Treatment For Sufferers Of Spondylolisthesis / Shift Of Bone Segments

Hello doctor, my father has a job that requires the body to lift heavy objects. And he often had back pain, sometimes the pain was unbearable so he had to be given pain relief. It often recurs if riding on a motorcycle for an hour starts lumbago. Then checked, from the x-ray results analyzed VS1-VL5 spondylolisthesis. What actions or therapies can be done? Thank you

1 Answer:

Hello Mentari Soka Iantono,

Spondylolisthesis is a condition in which there are vertebrae (vertebrae) that shift from their normal position to other vertebrae. Most often it affects the lower vertebrae, vertebrae L5 - S1, which is the main fulcrum of weight.

Symptoms of spondylolisthesis are:

Chronic pain in the lower back
Pain becomes more severe when coughing, sneezing, doing certain body positions
Pain that radiates to the buttocks, thighs, or legs
Numbness in the lower limbs

Spondylolisthesis can be caused due to degenerative (aging + accumulation of spinal use, including heavy lifting), trauma to the spinal region, infection, malignancy, surgical complications.

The diagnosis can be obtained based on history taking, physical examination results, and initial investigations such as spinal X-rays.

Spondylolisthesis therapy varies depending on the severity of symptoms experienced by patients, including:

Conservative therapy, especially if the patient does not experience neurological symptoms due to spondylolisthesis
Cold or warm compresses on the affected part
Physiotherapy, by applying certain movements such as spinal flexion and movements to strengthen the muscles of the spine and the core area (center of the body)
Use special corsets with braces

Sports like swimming are recommended to reduce pain. Avoid strenuous exercise that weighs on the spine.
Administration of pain-reducing drugs, such as NSAIDs (with doctor's instructions and clinical supervision)

Steroid injection
Surgery to correct the position of the spine

Regarding spondylolisthesis therapy, you can consult further with an orthopedic specialist. Examination needs to be done immediately if there are complaints of difficulty moving the lower limbs or severe pain that limits the activity even though pain medication has been given.

* In the midst of the Covid-19 outbreak, pay attention and follow the preventive measures that need to be taken when leaving the house, including when going to a health facility.

Thus the explanation from me, hopefully useful.

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