USTAKY March 2022 Ask the Doc Article: Back Pain
Question: WHAT ARE THE CAUSES OF LOW BACK PAIN?
Answer:
Low back pain (LBP) is one of the most common musculoskeletal complaints that plagues tennis players worldwide. LBP may have a variety of causes and can vary in characteristics including location, severity, radiating symptoms, numbness, spasms, etc. The most common cause of LBP is mechanical, meaning a muscular imbalance. Common contributing factors include tight hamstrings, weak core muscles, poor conditioning, overuse, inefficient serve/swing mechanics or poor ergonomics while at work/school.
Question: HOW DO YOU TREAT LOW BACK PAIN?
Answer:
Luckily, with the proper exercise regimen and early recognition, LBP typically has a good prognosis and tennis players are able to return to play without limitations or residual deficits. Examples of exercise-based therapy that have been shown to provide benefits include walking, swimming, bicycling, stretching and yoga. Particularly for tennis, rotational core strengthening is important. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and muscle relaxers may also be beneficial during sudden flares of pain. Inactivity and bed rest as a means of treating LBP can actually worsen symptoms, leading to decreased mobility and increased pain. Preventing LBP is the best option. It is important to maintain flexibility throughout the hips, hamstrings, calves and ankles. Regular core strengthening and spine stabilizing exercises have proven to be helpful.
You should seek medical advice for any of these symptoms: pain radiating down the legs, leg muscle weakness or loss of bowel/bladder control. Additionally, if you have LBP that is affecting your ability to be on
the court and perform at your best, we recommend consulting with a physical therapist or a licensed medical provider for further guidance.
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