Lumbar Spondylolisthesis (Best Exercises, Rehab, Advice & Myth Busting for Back Pain Relief)

#backpain #spondylolisthesis #spondylosis #backpainrelief
Spondylolisthesis is a condition that occurs when one vertebral body slips with respect to the adjacent vertebral body causing radicular or mechanical symptoms or pain. It is graded based on the degree of slippage of one vertebral body on the adjacent vertebral body.
Spondylolisthesis most commonly occurs in the lower lumbar spine but can also occur in the cervical spine and rarely, except for trauma, in the thoracic spine. There are five different types, traumatic, pathological, congenital, isthmus and degenerative.
Timeline:
0:00 Start
0:24 Relevant Anatomy
1:14 Mechanism of Injury
1:42 Evidence Review
2:24 Clinical Presentation
3:09 Exercise/Rehabilitation
6:05 Types of Spondylolisthesis
6:51 Grades of Slippage
7:13 Clinical Diagnosis
7:26 Is surgery needed?
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References:
www.ncbi.nlm.nih.gov/books/NB...
pubmed.ncbi.nlm.nih.gov/26210...
pubmed.ncbi.nlm.nih.gov/25797...
www.ncbi.nlm.nih.gov/pmc/arti...
pubmed.ncbi.nlm.nih.gov/12890...
pubmed.ncbi.nlm.nih.gov/33792...
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The information provided in this video is intended as general information and not a substitute for individual medical advice regarding your medical condition. To the extent permitted by law, neither Performance Sport & Spine, nor any of our officers, employees, agents or related bodies corporate will be liable in any way (including for negligence) for any loss, damage, costs or expenses suffered by you or claims made against you through your use of, or in connection with, this video or information supplied or offered to be supplied on this video. Although we use our best efforts to provide accurate information and other materials on this video, the video is provided “as-is”. To the extent permitted by law, all warranties, conditions and representations provided about or by this video are excluded. Redmond, WA Chiropractic

[@viskovandermerwe3947]

This video has the most compact information that I found here. This video also confirm that it's NOT the end of the road for me.

[@PerformanceSportSpine]

Those were our two main objectives! Keep up the good work and let us know if you have any questions

[@rayray8840]

Wow great stuff, similar to what I do in Pilates, i was just diagnosed with spondylolisthesis and two neurosurgeons said spinal fusion, i really don't want to do that. I believe that i can strengthen myself in order to live with this. I have to stop heavy construction and probably ice hockey, but so be it , i will find something else to do. I'm 65 going on 45 😜. I thought 😮😅. Thanks for the video, really made me re- think my options, first therapy, maybe injections, lastly surgery.👍🏻💪🏻

[@PerformanceSportSpine]

Thanks for the nice comment! Sounds you have a very smart and logical treatment strategy moving forward. With these there are a few things to best to stop, but most can be prepared for likely anything else. Age is just a number and there is so much we can do to help yourself. Keep up the great work!

[@DrRodneyMcDermott]

Excellent information. Thank you kindly.

[@PerformanceSportSpine]

You bet! Thanks for watching

[@KTen-cm6wx]

Superb video. I’m 71 and have severe lumbar spondylosis. I live on meds and I’m ready to start something new.

[@PerformanceSportSpine]

You can do it! Thanks for the nice comment. This should give you what you need. Please don't hesitate to ask if you get any questions.

[@KTen-cm6wx]

@@PerformanceSportSpine 2:01

[@marlenewourms6553]

Thanks for explaining this

[@PerformanceSportSpine]

Happy to help

[@marlenewourms6553]

@@PerformanceSportSpine I have antorlosthedis & spondalities. Still trying to do weight lifting & walking. Makes it very difficult

[@PerformanceSportSpine]

Sorry to hear that. Please let us know if you have any specific questions along the way. Keep up the good work!

[@LS-qs3ti]

Very helpful

[@PerformanceSportSpine]

Glad to hear that!

[@lovesdoggies1481]

Yes I do these exercises

[@PerformanceSportSpine]

There are others that can be helpful as well

[@lovesdoggies1481]

I had injury from my x who tossed me on speed-bump and doc said he moved my back area tailbone forward and did shots and therapy recommended brace I said no. Now it really hurts but I also have only one kidney doctor did mri on brain and kidney I had stroke yr hard ago too cause coordination issues and speech but I just want to get better it hurts where I have no kidney the most and yes rides my bike or walking long it swells lower middle back I have apt 20 to nuerologist

[@PerformanceSportSpine]

That's awful to hear. Hope the neurologist appointment will help.

[@curiousc9259]

I have anterolisthesis at L5-S1 are these exercises good for me? I also have Lumbar Lordosis (flat back).

[@PerformanceSportSpine]

Yes, these will help you. They can also help the other issue you stated

[@coreyoconnor7113]

I have been told to avoid back extension, this is in response to the supermans. I have been told I have either L5 L6 spondy or L5 S1 from a different practitioner. I have tried hip extension bridges weighted and back extn from a flexed position but I am afraid to do back extn and I have been avoiding twisting to as I have been told I have an l5 facet fracture. These are new dx for me and I work as an OT so I have patients with back fractures on a regular basis on my caseload.

[@PerformanceSportSpine]

We would recommend get a flexion/extension x-ray done of your lumbar spine (low back). That can determine is the spongy is stable or not. Also depends on the Grade. If it is a grade 1 it will likely not limit and activities.

[@Farhankhan-oh2zk]

I had done my extension nd flexion xray. I hv unstable grade 1 spondylisthesis at L5s1...will be this exercises helpful for me?

[@stalkerszzs]

i have pars defect L5 on both left and right sides. Will the rehab exercises help me?

[@PerformanceSportSpine]

Yes they will. Let us know if you have any questions along the way.

[@mrnobody2795]

Does all spine imbalance considered spondylondosis?

[@PerformanceSportSpine]

No, there needs to be structural changes to your spine.

[@maryannriley4115]

What about rebounding with this condition?

[@PerformanceSportSpine]

If it is a grade 1 and stable than yes. Otherwise would need to be evaluated.

[@cryeredd7563]

is spondylostises or retrolostises known for pain when forward bending or backbending? i have more issue w backbending, pain at L5 (below but not above) , and my spinous process at L5 is definitley more pronounced.

[@PerformanceSportSpine]

They both can. With these it is more about the grade or severity of the issue. Have you had any x-rays or imaging done?

[@cryeredd7563]

@@PerformanceSportSpine i have not

[@cryeredd7563]

@@PerformanceSportSpine i see. i only have pain at l5/s1, but the spinous process at L5 is much more pronounced than those above or below it. like it juts backward. would that give any indication that it is spondy instead of retrolostises? or the converse? i appreciate the response and any insight you could give.

[@PerformanceSportSpine]

The only way to assess the spine is with imaging, specifically a flexion/extension x -ray to see how much movement there is a t the level with the pars fracture. As for the spinous process being larger, it is common that some of bones are just naturally larger than other. Please let me know if you have any questions @@cryeredd7563

[@denniscasely-hayford3245]

I read some where that walking is goid exercise to rehab from this condition. However, I have noticed that when I increase the number of walking laps, I get more pain, especially around the bone at my lower back adjoining the buttocks. Help. What do I do?

[@PerformanceSportSpine]

This video will help you with that: kzbin.info/www/bejne/a3fKq5lqapqKo5o

[@Cevans1238]

Possible to play basketball safely at a high level with grade 1 ? Age 18

[@PerformanceSportSpine]

It is extremely likely that you will be able to play and do every thing life with a grade 1. We do recommend getting a flexion/extension x-ray of your low back to make sure that it is stable.

[@mohandalrmha5461]

I have a herniated disc. Is this an exercise to go for a herniated disc? I am 30

[@PerformanceSportSpine]

These will help with that as well. Make sure they don't cause pain, however

[@mightymouse1able]

I have grade two. I love playing pickleball. If I strengthen my core as these wonderful exercises indicate, may I return to that sport?

[@PerformanceSportSpine]

Most people with a grade 2 can return to their activities, with the right rehab and appropriate dosage when returning to sport (you will likely have to use a pickle ball as part of your rehab and gradually increase your playing time/intensity). Also with a grade 2 we recommend getting a flexion/extension x-ray to see if or how much movement there is.

[@mightymouse1able]

Thank you!!

[@kirktuss4819]

Dude you look exactly like Trent Baretta

[@PerformanceSportSpine]

Cheers!

[@staytight6340]

I'm the 354th viewer Yay 🤣

[@PerformanceSportSpine]

Thanks for watching

[@danielhopkins296]

What if sitting down helps relieve pain but makes it worse when you get up?

[@PerformanceSportSpine]

Sitting probably helps the spine d/t the position, but the lack of movement causes the spine to tighten up, then when you go to move the spine is stiff/painful and takes a while to improved. Things like graded exposure to crunches are a great rehab idea for this.

[@danielhopkins296]

@@PerformanceSportSpine you are so awesome, thnxs a zillion for your valuable time 🙏

[@PerformanceSportSpine]

@@danielhopkins296 Yelp! Anytime

[@mrnobody2795]

Does imbalance spine always category as spolylondosis ?

[@Jimmy_Kemmel_is_a_pedo]

Tge more therapy I do, the worse it got.

[@PerformanceSportSpine]

This can be a very frustrating condition to rehabilitate. Hopefully this video gives you some new options/advice