The spinal cord or the vertebral column is made up of 33 small bones or vertebras. If one these bones slip out, the condition is known as spondylolithesis. A bone slips from its own position and slips onto the bone which is just below it. In children, it either affects first bone on the pelvic area or the fifth bone present in the lower back. This can be due to a sudden injury or some birth defect in those areas.
As far as adults are concerned, this happens mainly due to arthritis that is due to abnormal wear and tear of the cartilage. A fracture can also lead to spondylolisthesis. There are various options for the treatment of spondylolisthesis. They are given below.
Treatment For Spondylolisthesis
The treatment depends entirely on the severity of the slippage. Spondylolisthesis can be cure by stretch exercises that can strengthen the muscles present in the lower back, if the slippage is not very severe. In fact, doctors prescribe outdoor games if the condition is not serious and there is no pain.
This helps in making the muscles strong and with continuous physical exercise you will be able to resume all your activities slowly. Avoiding contact sports is important and also you should not put too much stress on your vertebral column.
Rest is also important for reducing the symptoms associated with this disease. Activities that involve lifting and bending should be avoided completely. Rest along with proper exercise can cure spondylolisthesis to a great extent. Make sure of contacting a good doctor who will give you the reference of an experienced physiotherapist who can help you.
A doctor prescribes treatment of spondylolisthesis as surgery depending on the type of spondylolithesis. Isthmic spondylolithesis requires surgery as its treatment. The defective portion of the vertebra is repaired and the patients are benefitted with this pars repair.
An MRI or PET scan is done to see the condition of the bone and the scar tissue is removed. This heals the defect after the placement of some bone graft in the area. Other surgical methods are also involved like decompression to make space for nerve roots which is accompanied by fusion with or without screws.
Medications And Injections
Since, spondylolistheis is associated with inflammation of the nerves and the muscles, anti inflammatory medicines can help to give you relief. This will also reduce the pain and give you some comfort. Steroid injections are given to patients who have tingling sensation in their legs. This is associated with numbness and pain as well. Steroid injections can be really helpful but they are prescribed only when it is absolutely necessary. Consult a doctor if there is severe pain and numbness.
This is also a treatment for isthmic spondylolithesis. The lumbar spine is extended and two portions of the defected bone close to each other and letting them heal. This method is really beneficial and has been proved to give positive results.
Depending upon the seriousness of your condition, your doctor will prescribe the treatment of spondylolisthesis that would cure you completely.