Can spondylolisthesis worsen even if I have no pain?
Spondylolisthesis is the actual slipping forward of the vertebral body (the term "listhesis" means "to slip forward") (Fig. 3). It occurs when the pars interarticularis separates and allows the vertebral body to move forward out of position causing pinched nerves and pain. Spondylolisthesis usually occurs between the fourth and fifth lumber vertebra or at the last lumbar vertebra and the sacrum. This is where your spine curves into its most pronounced "S" shape and where the stress is heaviest.
If the patient has no pain following this initial ..
Many symptoms of spondylolisthesis are similar to other disease processes. It's important for a qualified back specialist to do a complete evaluation and medical history to determine if the symptoms are those of spondylolisthesis. Lower back pain, particularly after exercising, is one of the common symptoms of spondylolisthesis. This may include pain and/or weakness in the lower extremities. Lordosis (or swayback) may be present and increase as the disease progresses. Exercise or walking may become difficult due to musculature tightness in the hamstring.
There may be no symptoms at all or there may intermittent or chronic symptoms. Pain is the main symptom. There may also be tingling, weakness or numbness radiating down the buttocks and leg (), caused by compression or irritation of nerve roots. Inflammation may trigger muscle spasms, which cause pain, stiffness in the back and sometimes an abnormal gait. Tightness in the hamstrings is another fairly common symptom of isthmic spondylolisthesis that can cause difficulty walking.
Spondylolisthesis Treatment, Surgery & Symptoms
Spondylolysis (spon-dee-low-lye-sis) and spondylolisthesis (spon-dee-low-lis-thee-sis) are separate, yet related conditions. Spondylolysis usually comes first, though not always. The term comes from "spondylo," which means "spine," and "lysis," which means to divide. Spondylolysis is a breakdown or fracture of the narrow bridge between the upper and lower facets, called the pars interarticularis. It can occur on one side (unilateral) or both sides (bilateral) and at any level of the spine, but most often at the fourth or fifth lumbar vertebra (Fig. 2). If spondylolysis is present, then you have the potential to develop spondylolisthesis.
Learn about the types and symptoms of spondylolisthesis
When spondylolysis and spondylolisthesis do cause pain, you may experience low back pain, stiffness, and muscle spasms. You may also have sciatica (pain radiating down one or both legs), or numbness, though this is not common. Leg pain will usually be worse when you stand or walk.
The most common symptom of spondylolisthesis is lower back pain
The amount of pain you have depends on how fast your vertebrae are slipping. If you have very subtle symptoms, you may only feel tightness in your hamstrings or find that you can no longer touch your toes, but not feel any nerve pain.
Spondylolysis and spondylolisthesis - Mayfield Clinic
It is important to recognize that the presence of spondylolisthesis does not necessarily require surgical intervention. Many people who have spondylolisthesis may never develop symptoms, and most have only minor symptoms which can be treated with over-the-counter medications. Even those who develop more severe symptoms requiring a visit to Dr. Pablo Pazmino can be treated successfully with medication, acupuncture, chiropractic management, and physical therapy. Dr. Pablo Pazmino works with a team of health care practitioners to choose the treatment option that best meets our patient's needs and desires.
Spondylolysis and Spondylolisthesis of the Lumbar …
The most common symptom of spondylolisthesis is low back pain. Many times a patient can develop the lesion (spondylolysis) between the ages of five and seven and not present symptoms until they are 35-years-old, when a sudden twisting or lifting motion will cause an acute episode of back and leg pain.