Intervertebral disc herniation in elite athletes

Jonathan T. Yamaguchi*, Wellington K Hsu

*Corresponding author for this work

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Intervertebral disc herniations are a common cause of neck and back pain in athletes. It is thought to be more prevalent in athletes than in the general population due to the consistent pressure placed on the spine and concurrent microtraumas that are unable to heal. Prevention focuses on neck and trunk stability and flexibility, training on proper technique, and rule changes to minimize catastrophic injuries. The evaluation for athletes includes a full neurologic exam and imaging. The imaging modality of choice is MRI, but CT myelography can be a useful alternative. Standard management includes a six week trial of conservative treatment with hiatus from injurious activity and anti-inflammatory medication. If nonoperative management fails, operative treatment has been shown to lead to excellent clinical outcomes in this patient population. Special consideration to prevention needs to be further analyzed. Furthermore, more robust studies on alternative non-operative and operative treatment modalities for this patient population are also needed.

Original languageEnglish (US)
Pages (from-to)833-840
Number of pages8
JournalInternational Orthopaedics
Volume43
Issue number4
DOIs
StatePublished - Apr 4 2019

Fingerprint

Intervertebral Disc
Athletes
Population
Myelography
Neck Pain
Back Pain
Nervous System
Spine
Anti-Inflammatory Agents
Neck
Pressure
Wounds and Injuries
Therapeutics

Keywords

  • Cervical spine
  • Elite athletes
  • Herniations
  • Intervertebral disc
  • Lumbar spine
  • Return to play

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Yamaguchi, Jonathan T. ; Hsu, Wellington K. / Intervertebral disc herniation in elite athletes. In: International Orthopaedics. 2019 ; Vol. 43, No. 4. pp. 833-840.
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Intervertebral disc herniation in elite athletes. / Yamaguchi, Jonathan T.; Hsu, Wellington K.

In: International Orthopaedics, Vol. 43, No. 4, 04.04.2019, p. 833-840.

Research output: Contribution to journalReview article

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AU - Yamaguchi, Jonathan T.

AU - Hsu, Wellington K

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N2 - Intervertebral disc herniations are a common cause of neck and back pain in athletes. It is thought to be more prevalent in athletes than in the general population due to the consistent pressure placed on the spine and concurrent microtraumas that are unable to heal. Prevention focuses on neck and trunk stability and flexibility, training on proper technique, and rule changes to minimize catastrophic injuries. The evaluation for athletes includes a full neurologic exam and imaging. The imaging modality of choice is MRI, but CT myelography can be a useful alternative. Standard management includes a six week trial of conservative treatment with hiatus from injurious activity and anti-inflammatory medication. If nonoperative management fails, operative treatment has been shown to lead to excellent clinical outcomes in this patient population. Special consideration to prevention needs to be further analyzed. Furthermore, more robust studies on alternative non-operative and operative treatment modalities for this patient population are also needed.

AB - Intervertebral disc herniations are a common cause of neck and back pain in athletes. It is thought to be more prevalent in athletes than in the general population due to the consistent pressure placed on the spine and concurrent microtraumas that are unable to heal. Prevention focuses on neck and trunk stability and flexibility, training on proper technique, and rule changes to minimize catastrophic injuries. The evaluation for athletes includes a full neurologic exam and imaging. The imaging modality of choice is MRI, but CT myelography can be a useful alternative. Standard management includes a six week trial of conservative treatment with hiatus from injurious activity and anti-inflammatory medication. If nonoperative management fails, operative treatment has been shown to lead to excellent clinical outcomes in this patient population. Special consideration to prevention needs to be further analyzed. Furthermore, more robust studies on alternative non-operative and operative treatment modalities for this patient population are also needed.

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