Lumbar Spine Stress Fracture

Lumbar Spine

A stress fracture or spondylolysis, as they are more formally known as are small cracks in the bones of the lumbar spine (low back) that are most often caused by overuse. Unlike fractures (breaks) in bones which usually occur following a traumatic event, stress fractures are caused by the cumulative effect of many small traumas.

Stress fractures are most common in children and adolescents and occur in the part of the vertebra known as the pars interarticularis. This is the weakest portion of the vertebra and hence the most common spot for an injury. Stress fractures most frequently occur at the bottom two lumbar spine vertebrae, levels L4 (5-15%) and L5 (85-95%).

 

What are the symptoms of Stress Fracture?

  • Spontaneous and often gradual increase in low back pain.
  • Commonly night pain is reported, including difficulty sleeping or waking.
  • Most often unilateral (one sided).
  • Pain with extension based activities such as bending backward.
  • Pain with prolonged standing or running.
  • Early morning stiffness.
  • Pain eases with rest.
Lumbar Spine Stress

Who Gets Stress Fractures?

Stress fractures are most prevalent in adolescents. Sports that involve repeated lumbar spine rotation and/or extension are most vulnerable to stress fractures. The most common sports are cricket, more specifically fast bowlers, runners, footballers (soccer), gymnasts and dancers. Stress fractures are found more often in boys than girls at a ratio of 2:1. 

In cricket fast bowlers, rapid trunk side flexion, rotation and extension during the front foot contact phase of the delivery stride has been identified as the main mechanism to cause a stress fracture injury. In footballers it may result from many hours of running, change of direction at speed and striking of the ball, causing cumulative stress on the lower spine.

How long will it take me to return to sport?

Whilst everyone’s rehabilitation and recovery are slightly different the average time is 8-12 weeks.

How do I know if I have a stress fracture?

Stress fractures are usually detected through a thorough history and physical examination. The physiotherapists at Jubilee Sports Physiotherapy can provide a thorough assessment and accurate diagnosis. X-rays and MRI can also be performed to further clarify the diagnosis.

What is the treatment for a stress fracture?

Stress fractures very rarely require surgery and are best treated with conservative management. This involves a combination of rest from aggravating activities and a progressive strengthening program with focus on functional strength and stability. A physiotherapist at Jubilee Sports Physiotherapy would work with you to identify areas of weakness and potential risk factors and develop a program to gradually increase your load and return to your sport.

Recovery from a stress fracture is different for everyone however it takes around 8-12 weeks to return to sport.

For further information about stress fractures of to have an injury displaying signs of a stress fracture assessed, please contact Jubilee Sports Physiotherapy for an appointment.

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m mooney
m mooney
04:59 09 Jul 24
Julie Dimevski
Julie Dimevski
08:04 26 Jun 24
Kieran and the team have provided great customer service during my daughters recovery. They show care, and are supportive. He has been open and transparent, and positive. Thanks Kieran and team.
Tim merchant
Tim merchant
06:42 23 Apr 24
Really inviting staff, always ready to help. They know what they are talking about and facilites are wonderful.
Ashley Williams
Ashley Williams
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best in the business the team here are the very best at their jobs
G G
G G
16:52 05 Mar 24
I came to Jubilee Sports Physio for help on how to exersise and get fit without injuring myself constantly.During my initial consultation Michael said, I was standing wrong, sitting wrong and exersises I did were not suitable for my body.After four sessions, 15 minutes of daily exercises in between and I can go on hikes, lift weights and feel many years younger.I now have the life I want and very grateful to Jubilee Sports Physio, for their professionalism from booking, greeting and being able to do all I want physically.I highly recommend Jubilee Sports
Lara Mangelli
Lara Mangelli
08:56 18 Dec 23
I would like to express my sincere appreciation for the exceptional care provided by Michael and James for attending to my son, both before and after his shoulder reconstruction. Michael and James' combination of kindness and professionalism played an important role in helping my son navigate through what was his first significant life challenge.They both demonstrated an unwavering commitment to my son's well-being, providing not only expert physiotherapy but also a level of compassionate support that went above and beyond.Thank you Jubilee team for your outstanding commitment to patient care. It's reassuring to know that professionals like Michael and James are dedicated to not just addressing physical challenges but also fostering a supportive and empathetic environment for individuals facing health setbacks. The receptions ladies were kind and helpful too.
Judith Gifford
Judith Gifford
06:00 18 Dec 23
Over a period of 4 years my husband and I have had the expertise and professionalism of Michael Gabriel and staff at Jubilee Sports Physiotherapy Each of our ageing conditions required commitment to exercises to improve. When the conditions were clearly explained we gained confidence and understanding of realistic outcomes. We feel very fortunate for all of our treatments..and highly recommend Michael and staff.
Georgia Manos
Georgia Manos
12:08 13 Dec 23
The whole Jubilee team is fantastic. They are professional, knowledgeable and have always gotten me back playing football as quick as possible!
Jordan Figon
Jordan Figon
06:36 13 Dec 23
The team at Jubilee have been looking after me for over 15 years. Specially Michael with the help of Kieran. They have rehabbed me through 4 major surgeries as well as long standing injuries. It is because of these guys, I am able to still be involved in the game I love, stretching my career out as long as possible. In addition, my whole family is part of the Jubilee family
David Washington
David Washington
05:02 13 Dec 23
I have relied on Michael Gabriel for my physiotherapy needs for a number of years now. His professional work has allowed me to continue to chase the love I have for outdoors recreation.
Luke Payne
Luke Payne
22:05 12 Dec 23
Michael and his team are the best. So professional and knowledgeable and have kept me moving for years.
Diane sutton
Diane sutton
21:58 12 Dec 23
I have been a patient of Jubilee Sports Physio for many years, being treated for various injuries & chronic conditions. Michael’s diagnostic skills are excellent. I can highly recommend this practice for their care, proficiency & friendliness.
Nicole Simpson
Nicole Simpson
10:53 12 Dec 23
Micheal has helped over the years to heal and help with my injuries.. The entire team gives a five star help. I can’t praise them enough…Thank you so much
Judy Andrews
Judy Andrews
10:26 12 Dec 23
Michael has treated me on a number of occasions. He is very professional and very easy to talk to. He obviously knows his stuff and never fails to set you on the right path with his treatments
BERGE GABO
BERGE GABO
09:28 12 Dec 23
"I have been going to Jubilee Physiotherapy for many years.Very professional from the receptionists to the principal Physioswith lots of experience and straight to the point thatsave time and money"
Corinne Favaloro
Corinne Favaloro
04:09 02 Nov 23
I have been attending Jubilee physio, on and off, for many years.In fact three generations of my family are presently receiving treatment there. I have had several of the physiotherapist at Jubilee work on different problems and have found them all to be professional, knowledgeable and very caring in their treatment.
Nicole Di noia
Nicole Di noia
22:19 01 Nov 23
Thorough, professional and passionate team of physiotherapists.
Steve Chidgey
Steve Chidgey
02:04 04 Jul 23
The the treatment I received for injury was first class. Caring, knowledgeable and highly professional. The electronic home exercising provided to me showed me the required exercises so I was not let to a piece of papers directing me. Loved the app. This physio is the best I have used. Highly recommended.
Margaret Peace
Margaret Peace
01:29 01 Jul 23
I have attended Jubilee Physiotherapy for many years and have always had a positive experience. The staff are professional and knowledgeable. I always feel comfortable and safe in their care.My therapist, Samuel Leslie, knew exactly how to treat my new neck issue. As a result, I have made a very good recovery.
Angelina Mastoris
Angelina Mastoris
23:09 01 Mar 23
The guys at Jubilee are amazing! Been going for a couple years and each time I’ve had a great experience. Massive shout out and thanks to our team Physio Sam for helping me with my rehab and recovery. He’s helped improve my overall game and has made me stronger than before. He’s a legend. Would highly recommend, overall fantastic experience!
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