Spondylolisthesis is a condition where one bone in your back slips over the bone. It most frequently appears in the lower back (lumbosacral region). Sometimes, this may lead to your own spinal cord or nerve roots being pressed. This can cause numbness and back pain in both legs or one. In infrequent instances, it may also make you lose control over your bladder. See a physician immediately if you start losing bladder control.
Occasionally when it slips you can have no symptoms or no symptoms whatsoever until years after. Afterward, you can have pain in buttock or your low back. Muscles may feel poor or tight. You may hobble.
The bones in your back come at several little joints that keep while letting them go the bones lined up. A difficulty causes spondylolisthesis with at least one of those little joints that enables one bone to go.
- Any of several issues may cause spondylolisthesis with the little joints. You may have:
- A faulty joint which you've had since birth.
- A joint damaged by a collision or other injury.
- A vertebra caused from overuse.
- A joint damaged by arthritis or an illness.
Adolescents and kids involved in sports affect.
It can be developed by older adults, because wear results in stress fractures. In addition, it can happen without stress fractures when joints and the disk are worn down and slip from area.
Symptoms may comprise:
- Numbness or weakness in both legs or one.
- Difficulty walking.
- Back pain.
- Pain with both legs.
- Decline of bladder control, in infrequent instances.
Occasionally no symptoms in any way is caused by spondylolisthesis.
Your physician can look at X rays of your back if she or he imagines you've spondylolisthesis. They will reveal if the vertebrae have cracks or breaks and have slipped from area. You might have an MRI or a CT scan to nail the damage and guide treatment.
Treatment starts with discontinuing any physical action which could have led to damage. To help alleviate pain, take nonsteroidal anti-inflammatory drugs, including ibuprofen (for example Advil) or naproxen (for example Aleve). Don't give aspirin to people younger than 20 due to the danger of Reye syndrome, a serious sickness. Acetaminophen (for example Tylenol) also can help with pain.
Physical therapy is frequently suggested by doctors to develop belly and back muscles (heart strengthening). In individuals that are heavy, weight loss may additionally help.
Bones continue to go or when pain is extreme, or if you have a root or spinal cord damage associated with the spondylolisthesis, operation will often help. Operation may be done to remove other tissue or bone to take pressure off the spinal cord or nerves (decompression). Or operation can be done to fuse the bones in place. Occasionally fusion and decompression are done during the exact same operation. After these operations, you may have to wear a back brace or cast for some time. Afterwards, rehabilitation treatment will make your muscles move simpler and stronger.