Sports injuries
I am a 9th-grade girl, and I have at least 30 minutes of basketball practice every day after school.
However, suddenly in the past few days, I have been experiencing pain (aching) in the lower back, just above the tailbone, which makes me not want to stand.
This Saturday (5/5), I suddenly felt pain in the middle of my ribs, and today (5/6), the pain has moved to below my right rib, which hurts when pressed.
I also can't stand up straight; if I do, it hurts and makes me want to sit down.
Deep breathing and laughing also cause pain.
I read online that it could be appendicitis, and my uncle (my dad's brother) had surgery for appendicitis before.
I'm not sure if this is an injury from sports.
When I mentioned it to my mom, she just said it was a sports injury and didn't seem inclined to take me to see a doctor.
So, I would like to ask if these symptoms could be a sports injury?
Xiao Ting, 10~19 year old female. Ask Date: 2018/05/06
Dr. Chen Yongxue reply Orthopedics
Hello, if it is appendicitis, abdominal pain will begin and gradually shift to the lower right abdomen, lower back, or tailbone area, and it may even extend to the area below the ribs.
This could be due to a sports injury or maintaining a position for too long, such as sitting at a desk or in front of a computer.
If you have any questions, please visit an orthopedic clinic for further examination.
Thank you.
Reply Date: 2018/05/06
More Info
When it comes to sports injuries, understanding when to seek medical attention is crucial for proper recovery and to prevent further complications. Based on your description, it seems you are experiencing pain in your lower back and rib area, which has progressively worsened over a few days. While it is possible that these symptoms could be related to a sports injury, there are several factors to consider.
First, let's discuss the potential causes of your pain. The discomfort in your lower back and ribs could be attributed to muscle strain, especially if you have been engaging in physical activities like basketball. Muscle strains are common in sports and can occur when the muscles are overstretched or torn. Symptoms typically include localized pain, tenderness, and sometimes swelling. However, the fact that your pain has shifted to the rib area and is exacerbated by deep breathing and laughing raises some concerns.
The pain you describe in your ribs could potentially indicate a rib injury, such as a fracture or a contusion, especially if you have experienced any trauma during your basketball games. Rib injuries can cause significant pain, particularly when taking deep breaths, coughing, or laughing. Additionally, the pain radiating from your lower back to your ribs could suggest a more complex issue, such as a referred pain from a spinal or internal organ problem.
Given your family history of appendicitis, it is also important to consider that your symptoms could be related to an abdominal issue, such as appendicitis, especially if you are experiencing any accompanying symptoms like nausea, vomiting, or changes in appetite. Appendicitis typically presents with pain in the lower right abdomen, but it can sometimes cause referred pain in the back or ribs.
In light of these considerations, it is advisable to seek medical attention. Here are some guidelines on when to see a doctor for sports-related injuries:
1. Persistent Pain: If the pain does not improve with rest, ice, compression, and elevation (RICE), or if it worsens over time, you should see a healthcare professional.
2. Severe Pain: If the pain is severe and limits your ability to perform daily activities or participate in sports, it is important to get evaluated.
3. Swelling or Bruising: Significant swelling, bruising, or deformity in the affected area can indicate a more serious injury, such as a fracture.
4. Difficulty Breathing: If you experience shortness of breath, difficulty breathing, or chest pain, seek immediate medical attention, as these could be signs of a serious condition.
5. Neurological Symptoms: If you experience numbness, tingling, or weakness in your limbs, or if you have trouble controlling your bladder or bowels, you should seek emergency care.
6. Family History of Conditions: Given your family history of appendicitis, it is prudent to discuss your symptoms with a doctor, especially if you have any signs that could suggest an abdominal issue.
In conclusion, while your symptoms may be related to a sports injury, the nature and progression of your pain warrant a thorough evaluation by a healthcare professional. They can perform a physical examination, possibly order imaging studies, and provide a diagnosis and appropriate treatment plan. Early intervention can help prevent complications and ensure a quicker recovery, allowing you to return to your favorite activities safely. Remember, it’s always better to err on the side of caution when it comes to your health.
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