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Home :: Back Sprain, Lumbo Dorsal Region
Back Sprain, Lumbo Dorsal Region
Violent overstretching of one or more ligaments in the lumbo-dorsal vertebrae of the spine. This is the most stable section of the vertebral column. Sprains involving two or more ligaments cause considerably more disability than single-ligament sprains. When the ligament is overstretched, it becomes tense and gives way at its weakest point, either where it attaches to bone or within the ligament itself. If the ligament pulls loose a fragment of bone, it is called a sprain-fracture. There are 3 types of sprains:
- Mild (Grade 1) - Tearing of some ligament fibers and associated muscle spasm. There is no loss of function.
- Moderate (Grade II) - Rupture of a portion of the ligament, resulting in some loss of function.
- Severe (Grade III) - Complete rupture of the ligament or complete separation of ligament from bone. There is total loss of function. A severe sprain requires surgical repair.
BODY PARTS INVOLVED
- Any of the many ligaments connecting the vertebrae in the lumbo-dorsal spine.
- Tissue surrounding the sprain, including blood vessels, tendons, bono, periosteum (covering of bone) and muscles
Causes
Stress on a ligament that temporarily forces the lumbo-dorsal vertebrae out of their normal location. A sprain of the lumbo-dorsal vertebrae will frequently occur when a stressful act is performed when the athlete is off-balance, or during repeated stressful activity involving muscles in the lumbo-dorsal area.
Signs & Symptoms
- Severe pain at the time of Injury.
- Popping or feeling of tearing In the back.
- Tenderness at the Injury site.
- Swelling in the back.
- Bruising that appears soon after injury
Treatment
Follow your doctor's instructions. These instructions are supplemental.
If your doctor does not apply a cast, tape or elastic bandage:
- Continue using an ice pack 3 or 4 times a day. Place ice chips or cubes in a plastic bag. Wrap the bag in a moist towel, and place it over the injured area. Use for 20 minutes at a time.
- Wrap the injured area from the top of the hip to the lower rib cage with an elasticized bandage between ice treatments.
- After 72 hours, apply heat instead of ice if it feels better. Use heat lamps, hot soaks, hot showers, healing pads, or heat liniments or ointments.
- Take whirlpool treatments, if available.
- Massage gently and often to provide comfort and decrease swelling.
- Ask your doctor about the advisability of using a special corset.
Home Diet
During recovery, eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid intake to prevent constipation that may result from decreased activity.
Prevention
- Build your strength with a conditioning program appropriate for your sport.
- Warm up before practice or competition.
- Tape vulnerable joints before practice or' competition to prevent reinjury.
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