Forward slippage of a spinal vertebra is known as spondylolisthesis. It results from a spinal defect, fractures, or excessive degenerative changes with advancing age. Regardless of etiology or cause, spondylolisthesis is the cause of spinal instabilities that progressively worsen with age. It is a leading cause of disability and paralysis in persons over the age of 50. This article will familiarize you with the causes, signs, symptoms, and best treatment options. Learn all you need to know about spondylolisthesis and how to recover without surgery or injections.
Spondylolisthesis Is Treatable Without Surgery
Your spine is a collection of bones stacked one on top of the other. Behind every two bones is a joint that prevents the bone from slipping forwards or backward. Damage to these joints causes slippage to happen, and spondylolisthesis occurs. However, spondylolisthesis may also occur from traumatic injuries such as falling on the buttocks. But, the most common form is either degenerative (arthritis) or the congenital forms.
In adults, arthritis of the spine is the most common cause of spondylolisthesis and is most often seen between the 4th and 5th lumbar bones. In younger people, the most common reasons are stress fractures familiar to people that engage in gymnastics and fractures of the joints caused by a trauma such as an automobile accident.
Spondylolisthesis can be mild, moderate, or severe. The pain and problems it causes can lead to disability and even paralysis. It can cause all kinds of pain in the back, the hips the legs, and along the spine. Spondylolisthesis can pinch the spinal cord and cause damage to the nerves and be responsible for pain down the legs.
Spondylolisthesis is treatable without surgery. Technology and collaborative methods of care are key. Without expert chiropractic knowledge, clinical physiotherapy that incorporates a unique, and one of a kind exercise devise known as the Spinercise® to stabilize damaged spinal segments. Our integrative solutions and breakthrough technologies are critical to successful treatments of challenging spine conditions. We can stabilize a spondylolisthesis and help our patients rid themselves of the pain and problems from this potentially crippling condition
What Causes Spondylolisthesis?
Birth defects are the most common causes of spondylolisthesis. However, it also results from injuries and premature wear and tear. Traumatic injuries such as slip and fall or automobile accidents are common traumatic causes. The traumatic type of spondylolisthesis (forward slippage) is referred to as spondylolysis. Spondylolysis is discussed in the next heading.
The degenerative or premature wear and tear of the spine are the results of advanced spinal discs degenerative disease or DDD. Other degenerative causes include spinal arthritis and ligament damage. Exessive arthritic formation in the spinal joints known as facet hypertrophy and ligamentous issues involving the ligamentum flavum is common degenerative causes of spondylolisthesis.
What Is Spondylolysis?
Spondylolysis is an inherited condition (defect), induced by injuries (breaks or fractures), or due to degenerative changes that develop over time. Sudden onset spondylolysis occurs from falls, car accidents, or sports injuries that fractures the pars interarticularis. The developmental form of the degenerative type of spondylolysis occurs in the elderly. The main culprit in developmental type is a bone-weakening process such as osteoporosis and osteopenia. Patients with decreased bone density minerals (osteoporosis and osteopenia) are at higher risks for cracking their spine. The accumulated stress that develops in an osteoporotic spine can lead to breaks or cracks in pars interarticularis, and eventually, fracture the pars. The pars interarticularis is a small bony projection in the back of your spinal bones that forms the spinal joints. Patients with advanced degenerative spine conditions such as osteoporosis have higher risks of getting a spondylolysis.
To summarize, spondylosis is referring to defects in the pars interarticularis. Moreover, spondylolysis commonly presents with a forward slippage, as seen in spondylolisthesis. As such, the diagnostic term for spondylosis patients with a forward slippage is spondylolysis with spondylolisthesis. Spondylolisthesis with or without spondylolysis is gradable on the severity of their forward slippage.
What Are The Categories Of Spondylolisthesis?
The word spondylolisthesis referrers to a “forward slippage” that are categorized on a grading scale of 1-4. As mentioned, the slippage occurs due to defect in pars interarticularis or spinal instabilities. Regardless of etiology, there are four grades to a spondylolisthesis with or without spondylolysis:
- Grade-I Spondylolistheis: Slippage that is less than 25%
- Grade-II Spondylolisthesis: A 26-49% slippage
- Grade-III Spondylolisthesis: Forward slippage of 50-74%
- Grade-IV Spondylolisthesis: A slippage that is 75% or greater
Grade-I and even Grade-II are best treated non-operatively by our methods of chiropractic and physiotherapy. Grades-III and IV may do better with surgical intervention. However, surgery should also take into consideration patient age and overall well-being. In other words, for those with advanced age, surgery may not be a great option. In our centers, a spine patient is carefully evaluated to ensure that our methods are target specific. We go through a series of specialized diagnostic procedures to assert the stability of your spondylolisthesis. Once the evaluation process is complete, one of our clinical team members will go over your therapeutic options.
When there is no slippage associated with the “break” that is medically known as a spondylolysis. When slippage accompanies the breakage, it is known as “spondylolysis with spondylolisthesis.” Keep in mind that this breakage could be congenital (you were born with it) or developmental, resulting from an acute fracture or degenerative changes.
Is Spondylolisthesis Dangerous?
Spondylolisthesis is a dangerous spinal condition because it is progressive. In other words, a grade-1 spondylolisthesis can progress to a grade 2 and so forths. Moreover, spondylolisthesis results in accompanying disorders that involve spinal discs (slipped disc), spinal joint, and spinal soft tissues (muscles and ligaments). The accompany conditions resulting from a spondylolisthesis also worsen over time. The collective worsening of spondylolisthesis, slipped disc, joints, muscles, and ligament issues are the leading causes of disability and paralysis.
How Dangerous is Spondylolysis?
Spondylolysis represents a spinal condition in which there are fractures or breaks. Fractures, cracks, or breaks of any kind in the spine is a dangerous condition. Therefore, patients with compression fractures of the spine or spondylolysis must seek immediate treatment. Proper assessment of the entire spine and bone mineral density test is of utmost importance. Treatment must include nutritional supplementation as well as a palliative measure to ease the pain.
What Is The Best Treatment For Spondylolisthesis?
Non-operative treatments are always better, and there is no difference when it comes to spondylolisthesis. Surgery should be the last option and only reserved for an unstable condition.
Our technology and our team members (chiropractors and physiotherapists) are experts in the non-surgical treatment of spine and joint. Spondylolisthesis treatment in our centers is with advanced therapy equipment, clinical physiotherapists, and our research-based chiropractors in Malaysia. Rest assured, we excel in all three.
Our collaborative systems and specialized spine technology are not second to any in Asia. We succeed when others fail. Thus, so visit one of our centers to see what a clinical research-based team of Chiropractors and physiotherapists can do for you today. We can help. In adults, arthritis of the spine is the most common cause of spondylolisthesis (Spinal Instabilities) and often seen in the 4th and 5th lumbar bones. In younger people, the most common causes are stress fractures caused by accidents or a sports-related injury.
What Are The Common Co-Conditions Seen In Spinal Instability
Spondylolysis and spondylolisthesis are spinal instabilities that present with accompanying disorders that further aggravate spinal instabilities. It is critical to receive care for co-conditions as well as for spinal instabilities for a complete recovery. In other words, you need comprehensive or holistic treatments of the spine in its entirety for stability. Chiropractic Specialty Center® provides holistic treatment. In short, we get you better, even if others have failed. We have provided some of these accompany disorders (co-conditions) below:
- Back Pain
- Neck Pain
- Pain in the Arms or Legs
- Slipped Disc or Slip-Disc
- Spinal Canal Stenosis
- Facet Hypertrophy
- Hypertrophy of Ligamentum Flavum
- Muscle and Ligament Weakness or Imbalances
- Bone Spur (Spondylosis or Arthritis)
Failure of getting targeted, holistic treatment is the leading reason why so many opt for spine surgery. Spine surgery for spinal instabilities is not an option you should opt for. Spine surgery is the leading cause of spinal instabilities. So, why would you opt for procedures that cause spinal instabilities in the first place? Our Chiropractors in Kuala Lumpur has achieved significant success without surgery or injection. Call us today for a thorough assessment today.
Common Symptoms Associated With Spondylolisthesis
Spondylolisthesis can result in either neck pain or back pain, depending on its’ location. The symptoms can be mild, moderate, or severe. The pain in the back or down the legs is common. Also, many complain of numbness, tingling, and even weakness in one or both legs. It can even lead to erectile dysfunction in males and fertility issues in females. Thus, pain and symptoms can vary and have enormous implications affecting the quality of one’s life. It can cause pain in the back, pain in the hip, pain in the legs and pain along the spine.
Spondylolisthesis can pinch the spinal cord or the thecal sac and cause damage to the nerves, and may even cause health issues with bowels, bladder, and reproductive organs. It is better-treated non-surgery. Our Technology and collaborative methods of care are the keys. With our Chiropractic knowledge combined with physiotherapy and incorporating our unique, one of a kind Spinercise® technology, we cans stabilize an unstable spinal segment and help our patients rid themselves of the pain and problems of this potentially crippling condition. Proper and timely care is a must to avoid worsening of your spondylolisthesis, so visit us; we offer the best of Chiropractic in Malaysia.
What is The Best Non-Surgical Treatment Options For Spondylolisthesis?
Corrective chiropractic and clinical physiotherapy combined are the non-surgical treatment option. When it comes to spondylolisthesis, you need both chiropractic and physiotherapy. The goal with corrective chiropractic is the aid in spinal stability and proper alignment. Targeted clinical physiotherapy helps with soft-tissues (muscles and ligaments) balance, stability, and strength. It is critical to have both provided simultaneously.
The chiropractic treatment must be through non-rotatory methods. The rotatory methods (techniques) are those that require you to lye on your side for the chiropractic treatment of the lower back. The rotatory techniques or the twisting method of spine care is right for uncomplicated or straightforward conditions. Spondylolisthesis is a complicated spine condition that can worsen through the manual or rotatory (side posture) adjustments given by Gonstead or Activator methods. The best of non-rotatory methods of chiropractic care is the SOT and Activator methods. The chiropractors of the Chiropractic Specialty Center® use a combination of SOT and Activator methods for the spondylolisthesis patient.
Similar to chiropractic care, physiotherapy must follow non-rotatory methods that stabilize the soft tissues. Your physiotherapists should concentrate on your core muscles, as well as the muscles of your buttocks, hips, thighs, and legs. Muscular or ligamentous rigidity (tight muscles and ligaments) is common finings. Also, most will present with some degree of muscle and ligament damage. Muscle and ligament damage needs fixing and repair. To fix and repair damaged tissue, therapeutic devices, or technology is required. We have discussed in the next section.
Enrich Chiropractic & Physiotherapy Treatments With Specialized Therapy Devices
The manual methods of physiotherapy combined with corrective chiropractic are essential. However, to maximize the benefits of your care, you will need treatments from specialized medical and therapy equipment.
It is not possible to reverse and repair scar tissues, spinal disc damage, and damaged cartilage (joint issues) through manual methods. As such, therapy devices are essential to fixing and repairing of damaged joints, spinal discs, muscles, and ligaments of the spine in patients with spondylolisthesis. Medical and therapy equipment such as the RxDecom®, Spinercise®, ESWT Shockwave Therapy, ultrasound, electrotherapy, and flexion-distraction are essential to your recovery:
- RxDecom®: The RxDecom® is an advanced non-surgical spinal decompression therapy device that helps in the repair of spinal discs and joints.
- Spinercise®: This therapy device strengthens and stabilized your spine without stressing the joints or spinal discs. Spinercise® is highly targeted to focus on a specific muscle.
- ESWT Shockwave Therapy: ESWT or Shockwave Therapy is specific for healing and repair of damaged muscles, ligaments, and cartilage.
- Ultrasound Therapy: Therapeutic ultrasound has been around for decades. It helps the recovery of injured or damaged muscles and ligaments.
- Electrotherapy: There are various forms of electrotherapy. The most suitable is the Interferential Current Therapy and Russian Stimulation.
Call a Chiropractic Specialty Center® near you today to start your recovery. Our targeted methods of chiropractic and physiotherapy are enhanced with breakthrough therapy devices for lasting relief and stability. We are Malaysia’s best non-surgical center when it comes to spondylolisthesis treatment.