30/01/2024
Conditions of spine :
>>>>>>>>✅ names begin with “spondyl” describes a health condition of the spine. But that’s where the similarities among spondylosis, spondylitis, and spondylolisthesis. They all have different symptoms, risk factors, and treatments.
****✅Spondylitis (“itis” means inflammation) is the only one that is an inflammatory condition.
****✅Spondylosis (“losis” means problem) results in wear and tear on your spine and occurs as you get older.
****✅Spondylolysis is a stress fracture through the pars interarticularis of the lumbar vertebrae.
**** ✅Then there is the tongue-twisting condition called spondylolisthesis. The name combines “spondyl” with “listhesis,” which means “slipping, sliding, or movement”. Bones in your vertebrae slip out of position, moving either forward or backward.
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>>>>✅Spondylitis Causes Pain and Inflammation.
A chief symptom of spondylitis is back pain that comes on with stiffness in the morning and lasts for at least half an hour. Over time, this condition can proceed to ankylosis, or new bone formation on the spine. If this happens, sections of the spine can fuse. It is then known as ankylosing spondylitis (AS). It Ankylosing spondylitis is an inflammatory condition that causes pain, stiffness, and inflammation in other parts of the body like the hips, ribs, shoulders, heels, and other joints.
“✅In spondylitis, the immune system actually attacks the spine and causes inflammation,”
Age is not a factor with this one. It definitely tends to affect the young.
Treatment includes not just medication, exercise, and physical therapy, but also good posture practices.
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>>>>✅Spondylosis Is Wear-and-Tear Arthritis
When osteoarthritis affects the joints in the spine, it’s called spondylosis. spondylosis is very common in older people. More than 80 percent of people over 40 will have some degeneration, or wear and tear, of the spine
While spondylosis can be painful, the pain does not radiate to the arms or legs. It tends to be more common when you have been active or sitting for a long time, and you may have stiffness when you get out of bed in the morning or when you sit for a long time.
imaging test like an X-ray, CT scan, or MRI. You may be given nonsteroidal anti-inflammatory drugs (NSAIDs) or pain relievers. Narcotic pain relievers should be used sparingly for these age-related degenerative conditions. Physical therapy and exercise, such as swimming also help
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>>>>✅Spondylolysis is a stress fracture through the pars interarticularis of the lumbar vertebrae. The pars interarticularis is a thin bone segment joining two vertebrae. It is the most likely area to be affected by repetitive stress. This condition is fairly common and is found in one out of every 20 people.
Spondylolysis is a very common cause of lower back pain in kids, teens, and young adults. It usually heals with rest and physical therapy. Surgery usually isn't needed.
Without treatment, spondylolysis can lead to spondylolisthesis
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>>>>>✅Spondylolisthesis Is Misaligned Vertebra.
Spondylolisthesis develops when a vertebra has actually slipped forward or backward onto the vertebra below it. This puts pressure on that lower vertebra. Often, people have no symptoms but it can cause nerve compression or a “pinching” of the nerve roots, which can lead to pain radiating down an arm or leg.
There are various kinds of spondylolisthesis, but the most common one is degenerative spondylolisthesis. This means that it develops as people get older. With age, the discs that cushion the vertebrae lose water and get thinner. This is a risk factor for those bones to slip out of position. The second most common form of spondylolisthesis is when there is a crack in the spine.
“Typically, people have pain with activities and when they sit and relax, the pain resolves.”
✅The treatment is typically physical therapy, and medication management like nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin. Epidural steroid injections.
Dr Rutu physiotherapist
