grade 1 anterolisthesis of l4 on l5

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Dr. Pietro Seni answered:

X-ray says: grade 1 anterolisthesis of L4 on L5 (6mm) mild disc height loss @ L3-4, L4-5, L5-S1. Feel asymmetric pain: upper R calf/L sole. Related?

Yes

Height
This is also called degenerative spondylo and is dueit to degenaration of the facet joints.it also produces some degree of spinal stenosisand some impigment of the nerve roots and hence some radiculopathy that can give you the symptoms you are expiriencing now.
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I have a grade 1 spondylolisthesis L4/L5/s1 with stenosis. My pain would be described as burning and a feeling of heaviness in my lower back . ?

Common

Stricture
Spondylolisthesis commonly causes back pain. Lumbar stenosis commonly causes leg pain, numbness especially with extended activity. Weight control and core muscle exercises are a first step. If these don't help, consultation with a neurosurgeon or orthopedic spine surgeon would be a reasonable next step.
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Dr. Amy Levine answered:

Mild scoliosis; grade 1 spondylolisthesis L5-S1; L4-5 prom L paracentral disc extrusion; mild ligamentous & facet hypertrophy. treatments?

Depends

Spondylolisthesis
Most disks get better within 6 months with PT and conservative treatment, assuming that the disk is even related to the pain. Keep an eye on spondy to make sure it's stable. If you develop instability surgery may be in order.
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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?

Try back support

Tens
For some, a simple elastic lumbar support can help as well as a TENS unit. About 30% choose surgery with an 85% success rate.
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I have deteration of L4 & L5 disc and in alot of pain. I'm waiting to go to pain clinic. I have had one lot of injection in my back but nothing since?

Disc pain varies

Pain_medicines
Sounds like you had epidural injection for pain relief of disc degeneration or protrusion. These are usually done in sets of three to see if get relief. Sometimes these disc problems burn out with time. If relief can be obtained with conservative measures rather than surgery, that's the best alternative. Surgery can have its own complications. Physical therapy for disc problems may be helpful.
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Dr. Tracy Lovell answered:

RA, SLE, spinal stenosis, herniated & collapsed L4 & L5. Why am I in excruitiating pain (back & leg) one day & tolerable pain the next?

See below

Rheumatoid_arthritis
it can vary to due to sleep, stress, overuse, and lack of exercise
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I had an xray showed I have spondilitis grade 1 in L4 and L5. How do you treat this kind of lower back pain which sometimes the pain goes to both hip ?

Physical therapy

Back_pain
Grade 1 is the lowest form, however P.T. Is needed to keep the vertebrae from slipping further. Additionally P.T. Can help reduce the pain. Avoiding movements thathyperextend your back or an epidural steroid injection can be helpful.
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Dr. Scott Kreiner answered:

What is a disc bulge with a superimposed disc herniation ? I have them @ L5-S1,L4-L5,L1-L2& moderate to large one in the right neural foramen @L3-L4

Poor terminology

Pathology
Radiologists have been employed to use nomenclature and terminology guidelines published in 2001 to describe disc pathology. Unfortunately your radiologist didn't do this. Anyway, this means that the disc has some diffuse widening (bulging) most likely along with some areas where material from the inside of the disc has leaked to the outside (disc extrusion).
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Dr. Jay Rosenfeld answered:

My 35 yr old ,husband suffers from slipped disc in L4 L5. Though he's better now after a bed rest of a month. What are the precautions one can take ?

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Rest
Prevention is a tricky thing with no clear cut program proven to prevent a reoccurrence. The key in my opinion is for your husband to learn what types of posture increase the risk of reoccurrence and work with a doctor and physical therapist experienced with this condition. For instance the work of Stuart McGill who is an expert out of Canada has written several excellent protocols.
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