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Date of Award

Spring 2025

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

Kelly Moss, PA-C

Abstract

Spondylolysis is a common cause of low back pain (LBP) in adolescent athletes. While spondylolysis has a relatively low prevalence in the general population, adolescent athletes are at an increased risk due to repetitive activity and forces on the spine. The key to managing the condition is early detection and treatment, but many athletes and providers may be unaware of early signs. Additionally, spondylolysis is unique in that patients may present with minimal symptoms, but necessitate a lengthy treatment process. It can be difficult for providers to determine when to intervene, and there is a lack of standardized protocol for these patients. A vital aspect of treatment is rest from sports, which may have several mental health implications that are often overlooked. This presentation addresses the gaps in current research by underscoring the importance of integrating mental health care into the treatment process. The aim is to outline a holistic approach that prioritizes both physical recovery as well as mental well-being of the patient.

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Approach to Diagnosis and Treatment of Spondylolysis in Adolescent Athletes

Spondylolysis is a common cause of low back pain (LBP) in adolescent athletes. While spondylolysis has a relatively low prevalence in the general population, adolescent athletes are at an increased risk due to repetitive activity and forces on the spine. The key to managing the condition is early detection and treatment, but many athletes and providers may be unaware of early signs. Additionally, spondylolysis is unique in that patients may present with minimal symptoms, but necessitate a lengthy treatment process. It can be difficult for providers to determine when to intervene, and there is a lack of standardized protocol for these patients. A vital aspect of treatment is rest from sports, which may have several mental health implications that are often overlooked. This presentation addresses the gaps in current research by underscoring the importance of integrating mental health care into the treatment process. The aim is to outline a holistic approach that prioritizes both physical recovery as well as mental well-being of the patient.