[Blitzsweetlove]

#8412

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.

Thanks so much!

[Donald Corenman, MD, DC]

#8415

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.

Dr. Corenman

[Blitzsweetlove]

#8418

Thank you so much for your reply. I feel as if we have been chasing our tails for over a year; and all she wants to do is train for what she loves.

Would facet disease show up on any of the imaging she has had? Her first diagnosis actually was spondy, but later, I was told by two drs that it was an incorrect diagnosis… SO FRUSTRATING.

Thanks again,
Sharon

[Donald Corenman, MD, DC]

#8419

Facet disease can show up on MRI scans but not in every case. Pars fractures can show up on MRI but the gold standard to rule in or out these fractures is a CT scan.

Dr. Corenman

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