Daily question

[Scott Rand]

Welcome back.  I hope you all had a relaxing and recharging break.  Lets start the year with some more spine questions

An otherwise healthy 16 year old male gymnast presents with a three month history of non-radiating bilateral low back pain that worsens when he does back hand springs.  On physical examination, his pain worsens with extension based maneuvers and he has markedly decreased bilateral hamstring flexibility.  There is no evidence of spondylolisthesis on plain x-rays.  A bone scan with SPECT and a thin-slice CT confirm your diagnosis.  What rehab program would you prescribe?

A.     Extension-biased spinal stabilization and quadriceps flexibility exercises

B.      Flexion-biased spinal stabilization and hamstring flexibility exercises

C.      Extension-biased spinal stabilization and hamstring flexibility exercises

D.     Plyometric exercise program

E.      A rehab program is not indicated for this condition

 

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Scott E Rand, MD  FAAFP CAQSM

Director, Primary Care Sports Medicine Fellowship

Co Director of Sports Medicine, Houston Methodist Orthopedics and Sports Medicine Willowbrook

Assistant Professor of Clinical Family Medicine  Houston Methodist Academic Institute

Adjunct Assistant Professor of Family and Community Medicine, Texas A&M University

Assistant Professor of Family Medicine in Clinical Medicine  Weill Cornell Medical College.

13802 Centerfield Dr  Suite 300

Houston, TX  77070