Doctor insights on:
How Are Spondylolysis And Spondylolisthesis Typically Diagnosed
is the subluxation or slippage of one vertebral body over another, usually with the more superior body slipping forward relative to the body below. This can be due to to etiologies such as ligamentous laxity or an abnormality of the bone(spondylolysis). If mild, it may be asymptomatic. If severe or unstable, it could cause kinking/compression of the spinal cord ...Read more
What exercises are recommended for someone with spinal stenosis (l2, l3), spondylolisthesis, and osteopenia?
What should I do after being diagnosed with spondylolisthesis and severe osteoarthritis with bone fusion?
Depends on symptonms: It depends on the symptoms you have. As a general rule, if you have more back pain, your surgeon will likely recommend a more conservative treatment (pt , medication). If you have more leg pain, nerve compression on the mri, and have failed conservative treatment, surgery may be an option. I would take the advice from the doctor who gave you this diagnosis. If not comfortable, get a 2nd opinion. ...Read more
My mother have been diagnosed with osteoporosis,loss of lumbar lordosis and early degenerative changes in lumbar spine. What are the treatments ?
Physical therapy : Depending on the bone density scan, she may need treatment with calcium, vitamin D, a bisphosphonate like alendronate to stabilize her bone density. Physical therapy and daily exercise with weights are recommended. Discuss with your doctor. For pain, OTC Meds like alive and ibuprofen are helpful. She should also address any risk factors for falls as there is a greater risk of hip or back fracture. ...Read moreSee 1 more doctor answer
Just diagnosed with lumbar spine and pelvis demonstrating L5-S1 anterolisthesis due to L5 spondylolysis. What does this mean?
See below: Anterolisthesis is where one bone in the spine is shifted forward on the other, and spondylolysis means the development of a stress fracture in an area of the spine known as the pars. So basically, you have developed a pars fracture that has allowed the L5 vertebrae to shift forward on the first sacral vertebrae. ...Read more
How risky are cervical epidural injections for some one with ddd severe canal stenosis and foraminal stenosis and 2 herniated discs c3/c4 and c7T1?
Biopsy: An experienced surgeon can determine by examination and imaging if there is a fibroadenoma. The most definitive confirmation is to have a needle biopsy. This is performed as an outpatient procedure and results are back in 2-3 days. Fibroadenomas are benign without any potential to turn into cancer. ...Read moreSee 1 more doctor answer
Frequently: Probably 20-50 percent of subtle lisfranc fractures are missed in the er. Significant swelling, bruising on the bottom of the foot and pain lasting more than 2-3 weeks are indications to seek evaluation from an orthopedic surgeon trained in foot and ankle. ...Read moreSee 1 more doctor answer
I was diagnosed with a stress fracture, spondylolysis, hypermobility causing ligaments to tear. How serious are these conditions?
Serious: Hypermobility and ligamental injury can be very unstable and require stabilization. Please see a spine surgeon. ...Read more
What are exercises i can do if I have spinal stenosis (l2, l3), spondylolisthesis, and osteopenia?
All: All are safe to perform but some may aggravate symptoms and may need to be modified or avoided if too painful. Most exercise programs for people with this condition aim at core strengthening, flexibility and cardiovascular routines. Generally, if weight lifting, squats and deadlifts should be avoided. ...Read more
Prevention: Weight bearing exercise , proper nutrition and limited sun exposure helps to prevent osteoporosis. Even if present already, there are medications to help this condition. Osteopenia is not osteoporosis but a relative low bone mass that makes you a higher risk for osteoporosis. Finally, physical therapy and corrective posture devices will help scoliosis. Surgery is last resort for severe cases. ...Read moreSee 1 more doctor answer
I have bilateral foraminal stenosis present at l4l5 with bilateral pars defect at L4 and am curious if the pars and stenosis can heal without surgery?
Generally, symptoms : Can resolve due to either condition the majority of the time without surgery as the only reason for surgery would be a failure of nonop care to control symptoms. If the pars defect was an acute fracture it has the potential to heal without surgery. But even if it doesn't or if not an acute fracture type, 90% are treated non op while only 15% of stenosis cases end up with surgical intervention. ...Read more
Yes : These three conditions are all permanent. They all can be treated. Conservative treatment may help all three. If all fails surgery may be an option. ...Read more
Xray: What are "spondylisthesis", "retrolisthesis", and "anterolisthesis" ? Are they all the same thing?
Vertebral slippage: Spondylolisthesis refers to the forward (anterolisthesis) or backward (retrolisthesis) movement of one vertebral body relative to the vertebral body immediately below it. It can be a result of degenerative changes, prior direct trauma, repetitive micro trauma, birth defects and pathologic bone such as from tumor involvement. ...Read more
How do Neurologists treat Spinal degenerative changes ARTHROSIS and Cervical Herniation and lumber bulging disc. What medications 4 very symptomatic?
Conservatively: Appropriate pain medications are usually prescribed but we try and stay away from narcotic types of meds. Physical therapy is also a popular place for neurologists to send their patients with these sorts of symptoms. If all else fails, call in the surgical guys and see what they say. ...Read more
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