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Spondylolisthesis Treatment - Physiotherapy Treatment
It has been found that only 10-15% of these patients go on to have spinal surgery and that most improve with nonoperative treatment. Typical nonoperative care includes rest, NSAIDS, ESIs, and a physical therapy program. Clinical significant improvements have been found with interventions that included lumbar flexion exercises and walking, but even more substantial improvement was found with the addition of manual therapy (joint mobilization and manual stretching) when performed to the lumbar spine and lower extremities. Exercise with an emphasis on spinal stabilization has been shown to provide pain relief and decreased re-occurrence of symptoms.
Medication for pain relief is certainly necessary at times to make it through the day. If you have an injury and medication removes the pain then you have no way of knowing if your activities are aggravating your injury. Pain is your body’s cry for help. It is important to identify and treat the cause of the pain so that the injury can heal properly. Otherwise that pain continues to return and you end up taking medication for months if not years. Most sprain / strain injuries with heal within 6-8 weeks. If you haven’t had any therapy and your pain is still requiring medication one month after your injury then you will need some form of physical therapy to resolve your injury properly. Most injuries will require treatment to achieve maximum healing.
Grade 1 anterolisthesis of l5 s1 - …
It is difficult to give advice without a thorough medical history and physical examination however based on your report I would not advise trying to straighten your spine or stretching it. The most likely cause of your pain is either acute inflammation of the facet joints in your lower lumbar spine or you have a disc bulge in your lower lumbar spine. Your pain is not likely to be muscular as it hurts to bend backwards. There are no back muscles that pull when you bend backwards. You are therefore compressing some swelling from an inflammatory process in the lower back and this is causing your “electric-shock like spasm”. You would be best to put some ice on your lower back (for 10minutes at a time, but not directly on your skin) to reduce any inflammation that you can, and get some chiropractic therapy to correct the dysfunction in your lumbar spine. As you have only had the pain since this morning and there is no pain in your legs, your symptoms should resolve quickly if you don’t delay getting treatment.
I can’t stress this enough. Most lower back pain will be the result of joint pain. This will be in the form of joint inflammation and joint restriction. Getting massage therapy or doing exercises and stretching may be great for peripheral pain syndromes (pain in the arms and legs) but they are fairly ineffective when it comes to treating lower back pain. Treating lower back pain with massage, stretching and exercises may provide temporary relief but as there is no treatment to the joints of the spine the pain will always return. Chiropractic manipulation is the most effective form of therapy for lower back pain as manipulation is the only physical therapy directed at the joints of the spine. When treating lower back pain my approach is to spend the first few sessions just doing manipulation. This will tend to eliminate most if not all of the pain. Massage, stretching and giving exercises can then be given to support and enhance a well functioning spine. I hope that has clarified things for you.
What is grade 1 anterolisthesis L5 on S1 with lower …
Most patients with spondylolysis or pars stress reactions respond favorably to non-operative treatment. Usually this treatment includes a period of rest or immobilization followed by physical therapy. The role and best type of bracing continue to be debated. In selective cases, epidural steroid injections or selective nerve root blocks help in controlling symptoms. Most authors agree that patients may return to normal activities when they are pain-free, regardless of whether there is radiographic evidence of pars healing.9
The T1-weighted off-midline sagittal image demonstrates a defect in the L5 pars interarticularis with interruption of the cortex and intermediate signal intensity material in the defect (arrow). Slight anterior subluxation of the L5 vertebral body is seen with respect to the S1 vertebral body. Marrow within the L5 posterior elements is of increased signal intensity on the T1 weighted images (arrowheads).
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Patient Comments: Spondylolisthesis - Effective Treatments
Spondylolysis is an osseous defect found in both symptomatic and asymptomatic individuals. It predisposes to pathologic intervertebral subluxation or spondylolisthesis, most commonly occurring at the L5-S1 level. The pars defects are thought to represent chronic stress related injuries. Although these often occur during the first decade of life, accompanying vertebral problems develop somewhat later in life. It is important for the interpreter of MR to recognize both the primary and ancillary findings of spondylolysis, and in patients with spondylolisthesis, characteristic MR findings allow differentiation of degenerative versus isthmic causes. MR’s ability to grade disease severity and directly visualize nerve root involvement assists in treatment decisions.
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