My daughter is an 11 yo highly competitive ice skater who has seen many drs and pt’s for her back pain for over 1.5 yrs. She has had every scan from xrsy to bone scan. Her latest pt, who I respect and trust a lot, brought up Baastrups disease? I wondered if you had any thoughts on this “disease” in young athletes with hyperextention issues. Her main issue seems to be that she is quite over rotated in her pelvic area and her sacrum tilts the wrong way. She is extremely flexibly, however very tight in the hamstrings. They work on her core and psoas quite a bit.
Baastrup’s disorder is the fictitious belief that the spinous processes will abut each other under extension and will cause significant pain from the bones compressing into each other. This is simply not true as in all my years of treating patients, I have never seen this disorder but I have seen many patients with spinous processes that abut without pain.
Most active individuals who have extension pain have either facet disorders (see website under lumbar spine facet disorders) or have a pars or facet fracture (see isthmic spondylolisthesis).
One of the trademarks of isthmic spondylolisthesis is tight hamstrings.