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Spondylolisthesis

Spondylolisthesis

Slipping of one or more vertebra from the normal alignment of the spinal column is called as Spondylolisthesis. It is commonly seen in the lower lumbar region L4-L5-S1 region.

Causes include:

  • Lifting weights in wrong posture
  • Weakness of lower back muscles and ligaments
  • Degenerative process
  • Developmental anomalies
  • Traumatic reasons like athletes
  • Pathological causes

Signs and Symptoms:

Mild Spondylolisthesis may be asymptomatic.

Moderate to severe cases may complain of backache with or without neurological defects in the lower limbs.

Investigations done are X-Ray and MRI Scan.

Management:

It includes physiotherapy management along with medial management and also surgical intervention in severe cases.

Physiotherapy management includes the following:

  • Ultrasound Therapy
  • Inter Ferential Therapy (IFT)
  • Transcutaneous Electrical Nerve Stimulation (TENS)
  • Wax therapy and Short Wave Diathermy (SWD)
  • Intermittent Lumbar Traction (ILT)
  • Exercise therapy which includes lordotic and antilordotic exercises

Supportive management includes:

  • Bed Rest
  • Wearing Lumbosacral belt
  • Avoid standing/sitting for a long time
  • Avoid lifting heavy objects
  • Avoid two-wheeler journey
  • Toning of back muscles
  • Avoid manipulations

 

 

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