Medline].

  8. Harwood MI, Smith BJ. Low back pain: a primary care approach. Fam Pract Clin. 2005;7(2):279-303.

  9. Xin SQ, Zhang QZ, Fan DH. Significance of the straight-leg-raising test in the diagnosis and clinical evaluation of lower lumbar intervertebral-disc protrusion. J Bone Joint Surg Am. Apr 1987;69(4):517-22. [Medline]. [Full Text].

  10. Eck JC, Riley LH 3rd. Return to play after lumbar spine conditions and surgeries. Clin Sports Med. Jul 2004;23(3):367-79, viii. [Medline].

  11. Krych AJ, Richman D, Drakos M, et al. Epidural Steroid Injection for Lumbar Disc Herniation in NFL Athletes. Med Sci Sports Exerc. Feb 2012;44(2):193-8. [Medline].

  12. Cooke PM, Lutz GE. Internal disc disruption and axial back pain in the athlete. Phys Med Rehabil Clin N Am. Nov 2000;11(4):837-65. [Medline].

  13. [Best Evidence] Freeman BJ, Fraser RD, Cain CM, Hall DJ, Chapple DC. A randomized, double-blind, controlled trial: intradiscal electrothermal therapy versus placebo for the treatment of chronic discogenic low back pain. Spine. Nov 1 2005;30(21):2369-77; discussion 2378. [Medline].

  14. Bono CM. Low-back pain in athletes. J Bone Joint Surg Am. Feb 2004;86-A(2):382-96. [Medline]. [Full Text].

  15. Cherkin DC, Deyo RA, Battié M, Street J, Barlow W. A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain. N Engl J Med. Oct 8 1998;339(15):1021-9. [Medline].

  16. Day AL, Friedman WA, Indelicato PA. Observations on the treatment of lumbar disk disease in college football players. Am J Sports Med. Jan-Feb 1987;15(1):72-5. [Medline].

  17. Deyo RA, Loeser JD, Bigos SJ. Herniated lumbar intervertebral disk. Ann Intern Med. Apr 15 1990;112(8):598-603. [Medline].

  18. Dreisinger TE, Nelson B. Management of back pain in athletes. Sports Med. Apr 1996;21(4):313-20. [Medline].

  19. Faas A. Exercises: which ones are worth trying, for which patients, and when? Presented at: The International Forum for Primary Care Research on Low Back Pain; October 12-14, 1995; Seattle, Wash.

  20. Franklin BA. Low back exercises. In: Roitman JL, Kelsey M, eds. American College of Sports Medicine's (ACSM's) Guidelines for Exercise Testing and Prescription. 3rd ed. Baltimore, Md: Lippincott Williams & Wilkins; 1998:116-25.

  21. Gerbino PG 2nd, Micheli LJ. Back injuries in the young athlete. Clin Sports Med. Jul 1995;14(3):571-90. [Medline].

  22. Kahanovitz N. Surgical disc excision. Clin Sports Med. Jul 1993;12(3):579-85. [Medline].

  23. Montgomery S, Haak M. Management of lumbar injuries in athletes. Sports Med. Feb 1999;27(2):135-41. [Medline].

  24. Regan JJ. Clinical results of charité lumbar total disc replacement. Orthop Clin North Am. Jul 2005;36(3):323-40. [Medline].

  25. Schenck RC Jr, ed. Athletic Training and Sports Medicine. 3rd ed. Rosemont, Ill: American Academy of Orthopaedic Surgeons; 1999:389-90.

  26. Singh V. Percutaneous disc decompression for the treatment of chronic atypical cervical discogenic pain. Pain Physician. Jan 2004;7(1):115-8. [Medline]. [Full Text].

  27. Stinson JT. Spine problems in the athlete. Md Med J. Aug 1996;45(8):655-8. [Medline].

  28. Tall RL, DeVault W. Spinal injury in sport: epidemiologic considerations. Clin Sports Med. Jul 1993;12(3):441-8. [Medline].

  29. Wang JC, Shapiro MS, Hatch JD, et al. The outcome of lumbar discectomy in elite athletes. Spine. Mar 15 1999;24(6):570-3. [Medline].

  30. Watkins RG. Lumbar disc injury in the athlete. Clin Sports Med. Jan 2002;21(1):147-65, viii. [Medline].

  31. Windsor RE. Lumbosacral discogenic pain syndrome. eMedicine from WebMD. Updated June 5, 2006. Accessed October 10, 2007. Available at http://emedicine.medscape.com/article/94673-overview.

  32. Young JL, Press JM, Herring SA. The disc at risk in athletes: perspectives on operative and nonoperative care. Med Sci Sports Exerc. Jul 1997;29(7 suppl):S222-32. [Medline].

 
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Radiograph of the lumbar spine. This image demonstrates L5-S1 disk space narrowing (the most common location).
Magnetic resonance image of the lumbar spine. This image demonstrates a herniated nucleus pulposus at multiple levels.
 
 
 
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