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more prominent at the L3-L4 or L4-L5 levels
Most spondylolytic defects and cases of Spondylolisthesis are congenital. The prevalence of Spondylolisthesis in the general population is about 5% and is about equal in men and women. Spondylolysis and Spondylolisthesis most frequently involve L5, although L4 can also be affected and, rarely, more proximal levels.
13-9-2017 · Anterolisthesis of L4 (the fourth lumbar vertebrae) is a mechanical injury where the L4 segment slips forward over the L5 segment below Retrolisthesis - Wikipedia A retrolisthesis is a posterior displacement of one vertebral body with respect to the adjacent A study by Giles et al., stated that.
L5, or S1 nerve roots), or disc herniation at L5-S1 ..
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X-ray from August of 2006 showed a grade 1 retrolisthesis of L4 to the L5 with suggestion of spondylolysis at L5 and facet arthropathy at L4-5 and L5-S1. Follow up images from July 2009, demonstrated no retrolisthesis, corresponding with relief of the patient’s back pain.
There is grade 1 retrolisthesis of L4 on L5 with grade 1 ..
Prior to beginning any injection therapies, I believed he would benefit from such care that would only enhance his response to Prolotherapy. While this treatment was ongoing, I began a course of five neural therapy treatments The area of treatment for neural therapy involved injection of 0.5% procaine without preservative and buffered to a pH of 8.0 to areas identified as interference fields. These are areas of autonomic dysfunction. In this case, I used a form of applied kinesiology known as Autonomic Response Testing to localize the problematic areas and treat. They were areas of previous surgical scars that had a role to play in the patient’s appreciation of pain. If you will, the autonomic component or “nerve” component of the mechanical pain with its foundation in instability. This German technique for balancing the autonomic nervous system is, at times, important to deal with the nervous system component of pain sensation. Once the neural therapy was completed, the addition of appropriate physical therapies primed the patient for success with Prolotherapy. The Prolotherapy solution used was 25% glucose with 1% lidocaine and 0.25% Marcaine® at levels L4, L5 and S1. This was done at monthly intervals, three times, and then again on two occasions five months later. At this point, Freddie no longer had back pain, was able to work and participate in sports and was off all medications! His follow up X-ray report showed no associated retrolisthesis consistent with his absence of back pain! (See Figure 2.) The two X-ray reports were interpreted by two different radiologists.
In most of the cases, this condition is a result of the rupture or deterioration of these discs. When the disc is damaged, the vertebra lying above loses support and slips out of its position putting pressure on the vertebra below the disc. It usually occurs in the lumbar region of the spinal column, more prominent at the L3-L4 or L4-L5 levels.
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Physical examination identified laxity in his lower lumbar spine at levels L3, L4, and L5 as well as right sacrum. Concurrent examination by a manual orthopedic physical therapist (national examiner) demonstrated a flexion hypermobility at L5-S1, hypomobility at L4-5, hypermobility at L2-3, and right sacroiliac joint dysfunction.
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