A spinal condition affecting the lower vertebrae of the spine, Spondylolisthesis causes one of the lower vertebrae to slide forward, pressing directly into the vertebrae, nerve, or bone beneath it. Most patients describe Spondylolisthesis as an uncomfortable condition that causes pain in the patient's legs when they walk or stand for extended periods of time. Rest assured, If a patient receives a Spondylolisthesis diagnosis, there’s no need to panic. Most neurosurgeons and spinal specialists consider common cases not dangerous, and easily treatable.
neurosurgeons recommend that patients with Spondylolisthesis avoid high impact or strenuous activities that might add pressure to the lumbar (or lower) spine. Patients should refrain from heavy lifting, sports, and intense cardio until receiving full medical clearance from their spinal provider.
Physicians typically treat Spondylolisthesis through a series of medical progressions. Some patients respond favorably early in the protocols and do not require advanced treatment. These modalities include
Medications to manage the Pain,
or oral steroids to reduce inflammation,
Then Heat and/or ice,
Followed by Physical Therapy,
Manual manipulation,
Epidural steroid Injections,
And finally if needed, Surgery
Spinal fusion surgery for a degenerative spondylolisthesis typically has incredibly successful results, with more than 90% of patients improving function and enjoying substantial reductions in pain levels and discomfort. For 8 to 12 weeks following surgery, patients should limit physical activity to low stress, no-impact movements as the spine fuses and recovers. As always, please consult your neurosurgeon directly with questions and return to work/sport protocols.
AOA Orthopedic Specialists - Spondylolisthesis
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