4 doctors weighed in:

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

4 doctors weighed in
Dr. Thomas Dowling
Orthopedic Surgery - Spine
2 doctors agree

In brief: 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.

In brief: 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.
Thank
Dr. Justin Esterberg
Orthopedic Surgery - Spine

In brief: Spondi

Surgery is a last resort.
Some options to help treat pain for this problem include tylenol, (acetaminophen) antiiinflammatories such as ibuprofen. A brace can often be used for a short period of time -i.e. 1 month or so, to help decrease pain. Structured core exercises and stretching for the back and hamstrings will also be helpful.

In brief: Spondi

Surgery is a last resort.
Some options to help treat pain for this problem include tylenol, (acetaminophen) antiiinflammatories such as ibuprofen. A brace can often be used for a short period of time -i.e. 1 month or so, to help decrease pain. Structured core exercises and stretching for the back and hamstrings will also be helpful.
Thank
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Dr. Jonathan Jassey
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