What is Lumbar Spondylolisthesis?
Lumbar Spondylolisthesis is the slipping of back bone (vertebra) forward when compared to the vertebrae below. It can happen at any level of the spine column (neck, upper back, lower back), most common at lower back region.
What causes Lumbar Spondylolisthesis?
Lumbar Spondylolisthesis can be caused by:
– Repetitive hyperextension movement of spine
– Spondylolysis, a crack in the pars interarticularis of vertebrae
– Sport injuries, commonly in gymnastics, diving, weightlifting, martial arts, football.
Different Classifications of Lumbar Spondylolisthesis
Spondylolisthesis is classified according to the percentage of slip of the vertebra, based on Xrays measurements:
- Grade 1 is 0–25%
- Grade 2 is 25–50%
- Grade 3 is 50–75%
- Grade 4 is 75–100%
- Over 100% is Spondyloptosis, when the vertebra completely falls off the supporting vertebra.
Signs and Symptoms of Lumbar Spondylolisthesis
– Back Pain
– Worst after certain exercise, especially with extension movement
– Numbness, tingling or weakness in the legs due to nerve root irritation.
– Severe of the nerves can cause loss of control of bowel or bladder function or cauda equina
Physiotherapy Treatments for Lumbar Spondylolisthesis
At heal360 Physioclinic, we provide specialised therapy for lumbar spondylolisthesis, depending on severity and condition after assessment.
Therapy may include:
– Advice on correct posture
– Pain Relief Treatments such as ultrasound, electrical therapy, heat therapy
– Spinal Decompression Therapy
– Manual Therapy to realigned joints and muscles in proper position
– Back stretching exercises to improve flexibility
– Back strengthening exercises to stabilise the spine muscles
– Clinical Pilates