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Doctor insights on: Treatment Plan Spondylolysis Spondylolisthesis

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Dr. Michael Bolesta
319 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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Seeking non-surgical treatment options for adolescent bilateral grade 3 spondylolysis (pars defects) with herniated l5-s1 disc?

Seeking non-surgical treatment options for adolescent bilateral grade 3 spondylolysis (pars defects) with herniated l5-s1 disc?

Options: Congenital variety genetic origin occuring in 6% us population in particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few. Most treated non operatively including associated with herniated disc with bracing, physical therapy & medication and activity modification. Epidural steroid injections can also be considered with 90% treated nonop. ...Read more

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Are spondylolisthesis, spondylolysis, and spondylosis permanent conditions?

Yes : These three conditions are all permanent. They all can be treated. Conservative treatment may help all three. If all fails surgery may be an option. ...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

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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Best cervical spondylosis treatment?

Depends: If spinal cord compression causes significant symptoms surgical treatment is the best option. For minor symptoms and normal neurologic function a physical therapy directed exercise program is good. ...Read more

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Does chiropractic treatment help with degenerative lumbar disc disease?

Does chiropractic treatment help with degenerative lumbar disc disease?

Sometimes: Back manipulation provide some benifits especially if the problems are due to to facet joint disease. ...Read more

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Treament for anklysing spondylysis?

Treament for anklysing spondylysis?

Usually medication &: Usually medications and exercise with treatment guided by a rheumatologist. Chronic use of non steroidal anti inflammatory medication has been very recently demonstrated to make a significant impact on this disease. ...Read more

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Could chiropractic treatment help with degenerative lumbar disc disease?

Yes: Working with a chiropractor is a common conservative treatment option. Check out spine-health.Com. ...Read more

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I was diagnosis w/ lumbar spondylolysis, bilateral nerve root impingement and radiculitis w/ L5 being slipped forward. Surgery or long-term pain management?

Surgery: Sometimes it solves with pain control, pain procedures (epidurals w/local anesthetic and steroids). After reducing the inflammation the disk if it is intact could slip backwards in place. The spondilosis is a chronic condition similar to the osteoarthritis that can not be cured like the disk herniation.I think you meant spondylolisthesis. Surgery can be efficient but also can have complications. ...Read more

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Scoliosis progressing, L5 compression, EMG changes, lumbar spondylolisthesis, c4-6 narrow, PAIN. What are my options?

Options: A good Orthopedic eval is needed to go over all you have done already. Generally, conservative Treatment first with medication, Physical therapy, possible pain management with epidurals, and then if needed and no relief, a Neurosurgical evaluation may be needed to discuss surgical options. Best wishes. ...Read more

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Is lumbar traction effective for a displaced vertebrae from disc degeneration?

Yes/no: I was trained using hospital based lumbar traction, it did very little to help disc disease in that by the time we applied enough traction to help the patient they were at the foot of the bed and no force applied.Modern traction (drx 9000) can apply your body weight to a specific disc segment and really make a difference.At your age please look into this treatment. ...Read more

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Scoliosis cured with spinal fusion?

Scoliosis cured with spinal fusion?

Yes when indicated: Most typical idiopathic scoliosis cases are treated without surgery- most by just observation and some with bracing. Fusion is for those with a curve that has gotten too big and/or progressed in spite of non op care. Bracing has been the only documented non op care that can minimize surgical interventions. ...Read more

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Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?

Treatment  42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis  + degeneratIve discs L4 l5?

See ortho spine doc: You may need reconstructive or supportive surgery to prevent nerve damage if you have more than one vertebral body affected by the osteoarthritis. If this is a congenital issue an ortho spine doctor would give you the best advice on how to proceed safely ...Read more

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Can a unilateral pars fracture and facet arthrosis w/hypertrophy cause spondylisthesis?

Can a unilateral pars fracture and facet arthrosis w/hypertrophy cause spondylisthesis?

Potentially : A spondylolisthesis refers to a condition in which one vertebrae shifts forward on another. There are multiple potential causes. One cause can be degenerative, as noted in the degenerative changes in your facet joint. Another type is called "isthmic" which requires a bilateral pars defect to occur. ...Read more

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How are spondylolysis and spondylolisthesis typically treated?

How are spondylolysis and spondylolisthesis typically treated?

Depends!: Unless symptoms are severe, most can be treated by core strengthening exercises, medications. Surgery can help if simple measures fail and pain interferes with normal activities. ...Read more

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How successful is spinal surgery for degenerative arthritis?

How successful is spinal surgery for degenerative arthritis?

Good, but: There are other modalities you can try. These range from acupuncture, through chiropractors and up to rehabilitation doctors. Sometimes surgery is the only way to treat the pain, but other modalities can be used first. ...Read more

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How are spondylolysis and spondylolisthesis typically diagnosed?

Imaging: When people present with back and leg pain, x-rays, mri, and ct will show them. Beware though. They may not be the source of the pain! they can be painless. ...Read more

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What are the treatment options for lumbar scoliosis?

What are the treatment options for lumbar scoliosis?

From don't worry : This depends on your age and the size of the curve and whether your bone density is normal and if there are any associated issues such as spinal stenosis, instability &/or degenerative changes. If still growing brace or observation & if an adult, is it progressing or large in size or associated with any other problems . You really need to see a spine specialist to get an opinion. ...Read more

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Just diagnosed with lumbar spine and pelvis demonstrating L5-S1 anterolisthesis due to L5 spondylolysis. What does this mean? spondylolysis

See below: Anterolisthesis is where one bone in the spine is shifted forward on the other, and spondylolysis means the development of a stress fracture in an area of the spine known as the pars. So basically, you have developed a pars fracture that has allowed the L5 vertebrae to shift forward on the first sacral vertebrae. ...Read more

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How are spondylolysis and spondylolisthesis generally evaluated?

How are spondylolysis and spondylolisthesis generally evaluated?

Xrays: Xrays can make the diagnosis of spondylolisthesis. Xrays can show the relationships of the vertebrae (bones) in your spine and determine if one is slipped relative to the neighboring vertebrae. Ct or MRI scans can confirm or make the diagnosis as well. ...Read more

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How are spondylolysis and spondylolisthesis typically diagnosed?

Imaging: When people present with back and leg pain, x-rays, mri, and ct will show them. Beware though. They may not be the source of the pain! they can be painless. ...Read more

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What are some of the symptoms of spondylolysis and spondylolisthesis?

Many: Both conditions give different set of symptoms if nervous tissue are involved. Pain in spine area, crackling sound on movement, painful movement with or without restriction. Weakness, numbness, tingling, spasm, bladder control. Etc. ...Read more

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How can you prevent spondylolysis and spondylolisthesis?

How can you prevent spondylolysis and spondylolisthesis?

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

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Are spondylolisthesis, spondylolysis, and spondylosis permanent conditions?

Yes : These three conditions are all permanent. They all can be treated. Conservative treatment may help all three. If all fails surgery may be an option. ...Read more

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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

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How does obesity specifically affect spondylolysis or spondylolisthesis?

How does obesity specifically affect spondylolysis or spondylolisthesis?

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

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How are spondylolysis and spondylolisthesis typically treated?

Depends!: Unless symptoms are severe, most can be treated by core strengthening exercises, medications. Surgery can help if simple measures fail and pain interferes with normal activities. ...Read more

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How are spondylolysis and spondylolisthesis generally evaluated?

Xrays: Xrays can make the diagnosis of spondylolisthesis. Xrays can show the relationships of the vertebrae (bones) in your spine and determine if one is slipped relative to the neighboring vertebrae. Ct or MRI scans can confirm or make the diagnosis as well. ...Read more

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Who is more likely to develop spondylolysis and spondylolisthesis?

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

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What can I do/take to deal with the pain from spondylolysis/spondylolisthesis?

NSAIDs : Careful use of nsaids. Under the supervision of a physician. Come in to see me. I can help treat this condition. ...Read more

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What is the best treatment for spondylolisthesis of the l 5 vertebrae?

Varies: The treatment of spondylolisthesis is based upon the degree of problem a patient is having with it. Simple alternatives are medications, physical therapy, or simple activity restrictions. More involved options for severe case includes injection therapy or surgery. Thank you for your question. ...Read more

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What's the treatment for spondylolisthesis pain in legs and back?

What's the treatment for spondylolisthesis pain in legs and back?

First: It must be established that your back and leg pain are being caused by the condition. If this is established, then conservative care in form bracing, trunk stabilization exercises, prescription or otc nsaids should be tried. If there is no relief of symptoms over a. 6 months period, then a decompression with fusion (anterior & posterior) may be necessary with or without hardware. ...Read more

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Please help! pain treatment for spondylolisthesis?

Depends!: Acute spondolylisthesis is symptomatic because of the associated pars fracture. The condition id itself virtually pain free until you are past grade1 and in many cases grade two. Talk to your doc. Imaging with basic x-rays is the first tests needed with clinical evaluation. ...Read more

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What other treatment options are open for spondylolisthesis?

Many: Spondylolisthesis is the slipping of 1 vertebral body on the other. This is not always painful. When it is, it can often be treated like any other form of back pain with exercise, nonnarcotic pain medication, and bracing. When the slippage results in the pinching of a nearby nerve, surgery usually with fusion of the bones may be helpful. ...Read more

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I have spondylolysis. What are treatment options?

I have spondylolysis. What are treatment options?

Spine defect: Spondylo means spine & lysis means crack. Can be congenital variety genetic origin occuring in 6% us population or after trauma which can be repetitve particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few. Most treated non operatively with bracing, physical therapy & medication and activity modification with surgery if no better & in pain. ...Read more

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Can you please suggest treatment for L5 s1 spondylolysis?

Can you please suggest treatment for L5 s1 spondylolysis?

Several Options: Congenital variety genetic origin occuring in 6%-8% of us population particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few. Most treated non operatively (90%)including bracing, physical therapy leading to regular exercise ; medication and activity modification. Epidural steroid injections can also be considered. ...Read more

Dr. Justin Esterberg
143 doctors shared insights

Spondylolysis (Definition)

Spondylosis is a broad term that means degeneration of the spine, more commonly known as osteoarthritis. This can occur in the cervical (neck), thoracic (mid back), or ...Read more