Back pain in the young athlete. It’s something we often don’t think twice about in adults, but in kids, back pain in the active athletic kid is often a different beast. One of the more common conditions is the spondylolysis or a stress fracture of the pars interarticularis. It is a condition that can go undiagnosed for a long time. Today on the podcast we have an expert in the area of spondylolysis and I’ve always enjoyed his lectures on this topic. I’m sure you’ll appreciate his take…


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Links from this Episode:

— Dr. Mark Halstead: On the WebOn Twitter

— Dr. Stan Herring: On the WebOn Twitter

— Alqarni AM, Schneiders AG, Cook CE, Hendrick PA. Clinical tests to diagnose lumbar spondylolysis and spondylolisthesis: A systematic review. Phys Ther Sport. 2015 Aug;16(3):268-75. doi: 10.1016/j.ptsp.2014.12.005. Epub 2015 Jan 8. PMID: 25797410. https://pubmed.ncbi.nlm.nih.gov/25797410/

Tatsumura M, Gamada H, Okuwaki S, Eto F, Nagashima K, Iwabuchi S, Ogawa T, Mammoto T, Hirano A, Yamazaki M. Union evaluation of lumbar spondylolysis using MRI and CT in adolescents treated conservatively. J Orthop Sci. 2021 Feb 14:S0949-2658(21)00012-9. doi: 10.1016/j.jos.2021.01.002. Epub ahead of print. PMID: 33597077. https://pubmed.ncbi.nlm.nih.gov/33597077/

van den Heuvel MM, Oei EHG, Bierma-Zeinstra SMA, van Middelkoop M. The Prevalence of Abnormalities in the Pediatric Spine on MRI: A Systematic Review and Meta-Analysis. Spine (Phila Pa 1976). 2020 Sep 15;45(18):E1185-E1196. doi: 10.1097/BRS.0000000000003527. PMID: 32355138. https://pubmed.ncbi.nlm.nih.gov/32355138/

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The Host of this Program:

Dr. Mark Halstead - Host of The Pediatric Sports Medicine Podcast - St. Louis, MOMark Halstead: 

Dr. Mark Halstead received his medical degree from the University of Wisconsin Medical School. He stayed at the University of Wisconsin for his pediatric residency, followed by a year as the chief resident. Following residency, he completed a pediatric and adult sports medicine fellowship at Vanderbilt University. He has been an elected member to the American Academy of Pediatrics (AAP) Council on Sports Medicine and Fitness and the Board of Directors of the American Medical Society for Sports Medicine (AMSSM). He has served as a team physician or medical consultant to numerous high schools, Vanderbilt University, Belmont University, Washington University, St. Louis Cardinals, St. Louis Blues, St. Louis Athletica, and St. Louis Rams. He serves and has served on many local, regional and national committees as an advisor for sports medicine and concussions. Dr. Halstead is a national recognized expert in sport-related concussions and pediatric sports medicine.

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The Guest Featured Inside this Program

Stan Herring - A Guest on The Pediatric Sports Medicine Podcast with Dr. Mark HalsteadStan Herring: 

Dr. Stan Herring is the senior medical advisor and co-founder of The Sports Institute at UW Medicine, Co- medical director for Orthopedic Health and Sports Medicine for UW Medicine, and co-medical director of the UW Medicine Sports Concussion Program. He is a clinical professor in the Departments of Rehabilitation Medicine, Orthopaedics and Sports Medicine, and Neurological Surgery at the University of Washington-Seattle and holds the Zachery Lystedt Sports Concussion Endowed Chair.

Dr. Herring served as one of the team physicians for the Seattle Seahawks and the Seattle Mariners. His clinical practice focuses on the diagnosis and non-operative management of neurological and musculoskeletal injuries, particularly focusing on spinal disorders in active people and athletes as well as sports-related concussions.  He also was one of the founders of AMSSM, the American Medical Society for Sports Medicine.

Connect with Stan Herring: On the WebOn Twitter