What Is A Spondylolisthesis? | Treatment For Spondylolisthesis

What Is A Spondylolisthesis? | Treatment For Spondylolisthesis

What is a spondylolisthesis? As a back pain expert in London, we see cases of spondylolisthesis. This is a problem that can cause lower back pain as well as neck pain depending on where it occurs. Many people wonder 'why does it hurt when i walk' or 'why does my lower back hurt wen I walk', if you're looking for a back pain specialist london, make sure to click the link below to see how we can treat spondylolisthesis. We provide the best lower back pain exercises so learn more here:

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Spondylolisthesis is a condition that can predominantly affect the lower two sectors in your lumbar spine. But it can also affect the neck as well. Now, in both areas essentially is the same process, but I'll explain it with most reference to the lower back because that's where they most commonly occur. Now, it's typically the L4-5 or the L5-S1. And what it essentially is, is that there is one of two scenarios. Number one, there's a fracture or progressive fracture through this junction here between the back and the front part of the vertebra, or there's something called a pars defect. And you might have had this on a report if you ever had any scans done and watching this video, and that is where essentially, when your bones are first there, there is a cartilage shell and they turn into bone slowly and they have generally two or more oscification centres. So this is where the cartridge turns to bone essentially. And it happens for example, in the femur here, where we have one here and one here and where they meet, they get a little endplate and those remain as growth plates through your adolescent years, and then they fuse. Now that same process takes place in here. The problem is, when there's a pars defect, that little growth plate that I mentioned, it doesn't fuse. And therefore you've got bone-bone with the cartilage in the middle, cartilage obviously not being as strong as continuous bone, creates a weak point. And that is where then the front of the bone here, the body can start to slip forwards. And that is what creates the spondylolisthesis.
Now they're graded in a very simple manner. Grade 1-4 means it's one quarter of the way through two is halfway, three is 3/4s, and four is it's all the way forward. And in a lot of cases, the more severe spondylolisthesis there'll be some degree of conversation with regards to surgery to bolt the thing in place, but it's highly unlikely you'll be watching this video, if you've got a grade three or four spondylolisthesis. The grade 1, on the other hand, is something that we do find from time to time. It can also be a more degenerative process whereby these facets start to wear because of excess forces on them, driving that vertebra forwards. But you'll note that even on this model, because of the structure of the spine, I can't pull them forwards, it doesn't allow me to, and that's the same as your spine. And when something fails, things start slipping forwards. And one of the things that we see from our experience is that commonly patients will have a degree of disc bulge, and they'll have had an MRI lying down on your back, for example, and, it'll say there's a disc bulge and then when we stand the patient up and look at them on an X-ray, we actually realise 'oh actually is not just a disc bulge, that vertebra shears forwards when they stand up. And that is a different kettle of fish, it might explain why you haven't gone through the normal healing process that someone with a disc bulge might have, because they're a little bit more complexity. So spondylolisthesis are a little bit more of a severe injury to the lower back, but they don't necessarily need to be a long term problem - symptomatically anyway - if they're dealt with correctly. And you can read more on our website about the treatments that we do, but typically we're doing laser therapy to help speed up your inflammation. We want to do a degree of decompression to take pressure off that spine, particularly the other joints around that spondylolisthesis.

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