Skip to main content

Advertisement

Log in

Severe back pain in elite athletes: a cross-sectional study on 929 top athletes of Germany

  • Original Article
  • Published:
European Spine Journal Aims and scope Submit manuscript

An Erratum to this article was published on 19 October 2015

Abstract

Purpose

The cross-sectional study evaluates the incidence, localization, treatment, and influencing factors of back pain (BP) in Germany’s elite athletes.

Methods

An online questionnaire was sent out to 3564 top athletes. We used the VAS to identify the intensity of BP and SPSS for statistical analyses.

Results

929 athletes responded. 514 (55.3 %) had BP within the last 12 months, mainly located in the lumbar spine (n = 293, 56.1 %). The average pain intensity was 5.75/10. Back-affecting exercise and additional burdens (e.g. at their place of work) did not increase the intensity of BP. When dividing the athletes into two groups according to the BP intensity, BP did not correlate with gender, age or BMI.

Conclusion

At least every tenth athlete suffers temporarily from low BP at a level at which spine surgery could be the only option to relieve the pain. BP occurs independently of back-affecting training and additional stress. Further evaluation is needed to identify factors for avoiding severe BP in top athletes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Becker JA, Stumbo JR (2013) Back pain in adults. Prim Care 40(2):271–88. doi:10.1016/j.pop.2013.02.002

    PubMed  Google Scholar 

  2. Calvo-Munoz I, Gómez-Conesa A, Sánchez-Meca J (2012) Prevalence of low back pain during childhood and adolescence: a systematic review. Rev Esp Salud Publica. doi:10.4321/S1135-57272012000400003

    PubMed  Google Scholar 

  3. Hasler CC (2013) Back pain during growth. Swiss Med Wkly. doi:10.4414/smw.2013.13714

    PubMed  Google Scholar 

  4. Trainor TJ, Wiesel SW (2002) Epidemiology of back pain in the athlete. Clin Sports Med 21(1):93–103 (PMID:11877875)

    Article  Google Scholar 

  5. Balagué F, Nordin M, Skovron ML, Dutoit G, Yee A, Waldburger M (1994) Non-specific low-back pain among schoolchildren: a field survey with analysis of some associated factors. J Spinal Disord (PMID:7819636)

  6. Balagué F, Troussier B, Salminen JJ (1999) Non-specific low back pain in children and adolescents: risk factors. Eur Spine J 8:429–438 (PMID:10664299)

    Article  PubMed  PubMed Central  Google Scholar 

  7. Baranto A, Hellström M, Cederlund CG, Nyman R, Swärd L (2009) Back pain and MRI changes in the thoraco-lumbar spine of top athletes in four different sports: a 15-years follow-up-study. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-009-0767-3

    Google Scholar 

  8. Harreby M, Nygaard B, Jessen T, Larson E, Storr-Paulsen A, Lindahl A, Fisker I, Laegaard E (1999) Risk factors for low back pain in a cohort of 1389 Danish school children: an epidemiologic study. Eur Spine J 8(6):444–450 (PMID:10664301)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Jackson D, Wiltse L, Cirincione R (1976) Spondylolysis in the female gymnast. Clin, Orthop

    Google Scholar 

  10. Korovessis P, Koureas G, Papazisis Z (2004) Correlation between backpack weight and way of carrying, sagittal and frontal spinal curvatures, athletic activity, and dorsal and low back pain in schoolchildren and adolescents. J Spinal Disord Tech 17(1):33–40 (PMID:14734974)

    Article  PubMed  Google Scholar 

  11. Kujala U, Taimela S, Erkintalo M, Salminen J, Karrio J (1996) Low back pain in adolescent athletes. Med Sci Sports Exerc 28(2):165–670 (PMID:8775149)

    Article  CAS  PubMed  Google Scholar 

  12. Skoffer B, Foldspang A (2008) Physical activity and low-back pain in schoolchildren. Eur Spine J. doi:10.1007/s00586-007-0583-8

    PubMed  PubMed Central  Google Scholar 

  13. Harreby M, Neergaard K, Hesselsoe G, Kjer J (1995) Are radiologic changes in the thoracic and lumbar spine of adolescents risk factors for low back pain in adults. Spine 20(21):2298–302 (PMID:8553117)

    Article  CAS  PubMed  Google Scholar 

  14. Jeffries LJ, Milanese SF, Grimmer-Somers KA (2007) Epidemiology of adolescent spinal pain: a systematic overview of the research literature. Spine 32(23):2630–7 (PMID:17978666)

  15. Mattila VM, Sahi T, Jormanainen V, Pihlajamäli H (2008) Low back pain and its risk indicators: a survey of 7.040 Finnish mal conscripts. Eur Spine J 17(1):64–69 (PMID:17874146)

  16. Kedra A, Czaprowski D (2013) Epidemiology of back pain in children and youth aged 10–19 from the area of the Southeast of Poland. Biomed Res Int. doi:10.1155/2013/506823

    PubMed  PubMed Central  Google Scholar 

  17. Davis RJ, Kim KD, Hisey MS, Hoffman GA, Bae HW, Gaede SE, Rashbaum RF, Nunley PD, Peterson DL, Stokes JK (2013) Cervical total disc replacement with the Mobi-C cervical artificial disc compared with anterior discectomy and fusion for treatment of 2-level symptomatic degenerative disc disease: a prospective, randomized, controlled multicenter clinical trial: clinical article. J Neurosurg Spine. doi:10.3171/2013.6.SPINE12527

    Google Scholar 

  18. Leboeuf-Yde C, Kyvik KO (1998) At what age does low back pain become a common problem? A study of 29,424 individuals aged 12–41 years. Spine 23(2):228–234 (PMID:9474731)

  19. Briggs AM, Smith AJ, Straker LM, Bragge P (2009) Thoracic spine pain in the general population: prevalence, incidence and associated factors in children, adolescents and adults. A systematic review. BMC Musculoskelet Disord. doi:10.1186/1471-2474-10-77

    Google Scholar 

  20. Wedderkopp N, Leboeuf-Yde C, Andersen LB, Froberg K, Hansen HS (2001) Back pain reporting pattern in a Danish population-based sample of children and adolescents. Spine 26(17):1879–83 (PMID:11568698)

  21. Fanucchi GL, Stewart A, Jordaan R, Becker P (2009) Exercise reduces the intensity and prevalence of low back pain in 12–13 year old children: a randomised trial. Aust J Physiother 55(2):97–104 (PMID:19463080)

  22. Calvo Munoz I, Gomez-Conesa A, Sanchez-Meca J (2013) Physical therapy treatments for low back pain in children and adolescent: a meta-analysis. BMC Muscoskelet Disord. doi:10.1186/1471-2474-14-55

    Google Scholar 

  23. Campello M, Nordin M, Weiser S (1996) Physical exercise and low back pain. Scand J Med Sci Sports 6(2):63–72 (PMID:8809923)

  24. Brokelman RB, Haverkamp D, van Loon C, Hol A, van Kampen A, Veth R (2012) The validation of the visual analogue scale for patient satisfaction after total hip arthroplasty. Eur Orthop Traumatol 3(2):101–105 (PMID:22798966)

  25. Bijur PE, Silver W, Gallagher EJ (2001) Reliability of the Visual Analog Scale for Measurement of Acute Pain. Acad Emerg Med 8(12):1153–57 (PMID:11733293)

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Saskia Sarah Schulz.

Ethics declarations

Conflict of interest

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Schulz, S.S., Lenz, K. & Büttner-Janz, K. Severe back pain in elite athletes: a cross-sectional study on 929 top athletes of Germany. Eur Spine J 25, 1204–1210 (2016). https://doi.org/10.1007/s00586-015-4210-9

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00586-015-4210-9

Keywords

Navigation