Low back pain can occur at any sport or recreational activity and at any level. One of the aims of participating in sport is to obtain and maintain a certain level of fitness and health, so low back pain is something to be avoided. Once it occurs, people tend to exercise less and become less physically active in all other aspects of their life. It may also contribute to stress and depression as any severe or chronic pain can do especially if there is a loss of income involved or loss of an opportunity to compete in an important career forming event. If your career or reputation is based around sports coaching, exercise trainer or educator then it is even harder to take time off because of back pain. I have seen sports people who have had to give up the sport they love or their sporting career because of their backs and related injuries.
Apart from managing their back pain, I help them to return to a certain level of activity in their chosen sport. Sometimes this is not possible if they participate in contact sport or their sport or exercise program expects them to use a posture or movement which causes Hip Rib Impingement and risks further damage to their back. They may choose to go back in a coaching role hopefully imparting what they have learnt about the mechanics of back pain to their charges.
I have presented my theory of the mechanics of Hip Rib Impingement in a poster presentation at a Sports Medicine Australia conference in Alice Springs in 2004 and received a lot of positive feedback from sports physiotherapists who have often found tender and trigger points on the hips and ribs of their patients. As there are so many exercises and their variations around that can cause Hip Rib Impingement, I was encouraged to put as many as possible in my book in a way that is easy to understand. To make things clear, I have placed ticks and crosses on most of the illustrations so that there is no confusion as to what exercises, postures or movements can cause low back pain. My patients with back pain were the greatest source of information of what exercises cause or exacerbate their back pains. Thats it from www.drchrischinbackpain.com
Apart from low back pain, Hip Rib Impingement may also explain why some cyclists and rowers develope stress fractures of their ribs and why some runners and football plays develop groin pains, tight iliotibial bands, hamstrings and subsequent knee injuries.