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Orthopedics Community
This patient support community is for discussions relating to orthopedics, back pain, bone or joint pain, broken bones, carpal tunnel syndrome, hip or knee replacement, neck and shoulder pain, orthopedic surgery, osteoporosis, spinal injury, sports injury, and tennis elbow.
back surgery
by marinamyla, May 30, 2008 10:34AM
mri and x_ray result was grade 1 spondylothisthesis due to spondylolysis of l5_s1...having pt session for almost 2 years...but no improvement....instead...suggestive fracture on l5 pedicles....right now..taking pain relivers and muscle relaxant....but now..i feel devastated...which my family doctor promotes me to have a surgery...ive been through diff..kinds of surgery like...thyroid....hysterectomy and mastectomy....this time...iam afraid..thats why i want to seek opinion from you doktor....in my case...is surgery was really needed..or have other option for my condition?pls advice.....right now...if i will not take my pain reliver..i couldnt sleep...bec...of too much pain...radiating to my calf muscles...there is a tingling sensation..and numbness...theres a deep nagging pain at my lower back>>>if surgery was really needed...pain my pain will be cure?and my condition will be relieve or corrected?pls...help me secure thank you
Post Comment
Degenerative spondylolisthesis is often associated in older age group and patients have coexisting medical issues that must be taken into consideration when deciding appropriate treatment.
What is your age? What other associated medical conditions you have?
Did you suffer from any trauma in the recent past?
Surgical treatment is indicated when any type of spondylolisthesis is accompanied by a neurologic deficit. Persistent disabling back pain after conservative management may be considered an indication. High-grade slips (greater than 50%) more commonly require surgical intervention.
Bracing has been shown in some studies to reduce symptoms and to facilitate healing. Some sources advocate more extensive bracing with inclusion of most of the thorax (to the nipple line) and the thighs. Recommend use of the device for 3-6 months.
Steroid injections for pars pain have been advocated by some physicians. Epidural steroid injections may help radicular pain or neurogenic claudication.
Treatment for degenerative spondylolisthesis may include bracing, facet or epidural steroid injections, along with the above mentioned physical therapy approach.
Nonsteroidal anti-inflammatory drugs (NSAIDs) are used most commonly while narcotic analgesics are used for breakthrough pain.
(Refer: http://www.emedicine.com/pmr/TOPIC69.HTM#section~Treatment)
Take care
Best