Seeking non-surgical treatment options for adolescent bilateral grade 3 spondylolysis (pars defects) with herniated l5-s1 disc?

Options: Congenital variety genetic origin occuring in 6% us population in particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few. Most treated non operatively including associated with herniated disc with bracing, physical therapy & medication and activity modification. Epidural steroid injections can also be considered with 90% treated nonop.

Spondi: Surgery is a last resort. Some options to help treat pain for this problem include tylenol, (acetaminophen) antiiinflammatories such as ibuprofen. A brace can often be used for a short period of time -i.e. 1 month or so, to help decrease pain. Structured core exercises and stretching for the back and hamstrings will also be helpful.