Athletic Low Back Pain: Secrets for Effective Management and Treatment

Presented by Kyle Matsel

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Video Runtime: 60 Minutes; Learning Assessment Time: 37 Minutes

Management of low back pain in athletes can be frustrating and intimidating for the rehabilitation professional. Typically, athletes are under a large amount of pressure to return to sport quickly and perform at their highest level. How can we streamline treatment in a way that builds confidence in the treatment plan for the provider and is effective at managing the athlete’s low back pain? Dr. Kyle Matsel highlights four different case presentations of athletes with varying types of low back pain and demonstrates the best application of treatment for the athlete with low back pain. The goal of this course is to sharpen the treatment skills of the sports physical therapist through live case examples for athletes with low back pain and improve clinical decision-making skills regarding exercise progression and return to sport.

Meet your instructor

Kyle Matsel

Dr. Matsel is a tenured associate professor at the University of Evansville, where he teaches in the musculoskeletal content areas of the Doctor of Physical Therapy curriculum. He received his Doctor of Physical Therapy degree from the University of Evansville in 2011 and his PhD in rehabilitation sciences from the University…

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Chapters & learning objectives

Manipulation/Mobilization Category: Intervention Strategies

1. Manipulation/Mobilization Category: Intervention Strategies

In this chapter, Dr. Kyle Matsel walks through a case discussion with a basketball player with low back pain secondary to spinal mobility deficits. Dr. Matsel will demonstrate evidence-based manual therapy to the spine to best reduce the athlete’s pain, appropriate therapeutic exercise to improve trunk stabilization, and a regional interdependence approach to managing other important physical limitations contributing to the athlete’s condition.

Case 1: Basketball Player With Acute Low Back Pain

2. Case 1: Basketball Player With Acute Low Back Pain

In this chapter, Dr. Kyle Matsel walks through a case discussion with a basketball player with low back pain secondary to spinal mobility deficits. Dr. Matsel will demonstrate evidence-based manual therapy to the spine to best reduce the athlete’s pain, appropriate therapeutic exercise to improve trunk stabilization, and a regional interdependence approach to managing other important physical limitations contributing to the athlete’s condition.

Direction-Specific Exercise Category: Intervention Strategies

3. Direction-Specific Exercise Category: Intervention Strategies

In this chapter, Dr. Kyle Matsel provides a treatment overview for managing athletes with low back pain who fit the direction-specific exercise category. A detailed exercise progression will be discussed to reduce lower extremity radicular symptoms with lumbar extension-based exercises.

Stabilization Category: Intervention Strategies

4. Stabilization Category: Intervention Strategies

In this chapter, Dr. Matsel discusses the treatment overview and evidence-based intervention plan for treating athletes with low back pain in the stabilization category. Dr. Matsel discusses motor control progressions to enhance core and trunk stabilization.

Case 2: Dancer With Low Back Pain

5. Case 2: Dancer With Low Back Pain

In this chapter, Dr. Matsel leads a case discussion of a dancer with a physical therapy referral due to low back pain. Medical screening and imaging studies performed by the referring sports physician were all negative. Dr. Matsel demonstrates a motor control exercise progression throughout the neurodevelopmental postures to reduce pain, improve trunk stabilization, and restore function. Dr. Matsel includes a regional interdependence approach to managing the athlete’s low back pain and discusses a plan for returning her to dance.