Lifting and carrying heavy dive gear is an obvious
cause of lower back pain, but a second major cause is
often overlooked. While swimming or finning through the
water, many divers arch their lower back, like they’re face
down in a hammock. A small inward curve is okay in the
lower back but when you increase that curve, you’re overarching,
a symptom called hyperlordosis. Divers doing
this will usually notice the pain after a dive.
According to Dr. Jolie Bookspan, author of Diving
Physiology in Plain English, overarching pinches the joints
of the vertebrae and surrounding tissues. “The fulcrum of
the kick becomes the facets instead of the ab and hip muscles.”
Even when the back pain progresses, often nothing
shows up on x-rays. The cause is often unrecognized and
patients are told they have sacroiliac, joint dysfunction, or
nonspecific back pain. “Eventually, this exaggerated curve
of the spine can damage structures enough to show. Until
then, it just aches a great deal.”
To get rid of the pain, you don’t need medicine, physical
therapy or surgery, says Bookspan. “All you need to do
is to stop overarching and maintain a neutral spine when
diving, walking or swimming.