598 EP032 – Thoracic disc herniation in weightlifters: a case study on the importance of training programs and injury prevention

Background Thoracic disc herniation, though clinically infrequent, presents unique challenges, especially in elite athletic settings. We delve into an intriguing instance of a professional weightlifter, experiencing back and chest discomfort, traced to thoracic disc herniation Objective Highlight a rare thoracic disc herniation case and the need for effective training programs to minimize injury risks. Design This clinical case was diagnosed using a combination of clinical examination and MRI imaging. Setting Our subject is a weightlifter competing in the 55 kg category. Patients This is a case presentation of a senior weightlifter, notorious for poor grip during warm-ups, who experienced acute lumbago during a training session and was diagnosed with degeneration in four discs. Assessment of Risk Factors A study from the Rio de Janeiro 2016 Summer Olympic Games revealed weightlifting had the second-highest sport-specific rate of spinal pathology. Repetitive and intense physical demands on the spine from weightlifting activities, characterized by heavy lifting, places athletes at risk. Main Outcome Measurements Sports injuries, including sprains, strains, fractures, and herniated disc, are primary reasons athletes seek medical care. Although lumbar herniated discs are frequent, our case underscores a thoracic disc herniation in an athlete, which is rare yet significant. Results MRI scans, with specific parameters, unveiled multiple herniated discs of both thoracic and lumbar regions. Treatment involved an integrated approach, considering immediate relief and long-term recuperation. Conclusions It's pivotal for athletes to engage in proper conditioning, alongside adhering to injury prevention measures. While herniated thoracic discs are less prevalent, they can occur, demanding specialized management. Collaborative efforts between athletes, coaches, and healthcare professionals can aid in strategizing injury prevention and ensuring safe sporting practices.