What is a spondylolisthesis you ask? A common cause of low back pain in adolescent athletes. It can be seen on X-ray is a stress fracture in one of the spinal bones that make up the lumbar spine. The lowest lumbar vertebra known as L5 is the primary site of this stress induced fracture. In some cases it is congenital and there is no fracture. There is a malformed pars interarticularis that does not fully close up during gestation leaving the spinal cord somewhat exposed and weakened. The non union of the pars interarticularis allows for weakness in the vertebra which leads to pain later in life during teenage years mostly and up to 30 years of age.There does not have to be a trauma involved in the pain etiology.
You may be surprised to learn that adolescents all the way through age 30 are the segment of the population most likely to have a spondylolisthesis. Those athletes whose sport requires the act of hyperextension are even more likely to have a traumatically induced spondylolisthesis. The repetition appears to be the catalyst for the fracture. Rearward arcing of the back coupled with violent thrusts at odd angles put pressure on the pars interarticularis. There is some suggestion in the literature pointing to gymnastics, lacrosse, weight lifting, and football as the sports most likely to induce the spondylolisthesis. The incidence of spondylolisthesis drops off after the age of 30. Perhaps the older you get the wiser and take less chances physically resulting in less injuries.
To get a better understanding of spondylolisthesis imagine wrapping your arms around a tree but they don't go all the way around. There is a gap. So your arms go mostly around the tree but not all the way. For most people this will not present as a problem. That is until you start to put physical stress on the area around your hand that did not reach all the way around. The sports described above are the ones most likely to cause you to arch your back and then whip forward putting stress on the weakest link.
Contrary to the athletes will the best treatment is going to be rest until the active symptoms subside. There will always be instability in the area of the defect. Physically demanding sports csn cause the bone to slide forward adding greater stress to the dysfunctional joint. Rest can prevent the problem from exacerbating. a brace called the Boston Brace has been shown to be effective when combined with rest. Rest can mean no activity for several months.
Surgery is sometimes the only option to treat spondylolisthesis. In cases where the joint becomes too unstable and the risks become too great surgery needs to be a consideration. Especially if slippage progressively worsens or if back pain does not respond to nonsurgical treatment and begins to interfere with activities of daily living. A spinal fusion is performed between the lumbar vertebra and the sacrum. Sometimes, an internal brace of screws and rods is used to hold together the vertebra as the fusion heals. This does not look pretty but at least there is an option to consider. If you are a high level athlete you may have to consider retirement as an option.
The spondylolisthesis can be an inherited condition. Few are aware they have this condition until it becomes problematic.Some will respond to lower level therapy to strengthen the core and add flexibility. Raising the awareness of the spondylolisthesis is a good decision so it can be dealt with more effectively.
https://twitter.com/McKayB52
https://www.linkedin.com/in/darienchi...
https://www.facebook.com/Chiropractor...
https://www.youtube.com/user/CoreDarien
https://youtu.be/U4_VjugWJ6c
https://youtu.be/pHGQcRsmWCI
https://youtu.be/JlZFHm_V5Co
http://newswire.net/profile/BMckay
migraine headaches medicine Spondylolisthesis Relief Stamford 203-656-3636 Darien , Norwalk, New Canaan | |
1 Likes | 1 Dislikes |
202 views views | 284 followers |
How-to & Style | Upload TimePublished on 6 Jul 2015 |
Related keywords
chiropracteur paris 13,back pain exercises,chiropracteur paris 15,migraine headaches va rating,plantar fasciitis とは,plantar fasciitis pain,low back pain yoga,back pain relief,low back pain relief,chiropractor video,low back pain pdf,back pain traduccion,back pain meme,back pain pregnancy,migraine headaches meaning,back pain en español,low back pain definition,plantar fasciitis cause,back pain gel,chiropractor near me,low back pain treatment,chiropracteur 77,low back pain exercises,chiropractor cracking,back pain icd 10,plantar fasciitis socks,plantar fasciitis exercise,back pain causes,chiropractor definition,migraine headaches icd 10,migraine headaches treatment,plantar fasciitis cure,plantar fasciitis 日本語,low back pain nejm,plantar fasciitis massage,migraine headaches brain,chiropracteur,chiropractor london,low back pain symptoms,migraine headaches in pregnancy,migraine headaches and nausea,chiropractic table,back pain remedies,plantar fasciitis surgery,plantar fasciitis inserts,migraine headaches location,low back pain red flags,plantar fasciitis shoes,low back pain articles,back pain period,back painting,low back pain exercises pdf,plantar fasciitis causes,chiropractor in french,low back pain squats,plantar fasciitis symptoms,migraine headaches are now correlated primarily to chronic anxiety,plantar fasciitis exercises,low back pain causes,migraine headaches with aura,low back pain icd 10,chiropractor meaning,chiropractor traduction,chiropractor wikipedia,chiropractor salary,low back pain deadlift,migraine headaches relief,plantar fasciitis stretches,plantar fasciitis treatment,back pain cream,chiropracteur paris prix,chiropracteur etude,low back pain review,migraine headaches medication,plantar fasciitis taping,migraine headaches wiki,low back pain guidelines,low back pain a comprehensive review pathophysiology diagnosis and treatment,chiropracteur paris,migraine headaches remedies,chiropracteur versailles,back pain treatment,back pain when breathing,plantar fasciitis night splint,back pain doctor,low back pain clinical practice guidelines,migraine headaches types,plantar fasciitis 和訳,migraine headaches everyday,migraine headaches in children,migraine headaches while pregnant,back pain yoga,low back pain pubmed,migraine headaches causes,back painted glass,plantar fasciitis stretching,back pain red flags,chiropractor joseph cipriano,back pain cancer,
Không có nhận xét nào:
Đăng nhận xét