Doctor insights on:
Can Obesity Make Spondylolysis Or Spondylolisthesis Worse
Yes: A person's spine takes on a lot of stress when he carries a heavy backpack or gains 50-100 pounds in weight. Obesity can worsen spine problems such as spondylolysis or spondylolisthesis. Being extremely heavy can make the bones in the spine move a bit farther out of their normal positions. Back pains and other complications may occur. ...Read more
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
Weight adds stress: A person's spine takes on a lot of stress when he carries a heavy backpack or gains 50-100 pounds in weight. Obesity can worsen spine problems such as spondylolysis or spondylolisthesis. Being extremely heavy can make the bones in the spine move a bit farther out of their normal positions. Back pains and other complications may occur. ...Read more
Depends!: One common type occurs during childhood and adolescence. It seems to be caused by repeated extension (leaning backward), so gymnasts and interior linemen (football) are at risk. But it is common among the general population. Another common type is part of the aging process; it normally is seen after age 50 and is slightly more common in women. ...Read more
You usually cannot: Most just happen. On the other hand, many people respond to exercise and core strengthening. Many do not have any symptoms. ...Read more
My 13-year-old son has spondylolysis with minimum spondylolisthesis of the L5 vertebrae. Is this serious?
No: In most cases, no. Conservative measures usually work and a normal active life is possible. ...Read more
Without question: The spine must support the weight of the body. Most people who who are over weight have the weight in their abdomen. They also then do stoop and not stand up properly. They tend to sit for long periods with poor back support. They have poor core strength with enormous stress on the low back with minimal help from the stomach muscles. This forces the lower back forward off of the pelvis. ...Read more
I have bilateral degenerative changes at l5-s1 level w/a grade 1-2 spondylolisthesis found 9/2012 has become worse will I end up needing surgery?
Spine Surgery: Spine surgery is reserved for individuals that have unrelenting pain that has failed conservative care or who have a progressive neurologic condition due to the spinal changes. Many individuals with your radiographic finding are pain free. If worsening would followup with your doctor or see a surgical or nonsurgical spine specialist. ...Read more
Grade2 Spondylolisthesis of L5/S1. Can this get worse and become grade 3 or can it get better to Grade 1 with exercise? How to relieve pain? Thanks
Yes: Obesity plays a role in back pain in general and now you are adding an unstable level. It may also signify a lack of regular exercise as well which is a factor. Secondary to the obesity may be diabetes which can affect your nerves directly and lead to a neuropathy which may compound any stenosis symptoms if present with the spondylolisthesis level. ...Read more
These rarely: Progress if the isthmic or congenital type with less than 1% progressing in adulthood. They can progress during youth. The acquired or degenerative type can progress but rarely past grade 2. Weight control, not smoking and regular exercise including core strengthening is important in terms of symptom control. ...Read more
I have spondylolisthesis herniated disc at L4 l5.Had 4 epidurals some relief, back exercise the pain is worse. Heat &meds help some what else can I do?
Hi. I’m only 18 and it’s terrifying to have spondylolisthesis. I want to know if it can be reversed through effective physical therapy? What must I do
No: spondylolisthesis is a malalignment of vertebral bodies and requires surgery to correct if producing symptoms of cord compression. While physical therapy may strengthen muscles and alleviate symptoms somewhat, it does not cure the condition. See neurologist to assess for symptoms and whether surgery is required or not ...Read more
Varied: The natural history of spondylolisthesis is somewhat difficult to predict and may be somewhat dependent on the underlying causes of the misalignment. Also the current degree of misalignment and if there is instability also play a part. Core stabilization exercises, physical fitness and weight management are important in maintaining he issue and potentially preventing progression. ...Read more
Yes: The most common type of spondylolisthesis will rarely progress to a severe slip. Most of the time, the progression stops when a person reaches adulthood. The other common kind occurs in middle life and beyond, and rarely progresses beyond grade 1 or 2 (mild). The process of slippage is not something people feel. ...Read more
Depends: The natural history of spondylolisthesis is somewhat difficult to predict and may be somewhat dependent on the underlying causes of the misalignment. Also the current degree of misalignment and if there is instability also play a part. Core stabilization exercises, physical fitness and weight management are important in maintaining he issue and potentially preventing progression. ...Read more
Shriners if under18: Stout have to be under18but the shrine is always a great place to get care if you qualify. ...Read more
Spondylolisthesis is generally considered a great indication for surgery (especially if there is excess motion at that segment on flexion vs extension xrays or if accompanied by leg symptoms) and most (>85%) are considered "successful" (50% improvement is common definition in studies).
With that said, surgery is not "needed" unless there is instability or neurological deficits. ...Read more
Refers to the slippage of one vertebra forward relative to the one below it. (if it is displaced backward it is usually referred to as retrolisthesis) This can occur as the result of trauma or can be due to arthritic degeneration (which for some reason occurs more often in women) Rarely one is born with the condition (dysplastic spondylolisthesis)
www. Healthtap. Com/drericweisman (I'm in KY) ...Read more
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