Lower back pain and anterior thigh soreness?
Hello doctor, I am a high school sprinter, but recently I developed lumbar fasciitis due to overtraining.
However, I don't understand why my quadriceps are sore, especially when sitting.
Could you please explain the reason, doctor?
Hsu Yen-Hao, 10~19 year old female. Ask Date: 2019/03/21
Dr. Lü Bingcheng reply Traditional Chinese Medicine
Dear Xu,
Regarding the issue you raised, my response is as follows:
Firstly, it is noted that prolonged practice of sprinting has led to lower back pain (fasciitis) along with anterior thigh muscle soreness.
I have the following opinions:
1.
Have you sought medical attention for a professional examination after your injury? The combination of lower back fasciitis and thigh soreness can be considered as soft tissue injuries that may have occurred simultaneously during sprinting practice.
I recommend temporarily halting your sprinting practice and allowing yourself to rest for a few days, depending on the pain level.
2.
If you have already consulted a doctor and have been taking anti-inflammatory pain medications (either Western medicine for 3-5 days or traditional Chinese medicine for promoting blood circulation), and there are still no significant signs of improvement, I suggest visiting a well-equipped hospital for a more detailed examination to check for any other injuries.
3.
If the examination reveals no other musculoskeletal injuries, please seek further symptomatic treatment from qualified professionals in both Western and traditional Chinese medicine.
I hope these personal insights are helpful to your health.
Wishing you peace, joy, and a speedy recovery!
Reply Date: 2019/03/21
More Info
Understanding lower back pain and thigh muscle soreness in athletes, particularly in the context of overtraining, involves a multifaceted approach. As a high school sprinter, your training regimen likely includes intense workouts that can lead to various musculoskeletal issues, including lower back pain and thigh soreness.
Causes of Lower Back Pain
1. Muscle Strain: Overtraining can lead to muscle strain in the lower back. The muscles in this area may become fatigued and overworked, especially if proper warm-up and cool-down routines are not followed. This strain can lead to inflammation and pain.
2. Fascia Inflammation: You mentioned that you have been diagnosed with fascial inflammation (fasciitis). The fascia is a connective tissue that surrounds muscles and organs. When it becomes inflamed due to overuse or improper mechanics during running, it can cause significant discomfort and pain in the lower back.
3. Biomechanical Issues: Poor running form or inadequate core strength can contribute to lower back pain. If your pelvis is not stable during sprinting, it can lead to compensatory movements that stress the lower back.
Causes of Thigh Muscle Soreness
1. Referred Pain: The connection between the lower back and thigh muscles is significant. Pain in the lower back can sometimes manifest as soreness in the thigh due to nerve pathways. The sciatic nerve, for example, runs from the lower back down the back of the legs, and irritation in the lower back can lead to sensations of pain or soreness in the thigh.
2. Muscle Fatigue: Overtraining can lead to muscle fatigue in the quadriceps and hamstrings. When these muscles are overworked, especially during sprinting, they can become sore, particularly when sitting or after prolonged periods of inactivity.
3. Delayed Onset Muscle Soreness (DOMS): If you have recently increased the intensity or duration of your training, you may be experiencing DOMS. This condition typically occurs 24 to 48 hours after intense exercise and can cause muscle soreness, stiffness, and discomfort.
Recommendations for Management
1. Rest and Recovery: It is crucial to allow your body time to recover. This includes taking breaks from high-intensity training and incorporating rest days into your routine.
2. Physical Therapy: Consulting with a physical therapist can provide you with tailored exercises to strengthen your core and lower back, improve flexibility, and correct any biomechanical issues.
3. Stretching and Strengthening: Incorporate a routine of stretching before and after workouts. Focus on the hip flexors, hamstrings, quadriceps, and lower back muscles. Strengthening exercises for the core can also help stabilize the pelvis and reduce strain on the lower back.
4. Proper Warm-Up and Cool-Down: Always perform a proper warm-up before training and a cool-down afterward to prevent injuries. Dynamic stretches before workouts and static stretches afterward can be beneficial.
5. Ice and Heat Therapy: Applying ice to the affected areas can help reduce inflammation, while heat can promote blood flow and relaxation of tight muscles.
6. Gradual Increase in Training Intensity: Avoid sudden increases in training intensity or volume. Gradually build up your training to allow your body to adapt.
Conclusion
In summary, the interplay between lower back pain and thigh muscle soreness in athletes, especially those who engage in high-intensity sports like sprinting, can be attributed to overtraining, muscle strain, and biomechanical factors. By implementing proper recovery strategies, seeking professional guidance, and maintaining a balanced training regimen, you can effectively manage these symptoms and continue to perform at your best. Always listen to your body and consult with healthcare professionals if pain persists or worsens.
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