I am in serious pain from this disease.Does anyone out there suffer from this,too? The Dr. says I need physical therapy, but I think it would cause more pain.Anyone have any suggestions re: exercises, pain relief, or should I just find a new Dr. perhaps a neurologist?
What "grade" of spondylolisthesis do you have (1-4) and between which vertebrae? Spondy's happen when one vertebra is pushed over another, either forward or backward. Often, we are born with them. My entire family(4 siblings) has a grade 1 anterior spondy of L4 over L5 so it runs in the family in my case.
If caused by injury, they may hurt right away but if caused by genetics, then they may not hurt at all or not until you get older.
Spondy's in the neck are more serious than spondy's in the lumbar....a lot less room in the neck.
So where is yours and do you know the grade of displacement?
Welcome to the board. Could you tell us a bit more about your symptoms? Do you have low back pain or does it radiate down a leg? How long have you had it?
Spondylolisthesis, for others reading this thread, is a condition where one vertebra slips over the top of the adjacent vertebra. It happens most often at the L5-S1 segment, followed by l4-L5. It can cause low back pain, particularly after exercise and when the back is in extension (bending or arching backward). Sometimes if the slippage is great enough, it can result in a nerve becoming compressed, or "pinched." This results in pain that radiates into the hip and/or leg.
There isn't a way to remedy this situation other than through surgery, but in many cases, patients who have spondylolisthesis are not in great pain. Sometimes patients do not realize they have it, but when they have imaging for some other purpose, the spondylolisthesis is discovered.
The severity of the slippage is graded from 1 to IV with I being the least amount, from 1 to 25%, and IV being the most severe, with the slippage ranging from 75% to complete, 100%. Usually it isn't necessary to do anything if the spondylolisthesis is grades I or II, but it just depends on the degree of nerve decompression that is involved.
Physical therapy is always the first line of treatment. Sometimes the patient can strengthen the back and core muscles to the point that the spondylolisthesis is no longer an issue, and there is no longer the pain associated with it. Sometimes a steroid injection is given to lessen the pain so the patient is able to participate in physical therapy.
I don't think there is any point in seeing a neurologist. He/she would just confirm the diagnosis but would not be able to provide treatment. Are you seeing a spine specialist for your back issues or was this diagnosed by your family doctor?
The Following User Says Thank You to teteri66 For This Useful Post: bella2552 (01-17-2012)
I also had spondylolesthesis and other problems which I had to have an L4-L5 and L5-S1 fusion. It depends on your symptoms. Spondylolesthesis in itself can be treated in a few ways from what I was told. But after my back problems were aggravated due to an injury, physical therapy just aggravated my back worse and injections were not an option. What are you experiencing. Someone could possibly lead you in the right direction.
I am sorry if I am repeating myself.I don't know how to work this site.I can't seem to get it! I have grade 1 ,mild curvature of cercvical spine,disc herniationcentral disc bulging,disc protrusion--all in different area of back. I better stop because this site keeps disappearing on me. By the way, I am in almost constant pain and can hardly do anything thanks for listening! hope you get this.
I have grade 1 spondylolesthesis L4-5,disc herniation,bony spurs,mild curvature thoracic spine,central disc bulging,disc protrusion,all different parts of my back.My pain starts on the right side of my head,entire neck, shoulders,upper back, lower back.down right leg to ankle. At times it can be excruciating.
Just starting PT, but they said no excercises
Last edited by Administrator; 01-15-2012 at 05:48 PM.