Spondylolisthesis
Description
Spondylolisthesis is a condition where one of the vertebrae slips out of place over another in either a forward or backwards shift affecting the moveable joints of the spine. Degenerative spondylolisthesis is the most common type and is not the same as a slipped disc (misnomer of a herniated disc that leaks onto nearby nerves), it however does involve disc slippage. Spondylolisthesis generally occurs in the lumbar spine, but it can occur higher in the thoracic and cervical regions of the spine as well.
Causes
Spondylolisthesis can be caused by birth defects, traumatic blows to the spine, tumors, and age related spinal degeneration (diagnosis of arthritis is quite possible). Structural alignment, particularly pelvic imbalances, aggravate and worsen the underlying condition.
Primary Symptoms
Primary symptoms include low back pain, stiffness in the back, difficulty walking or running, sciatica-like issues, buttock pain, leg pain. Compared to other conditions spondylolisthesis pain is focused higher in the hamstrings and quads. The pain is typically bi-lateral (both sides) and there is often a noticeable dip (valley) in the spine.
Treatment Philosophy
The over-arching question is always..."why?" Why has spondylolisthesis developed? What reasons are contributing or causing the symptoms?
A thorough history will be completed to discover what activities and movements have contributed to the condition. Strategies to stop the aggravating factors will be discussed. Inflammation in the spine will be treated using Scenar. Structural misalignment will be corrected using Bowen. Structural issues must be addressed first as they cause increased stress on the spinal discs that lead to continued inflammation and further degeneration.
Expected Outcomes
By understanding posture and activity, reducing current inflammation with Scenar, and balancing the body structure with Bowen, positive changes will occur. A reduction of pain (usually in under 6 weeks) is very likely as body symmetry is restored. Structural alignment will result in improving space between vertebrae which ultimately lessens stress on the spine and reduces pain. Discs can stop being damaged and nerves irritated when spinal alignment and body mechanics are addressed.