Competitive swimming has a low incidence of back pain and spine injury. Catastrophic cervical injury can occur from diving into a shallow pool; and injuries frequently result from diving from any height. Functional lower and middle back pain usually are due to musculoskeletal causes and are treated conservatively. In a sport that rewards flexibility, it is vital that coaches, trainers, and treating physicians stay current with the physical effects resulting from evolving competitive techniques and rules.
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