Doctor insights on:
Cervical Retrolisthesis Treatment
If stable, then grade: 1, then physical therapy would be recommended. If mild grade 2, then observation and continued cautious physical therapy. If extreme grade 2, grade 3, or, hopefully not, a grade 4, then surgery can be recommended for necessary stabilization. If progressive, also stabilization. Many people have grade 1's and even some 2's can do well with pt and medications for pain if necessary. ...Read more
Not clear: It is not possible to have both retrolisthesis and anterolisthesis at the same disc level. Typically, either of these problems can be caused by disc or facet degeneration or both. ...Read more
Spine alignment: Retrolisthesis describes the position of one vertebra being out of alignment relative to the rest of the spinal column. The abnormal cervical vertebra is positioned behind or posterior to its normal position relative to the adjacent vertebra. This may be normal for you, or may indicate an instability. Your doctor can help determine the severity and implication of the retrolisthesis. ...Read more
Xray report: reversal of cervical lordosis. Calcification posterior to c5 spinous process.1mm retrolisthesis at c5c6.mild spondyloctic changes greatest at c5c6. Can you plz explain these findings?
Not with word limit:
I will try.
I can tell you that most of what you reported is not a big consequence. The reversal can be seen with a stiff neck. Ca++ posterior to C5 is likely calcific tendinitis. 1mm retrolithesis is too small to worry about. Spondylitic changes are part of aging and degenerative process in the spine and is very common. ...Read more
Normal? Mild straightening normal cervical lordosis maybe positional. Minimal grade 1 anterolisthesis C3 on C4 and C4 on C5 minimal grade 1 retrolisthesis of C5 on C6. Degenerative change disc ridge complexes C4-5 and C5-6. Dens intact. No fracture.
Can massage therapy be good for L5 s1 3mm retrolisthesis where I have a herniated disc? Is a tens device better therapy?
Both can help: Massage will help with some of the sore muscles that are aggravated by the irritated nerves and the tens unit is very good for pain control by something called "gate theory", both modalities work in different ways and both can be of benefit. Physical therapy is the best for this though, so keep that up! Strengthening the supporting musculature and core will help stabilize the slip and herniation. ...Read more
65 yr fem, herniated disc of lumbar MRI show mild disc bulge from L1-L2 to L4-L5, slight degen. Grade 1 retrolisthesis. Had 1 month therapy. Osteoporosis. I have severe back and left side pain. What next? Acupuncture? Pain mngmt? Shot in back?
Pain: First question - were any of these MRI findings believed to be the cause of the back and left side pain? Has an orthopedic surgeon been consulted? If not, recommend that. Depending on his/her findings - there may be a number of treatment options. Acupuncture won't fix the actual intervertebral disc problems but it can often reduce inflammation in the surrounding area & improve range of motion, ...Read more
What did your OB say: Anything under 3.0 cm needs to be watched closely as you may end up needing a stitch (cerclage) but that is usually done if cervix gets down to 2.5cm or less but your OB should have already discussed this at length with you and if your OB has not then you need to call or go in for a visit and if you were my pt I would let the perinatologist who I use to follow your cervix and decide if u need one. ...Read more
I had a cervical swab and the report result is I have a moderate growth of Enterococcus faecalis. What is the treatment option?
Not so usual:
A spot for that. It is a common urinary tract infection that is well treated with ampicillan or amoxicillan generally. Would not expect a bacterial infection in the cervix and would expect signs of infection (red, sore, hot, fever, chills, sweats) if there is one.
Without an actual examination, I cannot give specific medical advice on your particular health ...Read more
95% of patients with cervical radiculopathy- symptoms of pain or numbness/tingling in a nerve distribution of an arm and/or hand- improve with physical therapy. See your family dr. For evaluation and referral.
In your area is dr. Rob galler, a neurosurgeon who is an excellent dr. To see for your problem. He is at stonybrook. ...Read more
Anatomical variant: This is just a description of your female anatomy- have GYN monitor for infection; however, in and of itself it means that you have a prominent cervix. ...Read more
Many things: Usually decreased lordosis occurs in the acute phase of muscle injury, so stretch and strengthen for that. Sometimes, decreased lordosis occurs secondary to intraspinal pathology like spinal stenosis from bulging disk. This may not get better without fixing the cause with surgery. Additionally, some folks just have less lordosis then normal and there is not real issue with them at all. ...Read more
By itself, there is: Nothing to worry about. It can be just related to degenerative changes and you may have no neck related symptoms or it could be related to some cervical spinal stenosis which may or may not cause symptoms or it may reflect muscle spasm due to a neck strain or disc herniation which most resolve and the neck reverts to normal posture. So you would treat the cause if there are those symptoms. ...Read more
If no pain no worry: If no symptoms in terms of pain or neurologic symptoms or findings, don't worry unless physician believes that the spine has an instability then you would need surgery. Otherwise, the spine can change its alignment due to degeneration or due to muscular issues or even related to disc herniation or spinal stenosis. If those are causing symptoms you treat them, not how the spine lines up! ...Read more
First line--medications (advil, aleve, (naproxen) etc.--avoid opiates if you can!) as needed for pain relief, ergonomic adjustments at work (good seating posture/distance from computer, etc.), gentle neck exercises.
Second-line: steroid+/- Lidocaine injections for pain not controlled with medications. These injections last from a few weeks to several months.
Third line: neck surgery. The results are mixed! ...Read more
Don' t worry: Most times, these annular tears are just incidental findings on a MRI more related to actual aging process of the disc rather than to an injury or pain. When they are, 90 % resolve over time. Not smoking can have a significant impact on these changes. Medication and exercise are important as well as avoiding prolonged positioning to reduce load across the disc. ...Read more
What is the duration for the physical therapy treatment for cervical disk herniations, and is physical therapy needed, or home exercises are enough?
Highly individual: Many, if not most, patients will benefit from physical therapy as part of conservative therapy for a herniated cervical disc. Pain control medicines, muscle relaxants & anti-inflammatories are first line. Physical therapists can instruct in avoiding painful positions & appropriate exercise as well as treat with ice/heat, traction, ultrasound, TENS, bracing. Home therapy follows after a few sessions ...Read more
Depends on stage: Treatment for cervical cancer depends on the extent of the disease (stage). For earlier stages surgery alone can be used with some indications for radiation and or chemotherapy afterwards. In cases that are not early combined chemotherapy and radiation are typically used. ...Read more
Kyphosis: Cervical kyphosis can cause pain or even nerve issues or even issues with the spinal cord. Treatments typically include anti-inflammatories, muscle relaxants, extended physical therapy, or even injections. Surgical intervention would also be considered depending on the severity of this and the symptoms. ...Read more
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