Hello,
Thanks for writing in.
You have reported one year of
back pain which worsens after prolonged standing or sitting and improves somewhat with stretching. Hanging from a bar makes back pop and crack, a bit uncomfortable, but provides some relief (this activity provides traction on the spine relieving compressive forces on the discs and small joints in the back plus elongating muscles and fibrous tendons). Activity includes wrestling and basketball. Xrays are normal.
From your history, I assume no radiating leg
pain, no leg or foot pins/needles or numbness.
I would classify this as mechanical low
back pain. I would also consider seeing an experienced orthopedic physical therapist who will evaluate the back and prescribe specific exercises.
Your sporting activity may also contribute to the back problem. Wrestling is an aggressive sport which places high demands for flexibility and strength on all the limbs, shoulders, hips, and spine. A weak or injured area will suffer more if not rehabilitated properly.
Basketball places strain on the spine during jumping and landing. Lots of big men have suffered debilitating
back pain as a result e.g. Larry Bird and Charles Barkley.
For sport participation, it will be important to first: rehab the back, second: condition the back to return to sport, third: maintain a healthy back during sports.
The first two phases should be taught by a professional trainer or therapist and the third part on your own.
If your rehab goes poorly or if the
back pain worsens, you may consider an MRI which will show soft tissue structures (nerves and discs) and the spaces they do and do not normally occupy.
All the best to you. Keep us posted and take care.
