Louisiana Pain Specialists

Spondylolisthesis

What Is Spondylolisthesis?

Spondylolisthesis is a condition that affects the spine and often leads to lower back pain. It happens when one of the bones in your spine, called vertebrae, slips out of position and rests on the bone below it. In most cases, symptoms can be managed with noninvasive treatments. If the condition is severe, surgery is usually a successful option.

Common Types of Spondylolisthesis

Congenital spondylolisthesis begins before birth. In these cases, the spine doesn’t develop properly in the womb, which can increase the risk of vertebral slippage later in life.

Isthmic spondylolisthesis is caused by a small crack or fracture in a part of the vertebra. This damage weakens the bone and can lead to instability.

Degenerative spondylolisthesis is the most common form. It usually develops with age as the spinal discs, which act as cushions between the bones, begin to dry out and thin, making it easier for a vertebra to slip.

Less Common Types

Traumatic spondylolisthesis is caused by a sudden injury that moves the vertebra out of place.

Pathological spondylolisthesis occurs when a condition like osteoporosis or a tumor weakens the spine and leads to slippage.

Post-surgical spondylolisthesis can develop after spinal surgery as a complication of the procedure.

What Causes It?

Young athletes are often affected due to repeated overextension of the spine. Genetics may also be a factor, especially for those born with naturally thinner vertebral bones. In older adults, normal wear and tear on the spine over time can also lead to the condition.

Symptoms to Watch For

Some people with spondylolisthesis have no symptoms at all. For others, lower back pain is the most common sign. The discomfort can also spread to the buttocks and thighs. Other possible symptoms include:

  • Muscle spasms in the back of the thighs
  • Stiffness in the back
  • Difficulty walking or standing for long stretches
  • Pain when bending forward
  • Numbness, tingling, or weakness in the feet

Treatment Without Surgery

Most people find relief through nonsurgical methods, including:

  • Rest: Avoid high-impact activities and give your spine time to recover.
  • Medication: Over-the-counter pain relievers like ibuprofen or naproxen can ease inflammation. Your provider might recommend prescription options if needed.
  • Injections: Steroid injections can help reduce inflammation and pain in the affected area.
  • Physical therapy: A therapist can guide you through exercises that strengthen your core and support the spine. Many people feel better after a few weeks of regular activity.
  • Bracing: In children and teens, a back brace may help stabilize the spine and encourage healing. Braces are not typically used in adults.

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Epidural Steroid Injections (ESI)

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Alabama Anesthesiology & Pain Consultants Offers Relief From Spondylolisthesis

If spondylolisthesis is affecting your quality of life, you’re not alone. Our Alabama Anesthesiology & Pain Consultants spine specialists are here to help you find relief with a treatment plan designed around your needs. Call us today to schedule a consultation and take the first step toward better spinal health.