A stress fracture of the back, or lumbar spine, is one of the more common bone injuries in young tennis players. Lower back stress fractures are usually characterised by an ache in the lower back which is exacerbated by sporting activities and eased by rest, although a small percentage of people with a stress fracture can be pain free. Typically it is sore when the patient bends backwards, particularly if standing on one leg. If a lower back stress fracture is suspected, a doctor may decide to refer the patient for a scan to confirm the diagnosis.
Serving in tennis requires a combination of spinal hyperextension (bending back) together with rotation and side bending of the trunk. This puts a lot of stress on an area of the vertebra called the Pars Interarticularis and this is where stress fracture develops.
Practising the service should be carefully monitored by the coach to ensure the lower back is not being overloaded. This is particulary important in adolescent players who have just experienced a growth spurt as they are known to be more at risk from this injury. Core stability exercises can help prevent back problems in tennis players.
In most cases, complete rest from tennis is the treatment of choice. This would usually be for a period of 6 weeks to allow the bone to heal. In the early stages, a soothing heat pack can reduce back pain and alleviate back muscle spasm. During this period, a progressive exercise programme may commence, under the supervision of a chartered physiotherapist. This usually starts with exercises to increase the muscular stability in the lower back.
Research has shown that a lack of muscular stability in the lumbar and pelvic regions can lead to low back pain and stress fractures. The principle behind the core stability exercises is that if certain specific muscles can be recruited or contracted, the spine will have much better support. This prevents postural faults which can predispose a person to back pain.
Suitable for everyday use in the treatment and prevention of low back pain. Lightweight and comfortable, it features eight...
Contoured Aerotherm® neoprene back support for improved comfort. Ideal for treatment and prevention of Sciatica and back...
BEST SELLER!Top quality sports and work back support featuring a ventilated...![]()
(2 reviews)
Delivers excellent support without putting pressure on the 'bump'. Great for the treatment of back pain and Sacro Iliac (SI)...
Features a removable lumbar pad cushion for extra support and stability. Improves posture, prevents low back pain and has a...
The ultimate back brace for back pain and back surgery. Ensures good posture, prevents harmful back twisting and forward bending....
Deep Relief dual action gel with ibuprofen is a clear, non-sticky and non-greasy gel with a mild,...![]()
(1 review)
Easy to use dual channel digital TENS machine for effective pain relief featuring seven preset programmes. Just stick on the...
Back supporting roll with removable cover that can be sponge washed. Includes elastic strap to secure against a seat. Used for...
A superior visco elastic, temperature reactive memory foam pillow used to enhance sleep for those with neck problems. Complete...
The ExtraComfort Restore Memory Foam Mattress is a highest quality orthopaedic mattress and can relieve pain due to arthritis,...
Back supporting roll with removable cover that can be sponge washed. Includes elastic strap to secure against a seat. Used for...
High quality wedge shaped, high density foam chair cushion with 'cut out' section at the Coccyx (tail bone) region. The Coccyx...
SAVE UP TO 60%!A mouldable pack that becomes an instant therapeutic heat pack. Ideal for soothing warm pain...
Fabric pack that contains wheat. Can be put in the microwave or freezer to provide a hot or cold pack....
Fabric pack that contains wheat. Can be put in the microwave or freezer to provide a hot or cold pack....
The AquaJogger 100 is a floatation belt. One particular benefit is that it allows an early return...![]()
(1 review)
Leading Chartered Physio-
therapist Judith Pitt-Brooke shares her tried and tested back pain self-treatment programme in...
BEST SELLER! Fully adjustable, lightweight and portable back stretching device. Used for the treatment and...
Provides a visual indication of whether you are working the correct postural muscles, in the right manner, when performing...
Information
& Expertise
You Can Trust
All medical information at PhysioRoom.com is provided by Chartered Physiotherapists, who specialise in sports medicine.
Receive our latest news and offers.
We use full 128-bit encryption technology to keep your order and payment details safe.