Lumbago due to overuse in triathlon

Low back pain can often be caused by an inhibition of the muscles that form the core

 

On this occasion, our collaborator in Physiotherapy FisioPinar Clinic speaks of a common injury in athletes, the low back pain

Low back pain is defined as back pain (-algia = pain). There are several classifications of lumbago. The most commons are :

Acute lumbago: disabling lumbar pain of less than 4 weeks, of sudden and intense onset, almost always associated with a significant effort that produces muscle contracture and vertebral rigidity.

Chronic low back pain: Lumbar pain of slower onset, with no known cause, above 7 weeks of evolution. It can be due to postural defects, anatomical alterations of the spine ...

Or another classification can be:

Mechanical low back pain : they are the great majority. It is triggered by a physical activity and is of acute presentation that is relieved by rest. The cause is always the overload, well muscular, vertebral, ligamentous.    

Inflammatory lumbalgias:  produced by inflammatory diseases such as osteoarthritis, rheumatic diseases, metabolic diseases or tumors. The pain increases with rest with nighttime predominance and usually they have morning stiffness or if they spend a few hours in a certain position.

In the case of triathlon The most usual thing is to have a low back pain mechanics for muscle overload. Low back pain can often be caused by an inhibition of the muscles that form the core (Abdominal-pelvic girdle) formed not only by the muscles that we usually know as the rectus anterior, obliques, lumbar ... which are more externally (external cylinder) but also the innermost stabilizing muscles, which are located in the deepest zone, glued to the column (inner cylinder).

If these muscles have not been worked, they have a tendency to inhibit, overloading the external muscles, or, there are postures that maintained for hours can cause this inhibition of the internal musculature; like for example, riding a bike for hours, which creates a hypertonia in the muscles of the external cylinder.

Physiotherapy will help us solve the problem with techniques such as massage, radiofrequency, thermotherapy, stretching, myofascial therapy, neuromuscular bandage, dry needling. .. but it must be taken into account that so that it is not repeated in a short space of time, it is essential to work the muscles of the core. One way to work the inner cylinder is with breathing, so hypopressive exercises and even Pilates are highly recommended.

It is useless to have a proper physiotherapy treatment if there is no adequate strengthening of the area afterwards!  

Further information: http://clinicafisiopinar.com/

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