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What is Retrolisthesis? - Back Pain
He presented with X-rays from 2006 that showed a grade I retrolisthesis or movement of one vertebra on another at the fourth and fifth lumbar level with associated X-ray damage seen of the facet joints at this level. (See Figure 1.) This is consistent with laxity of the ligaments at this level. Physical examination found tenderness to palpation at the levels of the third, fourth and fifth lumbar vertebrae as well as the right sacroiliac joint. In Canada, a physiotherapist who takes additional training and examinations in orthopedic manual medicine (manual orthopedic physical therapists) is considered an expert in assisting in the diagnosis and recovery of patients such as Freddie. He was also seen by one of six national examiners for manual orthopedic physical therapy who found areas of hypo (decreased) and hyper (increased) mobility in his lumbar spine as well as various factors related to de-conditioning brought on by his longstanding pain.
Unfortunately the patient may present with degeneration at more than one disc level. Until the advent of aware state surgical examination, the sources of Vertebral Slippage were hard to define and surgeons engaged in pre-operative ‘guesstimation’ based on the results of clinical examination, X-rays, MRI scans and CAT scans. The complexity of the spinal region means that a wide range of possible conditions exist to confound diagnosis. In the presence of back and leg pain and spondylolisthesis or retrolisthesis the surgeon will tend to focus upon this evident pathology and treat this. In our published studies the pain was arising at an adjacent level in almost 20% of cases. The patients body had adapted to the slippage and surgery at this level would not have modified the pain.
Retrolisthesis of c5 on c6 - Things You Didn’t Know
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.
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.
on: Retrolisthesis Of C5 On C6 ..
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