Low back strains and facet impingement syndromes are common injuries in tennis players. Several back injuries were found to be a result of high muscle and joint reaction force, especially during the cocking phase of the serve when the spine flexes laterally and hyperextends.59
Dry needling acupuncture therapy is very effective in reducing overuse stress and treating inflamed tissues. The trigger points on the shoulder, low back, hip, and lower extremity should be precisely located and needled. As with wrist injuries, relief of pain in back injuries can be achieved with a few treatments, but this is only a part of the healing; complete functional recovery requires more time. De-stressing treatment should be provided once a week, before symptoms appear. Symptoms should be treated twice a week.
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