Diagnosis and Treatment for Lower Back Pain in a Weightlifter [Case Study]: FPF Show Episode 23

By dpope2020

March 5, 2022

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Diagnosis and Treatment for Lower Back Pain in a Weightlifter

In today's episode we go over a case study for Diagnosis and Treatment for Lower Back Pain in a Weightlifter:

  • 0:00 Intro
  • 2:17 What caused my lower back pain? [Mechanism of injury]
  • 2:40 Subjective examination - History taking, aggravating factors, symptoms
  • 13:20 Objective examination - Dermatomal / myotomal testing, reflexes, range of motion, palpation, special tests
  • 16:40 Diagnosis and assessment
  • 17:33 Plan of care for physical therapy treatment
  • 22:44 How I fixed my lower back pain during squats and deadlifts
  • 24:05 What lifestyle activities needed to be modified?
  • 28:32 How to modify training to respect the healing injury and rehabilitate
  • 46:50 Identifying and correcting mobility limitations
  • 48:23 Correct technique issues in squats, deadlifts and running
  • 50:19 Gradually load the spine and return to your prior training program

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Show Notes / Relevant Articles:

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. Fares MY, Fares J, Salhab HA, Khachfe HH, Bdeir A, Fares Y. Low Back Pain Among Weightlifting Adolescents and Young Adults. Cureus. 2020;12(7):e9127. Published 2020 Jul 11. doi:10.7759/cureus.9127

  2. INJURY RISK IS ALTERED BY PREVIOUS INJURY: A SYSTEMATIC REVIEW OF THE LITERATURE AND PRESENTATION OF CAUSATIVE NEUROMUSCULAR FACTORS Int J Sports Phys Ther. 2014 Oct; 9(5): 583–595. Jessica Fulton, PT, DPT, HFS,1 Kathryn Wright, PT, DPT,1 Margaret Kelly, PT, DPT, CSCS,1 Britanee Zebrosky, PT, DPT, CSCS,1 Matthew Zanis, PT, DPT, ATC, CSCS,1 Corey Drvol, PT, DPT,1 and Robert Butler, PT, PhD1

  3. Chronic lack of sleep is associated with increased sports injuries in adolescent athletes. J Pediatr Orthop. 2014 Mar;34(2):129-33.  Milewski MD1, Skaggs DL, Bishop GA, Pace JL, Ibrahim DA, Wren TA, Barzdukas A.

  4. Psychological predictors of injury among elite athletes S A Galambos1, P C Terry1, G M Moyle1, S A Locke1 BJSM 2005

  5. Matthew Whalan, Ric Lovell & John A Sampson (2020) Do Niggles Matter? - Increased injury risk following physical complaints in football (soccer), Science and Medicine in Football, 4:3, 216-224, DOI: 10.1080/24733938.2019.1705996

  6. Coulombe BJ, Games KE, Neil ER, Eberman LE. Core Stability Exercise Versus General Exercise for Chronic Low Back Pain. J Athl Train. 2017 Jan;52(1):71-72. doi: 10.4085/1062-6050-51.11.16. Epub 2016 Nov 16. PMID: 27849389; PMCID: PMC5293521.

  7. Owen, P. J., Miller, C. T., Mundell, N. L., Verswijveren, S. J., Tagliaferri, S. D., Brisby, H., … Belavy, D. L. (2019). Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. British Journal of Sports Medicine, bjsports–2019–100886.

  8. Shiri, R., Coggon, D., & Falah-Hassani, K. (2017). Exercise for the Prevention of Low Back Pain: Systematic Review and Meta-Analysis of Controlled Trials. American Journal of Epidemiology, 187(5), 1093–1101.

  9. Welch, N., Moran, K., Antony, J., Richter, C., Marshall, B., Coyle, J., … Franklyn-Miller, A. (2015). The effects of a free-weight-based resistance training intervention on pain, squat biomechanics and MRI-defined lumbar fat infiltration and functional cross-sectional area in those with chronic low back. BMJ Open Sport & Exercise Medicine, 1(1), e000050–e000050. doi:10.1136/bmjsem-2015-000050

  10. Carlson BB, Albert TJ. Lumbar disc herniation: what has the Spine Patient Outcomes Research Trial taught us? Int Orthop. 2019 Apr;43(4):853-859.