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By the time an athlete reach 16 years old, she experiences back pain at the same yearly prevalence rate as adults (16-18 percent).
Most spine injuries in athletes occur as a result of overuse. The most common injuries are spondylolysis, a stress fracture in the lower back, and spondylolisthesis, a slipped vertebrae.
About six percent of athletes are diagnosed with spondylolysis. Athletes who participate in gymnastics, diving, soccer and baseball face a slightly higher risk of stress fracture.
Boston Children’s Spine and Sports team also cares for athletes with spinal curvatures such as scoliosis, kyphosis and lordosis and those with Scheuermann's disease and atypical Scheuermann's disease — growth plate deformities that cause abnormal curvatures of the spine. These can present as a humped upper back (kyphosis) or a flat back in the lower spine.
Specialists in Boston Children’s Spine and Sports Program complete a neurological evaluation, assessing the athlete’s muscular and sensory functioning and checking for other conditions that can cause spinal pain. They also review an athlete’s biomechanics to determine if certain repetitive motions caused the injury.
The doctor also may order diagnostic tests such an X-ray or MRI to diagnose the spine injury.
Treatment for an athlete with a spine injury nearly always includes physical therapy and often bracing. If an athlete doesn’t respond to conservative management, doctors in the spine and sports program coordinate with orthopedic surgeons and neurosurgeons for further care.
An athlete with short-term pain like a muscle pull can rest for a few days and take over-the-counter pain medication. If the pain continues longer than one or two weeks, please call to make an appointment with a sports medicine provider.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”