Sports medicine is a subspecialty of medicine that deals with physical fitness, as well as the treatment and prevention of sports and exercise-related injuries. Although most sports teams have had team physicians for many years, sports medicine has only been recognised as a distinct branch of medicine since the late twentieth century. Sports medicine (or Sport and Exercise medicine) is a recognised medical speciality in some countries (with identical training and criteria to other medical specialties), whereas it is a special interest area but not a recognised specialty in others. In the promotion of exercise and health, as well as the scientific assessment, analysis, and understanding of sports performance, Sports Medicine bridges the gap between science and practise. A sports medicine practitioner specialises in sports-related medical treatments. Preventative techniques like training and injury prevention, as well as treatments like osteopathic manipulation, rehabilitation, and injections, may be used. Athletes with back pain are frequently treated by sports medicine physicians due to strain and injury to the back caused by numerous sports such as bicycle, weight lifting, running, and golf.