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Inflammation of Muscle Attachments

The muscle attachments around the spinous processes of the thoracic and lumbar spine can become inflamed as a result of overuse. Such injuries are most common among crosscountry skiers, javelin, discus and hammer throwers, weightlifters, and players of racket sports.

Symptoms

The athlete experiences:

– pain during exertion;
– aching after exertion;
– tenderness on pressure over the spinous processes;
– pain in the attachment of the muscle in question, which is triggered by its contraction.

Treatment

The athlete should:

– mobilize as tolerated;
– apply local heat and use a heat retainer.
– exercise with a large ball before return to sport.

Healing

The doctor may:
– prescribe anti-inflammatory medication;
– administer local steroid injections followed by 1–2 weeks’ rest from explosive and heavy weightlifting activities.

The inflammation often heals after a few weeks.

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