![]() ![]() Some patients have a palpable step-off sign at the lumbosacral area. Spondylolisthesis may be asymptomatic or cause lumbar pain on exertion, gait problems, radiculopathic pain, or urinary incontinence. Other forms of spondylolisthesis may be associated with congenital disease, trauma or bone fractures, and underlying bone pathology (e.g., Paget disease). Degenerative spondylolisthesis occurs at L4–L5 and most commonly affects individuals over 50 years of age. This form is most prevalent in children and adolescents and is often associated with repetitive hyperextension of the spine (e.g., in gymnasts). Isthmic spondylolisthesis is associated with a disruption of the vertebral ring and most commonly occurs at L5– S1. The two most common forms of spondylolisthesis are isthmic and degenerative. The condition affects up to 10% of the population. Sorry for the long post… it has just been a bit of a mental challenge over the last few days trying to digest the news, rejig goals and plan ahead.Spondylolisthesis is a condition in which a vertebral body slips anteriorly in relation to the subjacent vertebrae. How do you know when your nerve is getting damaged? When you should implement a solution to prevent nerve damage?ģ. Has anyone encountered something similar and what path did you take?Ģ. My preference would be to prevent or delay surgery for as long as possible whilst limiting any future damage to my back and nerves.ġ. I am just more consciously aware of the issue, which has probably affected me more mentally than anything else. I am not getting any share shooting pains done my body (leg), I am walking fine, have no back pain, etc. I kind of agree with the second opinion but I don’t want to risk nerve or back damage. He said to monitor this over the next 2 months to see how it progresses. ![]() He didn’t think the current nerve issue was serious as I was only feeling limited pain or numbness. In the meantime, I went to get a second opinion (expert spine physio), who did not agree with the advice and suggested I try passive treatment which would involve no more running and slow build up to core training with stretches. ![]() I am seeing the surgeon this week to see what his recommendation is. The medical expert has suggested I undertake surgery which would involve a fusion (ALIF and PLIF), which was a major shock gut wrenching. One good news is that the Spondylolisthesis seems stable based in flexion / extension X-rays Unfortunately the result came back with grade 2 Spondylolisthesis with some impingement of the nerve. However in January the tightness and slight numbness came back so I decide to get an X-Ray and MRI done. Things seem like they were getting better in Dec. I decided to see another physio who treated the issue as piriformis strain. This can be triggered by running up to 7-10km or standing and sitting for too long. However, my right calf and hamstring would feel pretty tight minor tingling on the right lower and outside of the calf and top off foot. After physio treatment over two months the hip pain went away and hasn’t come back. Pain was generally a 2 but one stage hit a 7 on a scale of 10. It would take a good 10-15 mins to walk off the pain / stiffness. It has been quite a journey to get here, but 4 months ago I encountered right hip pain and tightness when waking up in the morning. However, there has been no recent incident that I can recall that would have caused this injury. I was an active runner over the last six years running a few marathons and ultra runs. I have just been diagnosed with grade 2 Spondylolisthesis at L5/S1 with bilateral pars defect at L5, which has resulted in posterior uncovering of the disk and impingement of bilateral L5 existing nerves (worst on left side). ![]()
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