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Spondylolisthesis is a spinal condition where a vertebra slips out of its normal position, causing discomfort such as lower back pain, leg pain, numbness, weakness, and difficulty walking. It arises due to factors like degenerative changes, congenital defects, joint injuries, overuse, trauma, or a condition called spondylolysis. Spondylolisthesis has various types, including degenerative and isthmic types, each with specific causes. Severity is classified into grades based on the percentage of slippage.
Many IT professionals and desk-job workers in Mysore are susceptible to spondylolisthesis due to extended periods of sitting. Thus, consulting a doctor specialising in spondylolisthesis or seeking advice from the best doctors for spondylolisthesis treatment can help with the early detection and management of this condition. In the next section, we will explore the tests used to diagnose this disease.
Spondylolisthesis is divided into several types based on its causes:
Degenerative Spondylolisthesis: This type develops from age-related degeneration of spinal structures, such as intervertebral discs and facet joints, leading to vertebrae instability and slippage.
Isthmic Spondylolisthesis: This type results from a stress fracture in the pars interarticularis, often due to repetitive stress or trauma, particularly in activities involving hyperextension of the spine, such as gymnastics or football.
Congenital Spondylolisthesis: This type is present at birth due to vertebral developmental abnormalities, leading to later-life instability and slippage.
The symptoms of spondylolisthesis are usually non-specific but can include:
Lower back pain
Leg pain
Tight hamstrings
Difficulty standing or walking, bending or lifting
Numbness or weakness in one or both legs
Reduced range of motion in the spine
Loss of bladder or bowel control in severe cases, indicating nerve compression.
Spondylolisthesis is diagnosed by specialists in spondylolisthesis using a range of tests which can include:
Physical examination: Doctors assess the patient's muscle strength, reflexes, and sensory function, including touch, pain, and temperature perception.
X-ray: This test aids in determining the vertebrae's position and the degree of displacement present.
Computed tomography (CT) scan: It offers a comprehensive view of the spine, facilitating the detection of issues within the spinal canal with precision.
Magnetic resonance imaging (MRI): This produces detailed images of soft tissues, including muscles, ligaments, and nerves
At Apollo Hospitals in Mysore, a range of treatment options are available for spondylolisthesis:
Non-Surgical Treatment: This encompasses various approaches, including periods of rest, administration of pain and anti-inflammatory medications, engagement in physical therapy, receiving steroid injections, or using a back brace for support.
Surgical Treatments: When non-surgical interventions prove ineffective, surgical procedures like lumbar spinal fusion may be recommended by surgery doctors specialising in spondylolisthesis. This procedure aims to stabilise the spine and alleviate nerve pressure.
Spinal Decompression Therapy: Non-surgical traction therapy aimed at relieving pressure on compressed spinal nerves and improving spinal alignment.
Lifestyle Modifications: This encompasses activity modification to reduce spinal strain and symptom aggravation, along with weight management to alleviate pressure on the spine.
Physical Therapy: Tailored exercise regimens are designed to strengthen the muscles supporting the spine, promoting stability and mobility.
Pain Management: Pain management techniques such as nerve blocks or spinal injections are employed to address chronic pain associated with spondylolisthesis.
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H2 | What is Abacavir? |
H2 | Uses of Abacavir |
H2 | Dosage and Administration |
H3 | Important Considerations |
H2 | Side Effects |
H3 | Common Side Effects |
H3 | Serious Side Effects |
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H3 | Benefits of Abacavir |
H2 | Frequently Asked Questions |
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