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Spondylolisthesis
Spondylolisthesis is a spinal condition in which one of the vertebrae slips out of place onto the vertebra below it. This displacement can lead to pain, nerve compression, and other complications. The condition most commonly occurs in the lumbar (lower) spine but can also affect the cervical (neck) spine.
Causes
Congenital
A defect in the formation of the vertebrae present from birth.
Isthmic
A defect or fracture in a part of the vertebra called the pars interarticularis, often from repetitive stress.
Degenerative
Caused by age-related changes in the spine, such as arthritis.
Traumatic
Resulting from a sudden injury or trauma to the spine.
Pathologic
Resulting from a disease such as osteoporosis, tumor, or infection.
Symptoms
Lower Back Pain: Persistent or intermittent pain in the lower back, which may worsen with activity.
Leg Pain: Pain that radiates down one or both legs, similar to sciatica.
Numbness and Tingling:In the lower extremities due to nerve compression.
Muscle Weakness: Weakness in the legs or feet.
Postural Changes: Alterations in posture or gait to compensate for pain and instability.
Limited Mobility: Difficulty in performing normal activities such as walking or standing for extended periods.
When to See a Doctor
Consult a doctor if you have:
Severe pain that doesn’t improve with rest
Pain spreading down one or both legs
Weakness, numbness, or tingling in your legs
Unexplained weight loss along with back pain
Treatment Options
Conservative Treatments:
- Rest: Reducing physical activity to alleviate pain.
- Medications: NSAIDs, pain relievers, and muscle relaxants to manage symptoms.
- Physical Therapy: Exercises to strengthen the back and abdominal muscles, improve flexibility, and enhance posture.
- Bracing: Wearing a brace to stabilize the spine and limit movement, particularly in children and adolescents.
Surgical Treatments:
- Decompression Surgery (Laminectomy): Removal of part of the bone or tissue pressing on the nerves.
- Spinal Fusion: Fusing two or more vertebrae together to stabilize the spine and prevent further slippage.
- Instrumentation: Use of rods, screws, and plates to stabilize the spine.
Prevention
Exercise: Regular physical activity focusing on core strength and flexibility to support the spine.
Ergonomics : Using proper techniques when lifting heavy objects and maintaining good posture.
Weight Management : Maintaining a healthy weight to reduce stress on the spine.
Lifestyle Adjustments : Avoiding activities that put excessive stress on the lower back.
Conclusion
Spondylolisthesis can significantly impact a person’s daily life, but with proper diagnosis and a tailored treatment plan, many individuals can manage their symptoms and maintain a good quality of life. Conservative treatments are often effective, but surgical options are available for more severe cases. Regular exercise, good posture, and a healthy lifestyle are key to preventing and managing this condition.
Located centrally on Cunningham Road in Bengaluru, our clinic is easily accessible from all parts of the city, ensuring high-quality pain management services are available to everyone.
- 7975896550
- algospainclinic@gmail.com
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