Common misconceptions about back pain in sport: Tiger Woods’ case brings five fundamental questions into sharp focus

O’Sullivan, Peter

doi:10.1136/bjsports-2014-094542

Cited by 9 publications

(12 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Long term stress, fear of movement, poor sleep, anxiety and fear of the future, negative beliefs, lowness in mood, challenging social circumstances, poor self efficacy, and negative experiences were plotted a causal relationships that tended towards the manifestation of Jack's symptoms as all made his symptoms worse. These causal powers have been identified in patients with persistent pain . Jack's levels of physical activity were felt to tend away from his symptoms.…”

Section: Case Example—jackmentioning

confidence: 95%

“…By its very definition, a biomedical causal claim is contested . However, commonly in clinical practice, back pain is considered from a purely biomedical perspective despite poor associations between radiological imaging and symptoms . On the one hand, having a diagnosis of exclusion (eg, cancer) is reassuring, but, on the other, diagnostic uncertainty remains where the cause of the pain is unknown, which appears to lead to pain‐related guilt, disability, and depression .…”

Section: Diagnosis and Causal Claimsmentioning

confidence: 99%

“…On the one hand, having a diagnosis of exclusion (eg, cancer) is reassuring, but, on the other, diagnostic uncertainty remains where the cause of the pain is unknown, which appears to lead to pain‐related guilt, disability, and depression . Jarvik et al completed a 3‐year prospective study to determine predictors of new onset of low back pain by reimaging 148 subjects via magnetic resonance imaging (MRI). They did not find a relationship between MRI scan structural changes and first onset of low back pain but did find that depression was an independent predictor of first onset of low back pain, rather than effect.…”

Section: Diagnosis and Causal Claimsmentioning

confidence: 99%

“…Many causal factors have been cited in respect to low back pain onset and maintenance. Examples include cognitive factors (negative beliefs, fear avoidance behaviours, catastrophising, hypervigilance, and poor pacing), psychological and emotional factors (anxiety, depression, stress, and maladaptive coping strategies), physical factors (pain provocative postures and movement behaviours and muscle guarding and deconditioning), lifestyle factors (inactivity, social withdrawal, sedentary behaviours, and sleep deficits), and environmental factors that include socioeconomic factors, negative childhood experiences, and allostatic load . All of these factors may coexist, are context dependent, and interact in a nonlinear fashion.…”

Section: Causal Complexity—non‐linear Interaction and Mutual Manifestmentioning

confidence: 99%

See 3 more Smart Citations

A novel clinical framework: The use of dispositions in clinical practice. A person centred approach

Low

2017

Evaluation Clinical Practice

View full text Add to dashboard Cite

This paper explores a novel clinical framework that is underpinned by a specific philosophical perspective of causation and its utility in clinical practice. A dispositional theory of causation may overcome challenges that clinicians face in complex clinical presentations including those that are medically unexplained. Dispositionalism identifies causes not as regular events necessitating an effect but rather phenomena, which are highly complex, context‐sensitive, and which tend toward an effect. Diagnostic uncertainty and causal explanation are significant challenges in terms of clinical reasoning, communication, and the overall therapeutic outcome. This novel framework aims to facilitate improved collaborative clinical reasoning, enhanced patient‐practitioner interaction, and supported treatment planning. The paper uses a real case study of a patient with nonspecific spinal pain to demonstrate the clinical framework as used in clinical practice.

show abstract

Section: Case Example—jackmentioning

confidence: 95%

Section: Diagnosis and Causal Claimsmentioning

confidence: 99%

Section: Diagnosis and Causal Claimsmentioning

confidence: 99%

Section: Causal Complexity—non‐linear Interaction and Mutual Manifestmentioning

confidence: 99%

See 2 more Smart Citations

A novel clinical framework: The use of dispositions in clinical practice. A person centred approach

Low

2017

Evaluation Clinical Practice

View full text Add to dashboard Cite

show abstract

“…This has never been more relevant than the saga of Tiger Woods golf game being affected by LBP1 and his subsequent surgery. Although the cause of the LBP may be clinically undeterminable, lumbar disc herniation (LDH) has a reported prevalence of up to 58% in the athletic population 2–5.…”

Section: Introductionmentioning

confidence: 99%

Return to sport after open and microdiscectomy surgery versus conservative treatment for lumbar disc herniation: a systematic review with meta-analysis

et al. 2015

View full text Add to dashboard Cite

Background Lumbar disc herniation has a prevalence of up to 58% in the athletic population. Lumbar discectomy is a common surgical procedure to alleviate pain and disability in athletes. We systematically reviewed the current clinical evidence regarding athlete return to sport (RTS) following lumbar discectomy compared to conservative treatment. Methods A computer-assisted literature search of MEDLINE, CINAHL, Web of Science, PEDro, OVID and PubMed databases (from inception to August 2015) was utilised using keywords related to lumbar disc herniation and surgery. The design of this systematic review was developed using the guidelines of the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA). Methodological quality of individual studies was assessed using the Downs and Black scale (0-16 points). Results The search strategy revealed 14 articles. Downs and Black quality scores were generally low with no articles in this review earning a high-quality rating, only 5 articles earning a moderate quality rating and 9 of the 14 articles earning a low-quality rating. The pooled RTS for surgical intervention of all included studies was 81% (95% CI 76% to 86%) with significant heterogeneity (I 2 =63.4%, p<0.001) although pooled estimates report only 59% RTS at same level. Pooled analysis showed no difference in RTS rate between surgical (84% (95% CI 77% to 90%)) and conservative intervention (76% (95% CI 56% to 92%); p=0.33). Conclusions Studies comparing surgical versus conservative treatment found no significant difference between groups regarding RTS. Not all athletes that RTS return at the level of participation they performed at prior to surgery. Owing to the heterogeneity and low methodological quality of included studies, rates of RTS cannot be accurately determined.

show abstract

Langfristige Therapieerfolge bei einer Patientin mit spezifischen Rückenschmerzen

Taxer,

Perner,

Wölkhart

2024

Schmerz Nachr

View full text Add to dashboard Cite

ZusammenfassungDieser Fallbericht unterstreicht die Bedeutung eines ganzheitlichen, multimodalen Therapieansatzes bei chronischen Rückenschmerzen auf Grund eines lumbalen Diskusprolaps. Die Kombination aus manueller Therapie, gezieltem Training, umfassender Edukation und psychologischer Unterstützung führte zu einer signifikanten Verbesserung der Lebensqualität der Patientin. Eine sorgfältige Berücksichtigung psychosozialer Faktoren und eine enge interdisziplinäre Zusammenarbeit sind essenziell für den langfristigen Erfolg der Therapie.

show abstract

Common misconceptions about back pain in sport: Tiger Woods’ case brings five fundamental questions into sharp focus

Cited by 9 publications

References 25 publications

A novel clinical framework: The use of dispositions in clinical practice. A person centred approach

A novel clinical framework: The use of dispositions in clinical practice. A person centred approach

Return to sport after open and microdiscectomy surgery versus conservative treatment for lumbar disc herniation: a systematic review with meta-analysis

Langfristige Therapieerfolge bei einer Patientin mit spezifischen Rückenschmerzen

Contact Info

Product

Resources

About