05/08/2023
๐ฆ๐ฝ๐ผ๐ป๐ฑ๐๐น๐ผ๐๐ถ๐, ๐ฆ๐ฝ๐ผ๐ป๐ฑ๐๐น๐ผ๐น๐๐๐ถ๐, ๐ฎ๐ป๐ฑ ๐ฆ๐ฝ๐ผ๐ป๐ฑ๐๐น๐ผ๐น๐ถ๐๐๐ต๐ฒ๐๐ถ๐: ๐ช๐ต๐ฎ๐โ๐ ๐๐ต๐ฒ ๐ฑ๐ถ๐ณ๐ณ๐ฒ๐ฟ๐ฒ๐ป๐ฐ๐ฒ?
๐ฆ๐ฝ๐ผ๐ป๐ฑ๐๐น๐ผ๐๐ถ๐: this essentially means that the space between your vertebrae narrows as the protective cartilage that cushions the ends of the vertebrae wears down with age. With time, you may notice you have more of a flexed (forward bending) posture. Individuals suffering from this may experience lower back pain, leg pain, and/or numbness when standing or walking; symptoms may only seem to improve with sitting or lying down.
๐ฆ๐ฝ๐ผ๐ป๐ฑ๐๐น๐ผ๐น๐๐๐ถ๐: refers to a stress fracture defect in the pars interarticularis of the vertebrae (commonly found in the L4/L5 region). This is usually caused by repetitive stress or trauma at the Lumbar spine from strenuous activities involving excessive twisting/rotating or back bending (ex: gymnastics, dancing, wrestling, and football.). Symptoms may or may not be present initially, but as the injury progresses, these individuals may complain of pain as they bend backward or pain with general activities.
๐ฆ๐ฝ๐ผ๐ป๐ฑ๐๐น๐ผ๐น๐ถ๐๐๐ต๐ฒ๐๐ถ๐: often refers to the progression of a spondylosis injury, but it may also be congenital or idiopathic in nature. Spondylolisthesis is defined as the displacement of one vertebra over the vertebral body below it (commonly known as a โstep offโ or โslipโ at the L5/S1 level); individuals may even notice the presence of a bump by the area of the slippage.
Individuals with this may complain of localized pain that may come and go with certain activities, and this may be the most notable when bending backward or forward at the affected segment. They may experience radicular pain down to one or both legs as the vertebrae slides and causes compression of the nerve root below, tense hamstrings, loss of bowel/bladder (rare), and difficulty with balance or walking.
๐ช๐ต๐ฎ๐ ๐ฐ๐ฎ๐ป ๐๐ฒ ๐ฑ๐ผ?
First, you can consult with your Doctor to obtain an MRI, CT, Bone scan, or X-ray to confirm the diagnosis and determine the extent of the injury. Treatments can involve both operative (surgical) or nonoperative/conservative management (Physical Therapy, NSAIDs/analgesics, and bracing). Generally, surgical interventions are reserved for those with significant symptoms or failure of conservative treatments.
TIPS:
With spondylosis, conservative management involving aerobic exercises such as biking and general strengthening and stretching of your whole body has been correlated to greater quality of life among adults with lumbar osteoarthritis. In addition, maintaining good posture throughout and maintaining our postural muscle strength can help to decrease pain and promote proper muscle length-tension relationships.
Medications such as NSAIDs or steroids to help reduce pain and inflammation. During this time, Physical Therapy may be recommended and can help with facilitating the healing process, reduce pain, strengthen and stabilize specific muscles, and help you navigate through your everyday activities.
Source: physicaltherapyfirst.com