[20M] Ballet dancer with acute upper back pain after landing from a jump

Patient Description

A 20-year-old male ballet dancer experienced a sharp pain in his upper back after landing from a jump during rehearsal approximately one week ago. The pain is described as being dull at times and sharp at others, without any popping or snapping sensations at the time of injury. The pain is exacerbated by activities such as jumping and running. Applying heat and avoiding painful activities provide some relief. There are no additional symptoms, and the pain does not fluctuate throughout the day. No specific location of the pain on the upper back was provided.

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Arora's Assessment

What might be happening

Based on your description, here are a few possibilities:

  • Muscle Strain or Sprain: This is a common injury in dancers and athletes, especially those who perform high-impact activities like jumping. It occurs when a muscle or ligament in the back is stretched too far or tears. The pain can be sharp or dull and may be accompanied by muscle spasms.

    • Treatment typically includes rest, heat, over-the-counter pain relievers, and physical therapy.
  • Stress Fracture: This is a small crack in a bone that occurs over time due to repeated stress, such as jumping or running. In dancers, stress fractures are most common in the lower back (lumbar spine), but they can occur in the upper back (thoracic spine) as well.

    • Diagnosis typically involves imaging studies, like an X-ray or MRI. Treatment usually involves rest and physical therapy. In severe cases, surgery may be necessary.
  • Disc Injury: The spinal discs act as shock absorbers between the bones of the spine. An injury or damage to a disc can cause pain in the back.

    • Treatment can range from conservative methods like rest and physical therapy to more invasive methods like surgery, depending on the severity of the injury.

What you can do

  1. Rest: Avoid activities that cause pain, such as jumping and running. This will give your body time to heal.

  2. Apply Heat: Continue using heat to help relieve your pain and relax your muscles.

  3. Over-the-Counter Pain Relievers: Non-prescription medications like ibuprofen can help manage your pain.

  4. Physical Therapy: Once your pain has improved, a physical therapist can teach you exercises to strengthen your back and prevent future injuries.

  5. Consult a Doctor: If your pain persists or worsens, you should consult a healthcare professional. They may recommend imaging studies to determine the exact cause of your pain and provide appropriate treatment.

What you should look out for

  • Severe pain that doesn't improve with rest
  • Pain that wakes you up at night
  • Weakness or numbness in your arms or legs
  • Difficulty controlling your bladder or bowels
  • Unexplained weight loss

These symptoms could indicate a more serious condition and you should seek medical attention immediately. Remember, this advice is not a substitute for a professional medical opinion.

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1 yr ago

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People Also Ask


What are the common causes of upper back pain in dancers?

Common causes of upper back pain in dancers include muscle strains or sprains, stress fractures, and disc injuries. These can result from high-impact activities like jumping and running.


How can I differentiate between a muscle strain and a stress fracture?

A muscle strain often presents with sharp or dull pain and may include muscle spasms, while a stress fracture might cause persistent pain that worsens with activity. Imaging studies like X-rays or MRIs are needed to confirm a stress fracture.


What are the best initial treatments for upper back pain after an injury?

Initial treatments for upper back pain include rest, applying heat, and taking over-the-counter pain relievers like ibuprofen. Avoiding activities that exacerbate the pain is also important.


When should I see a doctor for upper back pain?

You should see a doctor if the pain is severe and doesn't improve with rest, if it wakes you up at night, or if you experience weakness, numbness, or difficulty controlling your bladder or bowels.


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