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Doctor insights on: Can Spondylolisthesis Worsen Even If I Have No Pain

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Can spondylolisthesis worsen even if I have no pain?

Can spondylolisthesis worsen even if I have no pain?

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

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Dr. Michael Bolesta
317 doctors shared insights

Spondylolisthesis (Definition)

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


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Can I have a herniated disc and not have any symptoms?

Can I have a herniated disc and not have any symptoms?

Yes: Not only can you, but the vast majority of herniated discs are not painful. We know this by looking at many mris of patients without back pain where many herniated discs are seen. Getting a herniated disc is like getting a cold or a headache. It is part of life. Some herniated discs can cause pain, however. The art of the evaluator is to discern whether your disc is what is causing your pain. ...Read more

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It may be my sciatic nerve even though I have no back pain does anyone have any ideas?

It may be my sciatic nerve even though I have no back pain does anyone have any ideas?

See a Doc: Not all pain that runs down the back of the leg is "sciatica" even most sciatica syndromes are not due to pressure on the sciatic nerve itself but on the nerve roots further upstream that make up the sciatic nerve. The best way to figure this out is to see a specialist who sees these problems every day. These include, neurologists, physiatrists, neurosurgeons, some orthopedists and sports medicine. ...Read more

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Can I be disgnosed with fibromalygia even that I don't have the other symptoms but chronic back pain?

Can I be disgnosed with fibromalygia even that I don't have the other symptoms but chronic back pain?

No: No, typically fibromyalgia requires certain elements in order to be diagnosed. All to often it becomes a diagnosis where you are labelled without clear signs or symptoms. Understandably this is a clinical entity that we don't understand all that well but having chronic low back pain is not typically by itself consistent with fibromyalgia. ...Read more

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How can I reduce pain due to scoliosis? Even though I have undergone a surgery but I still having the chronic pain especially at right scapula.

How can I reduce pain due to scoliosis? Even though I have undergone a surgery  but I still having the chronic pain especially at right scapula.

Scoliosis: Much of the pain especially after correction is probably myofascial. One has to rule out nerve compression. You need someone to take a good look at your imaging and do a good evaluation. IN the interim I would start with some PT and massage. ...Read more

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Can you still have pain even though your pleurisy has been cured?

Can you still have pain even though your pleurisy has been cured?

Duration since cure?: Pain from pleurisy can persist in some situations if the underlying cause is a chronic inflammatory condition. Your question does not provide specifics like how long has it been since the treatment was completed, whether being "cured" is based on relief of symptoms or other tests, what condition caused the pleurisy etc. Please discuss it with your doctor who has been treating you. ...Read more

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Kyphosis 70degrees No symptom or pain Doctors want another Xray after 6 months If it's not get worsen can it cause any problems in future ?

Kyphosis 70degrees 
No symptom or pain
Doctors want another Xray after 6 months 
If it's not get worsen can it cause any problems in future ?

Surgery is only --: -indicated if there is significant respiratory compromise . It is a serious procedure & no one in their right mind would do any such procedure 4 cosmetic reasons, plus U could not afford 2 pay 4 it if anyone did it. U have 2 live with what U have. The sooner U realize this & accept it U will not B so self conscious . ...Read more

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I have scoliosis; can I exercise or will that make it worse?

I have scoliosis; can I exercise or will that make it worse?

Yes: Scoliosis involves the boney structure of the spine. Exercise will allow the muscles that attach to the spine to be flexible and strong. Any exercise that causes pain in the back should not be repeated. Activities that increase the core muscle strength will increase the stability of the back despite the scoliosis. ...Read more

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I seem to have like a really curved back. If i also have scoliosis, is it any more or less likely that i will have excessive lordosis?

I seem to have like a really curved back. If i also have scoliosis, is it any more or less likely that i will have excessive lordosis?

Where?: In adolescent idiopathic scoliosis, loss of normal thoracic kyphosis is typical. However, in some patients with a kyphoscoliosis, this must be compensated with increased lumbar lordosis. So either may occur in an attempt to balance the head over the center of the hips/pelvis on the frontal and side views. This is the body's normal compensation for spinal deformity. ...Read more

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Have lower back pain & some bladder pain yet I have no UTI symptoms so I'm not sure what could be going on. Any thoughts? Should I see dr or wait?

See Dr: Whilst unusual, it is still possible to have a urinary tract infection with minimal symptoms. The lower back pain could also be referred pain from your lumbar spine, a common symptom of a pinched or irritated nerve. You need to see your doctor sooner for an examination as well as a Urine dipstick test to rule out an early urinary tract infection which can develop complications if left untreated. ...Read more

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Should you avoid ibuprofen when you have gallstones? I was told they are bad for people with stomach problems. Paracetamol doesn't even touch the pain

Should you avoid ibuprofen when you have gallstones? I was told they are bad for people with stomach problems. Paracetamol doesn't even touch the pain

Ibuprofen is ok: Ibuprofen can cause stomach irritation or bleeding, especially if you take it frequently or on an empty stomach. However the gallbladder is a separate organ from the stomach and ibuprofen can be a safe medicine for gallstone pain. ...Read more

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What can it be if you have lower back pain that gets worse if i'm standing or walking?

What can it be if you have lower back pain that gets worse if i'm standing or walking?

Need an examination: You are fairly young to have degenerative changes but spinal pain should be evaluated by an expert. Have your pcp refer you to his favorite spine person. This could be a physiatrist (pm;r), anesthesiology pain physician, orthopedist or neurosurgeon. All have the expertise to assess you properly with a history and examination followed by imaging studies if needed. ...Read more

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Do you have back pain if you have bladder cancer and that's early symptoms?

Many causes: There are many causes of back pain, from a lumbar strain to disc disruption, arthritis in the spine (quite common), menstrual cramps, abdominal aneurysm, muscle imbalances, poor posture, compression fracture, kidney stones, and yes, cancer. Cancer is not a common cause of back pain, but it can occur. See your doctor to get thngs checked out. ...Read more

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How do I know if I have chest pain?I have a herniated disc, and GERD and i can't ever tell if its actual chest pain or symptoms from my back/gerd.

Difficult: Herniated th disca. And gerd both can cause chest pain. It often is adeep pain , inside your. Bidy. Muscle pains are often more superficial. You did not say how you got the herniated disc, many are caused by trama causing other soft tissue injury which also can cause chest pain. If your conditions are treated properly those pains should be contolled. ...Read more

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I have severe abdominal pain diagnosed as pyloric gerd. Medication is not helping and i hurt when exercising or even sitting up now. Misdiagnosis?

I have severe abdominal pain diagnosed as pyloric gerd. Medication is not helping and i hurt when exercising or even sitting up now. Misdiagnosis?

I am not : Sure what you mean by pyloric gerd. Try changing medication or adding more meds. If that doesn't help, you might need to have surgical correction. It could also be something else, such as gallstones or even your heart. Get to a doctor asap. ...Read more

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How do you determine if you have cancer if your back aches? I do have arthritis and spinal steonosis and bulging disc. But my middle back aches after I have been up a while

How do you determine if you have cancer if your back aches? I do have arthritis and spinal steonosis and bulging disc. But my middle back aches after I have been up a while

Xray, mri: I would suggest an exam with xrays i would also consider an MRI to rule out an pathology involving the bones or surrounding soft tissues. Statistically most back pain is certainly not related to cancer, but to muscular issues and degenerative changes in the joints and discs. ...Read more

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What to do if I have very severe knee pain with no swelling?

What to do if I have very severe knee pain with no swelling?

See ur doc: If your pain is so severe go see ur doc? What did u do to cause pain? Where is your pain? What other symptoms are u having? Did u try rest, anti iflammatories , or anything else? ...Read more