What is spondylolysis and what causes it?
Spondylolysis can turn arching, twisting and training into a source of nagging low back pain. Caught early, it can be managed well, and we will guide you safely back to your sport.
Spondylolysis is a stress fracture in a small part of a vertebra called the pars interarticularis. It is most common in young athletes whose sport involves arching the back (hyperextension) and twisting.
The exact cause is unknown, but it is thought to be overuse. Repeated stress on the lower back weakens the pars interarticularis until it cracks. Gymnastics, weightlifting, athletics and football are common culprits. It usually affects the non-dominant side, for example the left side in right-handed sports.
What are the symptoms of spondylolysis?
- An ache on one side of your lower back
- Sometimes, pain in the buttock
- Pain that gets worse when you arch or lean back
Diagnosis and physiotherapy for spondylolysis
With this injury, an early diagnosis really matters. Your physiotherapist or doctor can assess you, and the diagnosis is confirmed with an X-ray.
Starting your rehab as soon as possible gives you the best chance of a good recovery.
Your treatment will be tailored to your symptoms and lifestyle, and may include:
- Pausing the sport or activity causing your pain
- Ice or heat to support healing and ease muscle spasm
- Stretches for your hamstrings and glutes
- Gentle movement exercises to ease stiffness and keep your back moving while it heals
- Strengthening your stomach and back muscles once you can move without pain
- Sport-specific exercises
Spondylolysis can be a frustrating injury. At Recover Physio, we make sure you know exactly when you can, and cannot, return to your usual activities, to help prevent a setback.
