Spondylolisthesis is a spinal disorder caused by a vertebrae slipping forward onto the bone below it.
This condition can occur anywhere along the spine, but is most common in the lower back. The two most common types of spondylolisthesis are degenerative and spondylolytic.
If you are experiencing spondylolisthesis or want to determine the source of your symptoms, you can make an appointment with California Spine & Pain Institute to consult with us and determine the best course of treatment.
HOW DO I KNOW IF I HAVE SPONDYLOLISTHESIS?
Your spinal vertebrae stay aligned because of the connective tissues and facet joints that surround and support them.
Spondylolisthesis can be caused by a number of different joint issues, including congenital defects, trauma or injury to the joints, overuse, or extra stress on your joints from excess weight.
When vertebral slippage is slight, patients may not experience any symptoms. In many cases, however, spondylolisthesis can cause the following symptoms:
- Pain, tingling or numbness that radiates down the leg or arm
- Muscle spasms, especially in the back of the thigh
- Back or neck pain
- Issues with mobility, including walking
- In severe cases, incontinence might occur, if the nerves of the bowels/bladder are affected
WHAT IS THE RIGHT TREATMENT FOR ME?
Patients u will need to undergo a physical exam to test range-of-motion and an x-ray to confirm the extent of vertebral slippage.
The kind of treatment needed is generally based on factors like overall health, age and the severity of symptoms you have experienced.
In many cases, the first approach is conservative management of your condition, including plenty of rest, combined with pain and anti-inflammatory medication. In some cases, a prescription medication may be needed initially to help reduce swelling. Steroid injections may also help your condition. Combining medication and physical therapy can help to stabilize the spinal column and strengthen muscles.
Dr. Fadly may recommend surgery if the symptoms are severe and more conservative approaches do not provide you with enough relief.
Surgical treatments may include laminectomy, where a portion of the vertebrae is removed; or spinal fusion, which fuses together sections of the spine to prevent further friction and stabilize the spine.
If you have questions about treating your condition, make an appointment for a consultation with Dr. Magued Fadly and the team to determine the best course of action.