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Doctor insights on: Grade 1 Anterolisthesis Of L4 On L5

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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?

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: 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. Read more

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Dr. Michael Bolesta
314 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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Is there any surgery to fix a Grade 1 anterolisthesis of L4 and L5 with a bilateral pars defects on L4?

Is there any surgery to fix a Grade 1 anterolisthesis of L4 and L5 with a bilateral pars defects on L4?

Yes: Yes. There are several options. The gold standard is traditionally a decompression and fusion of one form or another. There are many non surgical options as well. Read more

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Can you explain my findings...grade 1 anterolisthesis of L5 on S1 of 4mm. Degenerative about facet joints L4-5 and L5-S1.

Can you explain my findings...grade 1 anterolisthesis of L5 on S1 of 4mm. Degenerative about facet joints L4-5 and L5-S1.

Yes: Normally the vertebrae line up when going from one to the next. An anterilisthesis simply means one varrtebrae is shifted forward on the other. The facet joints are joints in the back of the spine and at the two lower levels you have developed some degenerative arthritic changes. Read more

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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.?

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: 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. Read more

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Mild scoliosis; grade 1 spondylolisthesis l5-s1; l4-5 prom l paracentral disc extrusion; mild ligamentous & facet hypertrophy. Treatments?

Mild scoliosis; grade 1 spondylolisthesis l5-s1; l4-5 prom l paracentral disc extrusion; mild ligamentous & facet hypertrophy. Treatments?

Depends: 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. Read more

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There's grade 2 anterolisthesis of L5 on s1 with severe loss of disk height. Moderate loss of disk height at l3-4 and l4-5. Pars defects l5. Needsurg?

There's grade 2 anterolisthesis of L5 on s1 with severe loss of disk height. Moderate loss of disk height at l3-4 and l4-5. Pars defects l5. Needsurg?

Not necessarily: Those findings are relatively common, especially in persons who have practiced sports in their younger age. Surgery is only recommended on the basis of disabling symptoms, and after conservative treatment and alternative measures such as epidural injections have failed. Read more

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Can L4 anterolisthesis & L5 posterolisthesis on s1 with bilateral pars defect at L4 cause venous insufficiency in both legs? If so why?

Can L4 anterolisthesis & L5 posterolisthesis on s1 with bilateral pars defect at L4 cause venous insufficiency in both legs? If so why?

No: Bone, and discs, not vascular and would be incredibly unusual to slip, enough to compress major veins. Trauma, coagulopathy, DVT lead to venous valvular leakage- insufficiency. Read more

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5 mm anterolisthesis of L5 on s1, discogenic disease at l4-l5 and l5-s1, arthritic changes of the facets joints at l4l5, l5-s1, mild flattening L4 l2?

5 mm anterolisthesis of L5 on s1, discogenic disease at l4-l5 and l5-s1, arthritic changes of the facets joints at l4l5, l5-s1, mild flattening L4 l2?

Degenerative Disease: What you are describing are arthritic changes in the lumbar spine, what question are you asking, as I am unclear as to what you want to ask! Read more

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Grade 2 anterolisthesis L5 on s1 with severe loss of disk height. Moderate loss of disk height at l3-4 and l4-5. Pars defect at l5. Right leg goes numb after standing still for 5 min or more. Surgery?

Spinal pain: It certainly time to consider advanced treatments, diagnosis, and possibly surgery. You have a bad spine with multiple pathologies. It's important to figure out if you have active ongoing nerve damage. An EMG will give you the information that you need. If you don't have active nerve damage try everything else (injections, decompression, chiro, pt) before surgery as many can avoid surgery. Read more

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Pain! How to treat, chiro? X-ray shows spina bifida occulta@l5, grade1 anterolisthesis of L5 w/spondylosis, mild disc space height loss@l4-5&l5-s1

Too little info: As dr. Hines says, a neurosurgeon can help differentiate all of the above and provide you with the best treatment options for your condtion. There are many factors to consider- your age, how much spondylosis, pain location, duration, relief, exacerbation, general health, etc. See a neurosurgeon for some good answers. Best of luck to you. Read more

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Previously had CES following trauma 9 years ago at L5. Now have another problem at L4. Is it possible for CES to occur twice in one patient?

Previously had CES following trauma 9 years ago at L5. Now have another problem at L4. Is it possible for CES to occur twice in one patient?

Yes, it can: It is possible to get disc re-herniation at the same level since there is usually some amount of disc still present at the area of surgery. Disc herniation can also occur at a level above or below. If you have just pain radiating down the leg, you should try : gabapentin, epidural steroid injection, and physical therapy. If you have weakness, or bladder/bowel symptom, go to the ER for CES! Read more

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I have deteration of L4 & L5 disc and in a lot 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: 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. Read more

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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?

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?

See below: 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. Read more

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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

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

Multiple Pathologies: A disc bulge is just what it sounds like: a circumferential enlargement of the disc that is broad based in general. A disc herniation usually is either a protrusion or extrusion. A protrusion is one where the base (the part that attaches to the disc) is larger than the part that extends out. An extrusion is one where the base is smaller than the part that extends out suggesting it worse. Read more

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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?

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: 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. Read more

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L4-L5: compressed, 8mm one side- other 16mm. L5-S1: bulging disc with a 5mm mass effect. Shooting pain down my leg & numbness. Will I need surgery?

L4-L5: compressed, 8mm one side- other 16mm. L5-S1: bulging disc with a 5mm mass effect. Shooting pain down my leg & numbness. Will I need surgery?

Differs: Each person is different. The overall response to conservative therapy (Physical therapy and Epidural injections and meds) depends on several factors: your weight, your core strength, your height, your genetic spinal canal width/height, etc. If you are short and fat, you are much more likely to need surgery with the described disc. If you are taller and slimmer, you are less likely. Read more