Research Publication Title

Chronic Axial Lumbar Pain

Major

Athletic Training

Faculty Mentor(s)

Amanda I. Jarriel

Abstract

To present the case of a Jones County High School varsity football running back that is presenting a case of chronic low back pain.Patient has had a past medical history of low back pain for two years with various diagnoses and prescribed medications. The patient's mechanism of injury was hyperextension of the low back, poor posture, decreased core strength, and overuse. Patient complained of pain with any thoracic movement and running. Patient has received a radiofrequency ablation along with two steroid injections in the past six months.Patient was diagnosed with a bilateral spondylolysis at L5, mild diffuse disc bulging at L5-S1, right L5 pars defect, an acquired spondylolisthesis, and a lumbar facet arthropathy. Patient was able to return to the field after clearance from an independent physician. The bilateral medial branch block operation was successful and along with the left SI joint radiofrequency ablation, the patient was able to return to activity with zero limitation. Patient has received a second radiofrequency ablation following a return of low back pain. Patient has reported his pain has ceased since the second procedure. Possible research could look into whether controlling the pain is a sufficient practice as the structural deficiencies are still present in patients

Start Date

10-4-2015 12:15 PM

End Date

10-4-2015 1:00 PM

Location

HSB 3rd Floor Student Commons

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Apr 10th, 12:15 PM Apr 10th, 1:00 PM

Chronic Axial Lumbar Pain

HSB 3rd Floor Student Commons

To present the case of a Jones County High School varsity football running back that is presenting a case of chronic low back pain.Patient has had a past medical history of low back pain for two years with various diagnoses and prescribed medications. The patient's mechanism of injury was hyperextension of the low back, poor posture, decreased core strength, and overuse. Patient complained of pain with any thoracic movement and running. Patient has received a radiofrequency ablation along with two steroid injections in the past six months.Patient was diagnosed with a bilateral spondylolysis at L5, mild diffuse disc bulging at L5-S1, right L5 pars defect, an acquired spondylolisthesis, and a lumbar facet arthropathy. Patient was able to return to the field after clearance from an independent physician. The bilateral medial branch block operation was successful and along with the left SI joint radiofrequency ablation, the patient was able to return to activity with zero limitation. Patient has received a second radiofrequency ablation following a return of low back pain. Patient has reported his pain has ceased since the second procedure. Possible research could look into whether controlling the pain is a sufficient practice as the structural deficiencies are still present in patients