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There are many factors in why it could be more severe in some over others. The condition can be strongly linked to genetics; and associated with lifestyle and use. Interestingly, many people who do hard physical work may show fewer signs of spondylosis than people who had a sedentary job. Biomechanics, or the way our muscles stabilize and move our spine, plays a big role in the deterioration from spondylosis too. Mostly, there is no single cause. Read more: https://austinpaindoctor.com/spondylosis-spondylolisthesis-101-symptoms-and-treatment
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April 26, 2022 / Pain Management / pain management, spinal stenosis PONDYLOI V. PONDYLOLITHI 101: YMPTOM AND TRATMNT Y DR. VICTOR TAYLOR pondloi i an umrella term for deterioration of the pinal verterae and aociated tructure particularl the dic and facet joint. pondtolithei i a term ued when one of the verterae lip forward over another. CAU OF PONDYLOI AND PONDYLOLITHI pondloi i common and could e conidered a normal part of the aging proce. Though almot everone over the age of 50 ear old will have ome degree of pondloi, not everone will uffer from mptom of the condition. ×
There are man factor in wh it could e more evere in ome over other. TheThere are man factor in wh it could e more evere in ome over other. The condition can e trongl linked to genetic; and aociated with lifetle and ue. Interetingl, man people who do hard phical work ma how fewer ign of pondloi than people who had a edentar jo. iomechanic, or the wa our mucle tailize and move our pine, pla a ig role in the deterioration from pondloi too. For ome people a trauma, uch a a fall or motor vehicle accident, can tart the proce of pondloi. Motl, there i no ingle caue. Click To Chat With Us Now pondlolithei, on the other hand, i le common. Thi condition affect a relativel mall percentage of the population, and refer to the lippage of one vertera forward on another. Thi occur when part of the arch of one that protect the pinal cord either doe not form properl or fracture. YMPTOM AND TRATMNT OF PONDYLOI pondloi can occur at an place in the ack, though it i more common in the lumar pine/lower ack, and the cervical pine/neck. mptom uuall come on lowl and often egin with morning tiffne or decreae tolerance for tanding or other activitie. Finding a comfortale poition or even place to it can ecome a prolem. The deterioration of the dic, facet and other tructure can lead to increaed in몭ammation and pain. A the condition progree, mucle can ecome tight a the od trie to compenate. ventuall mptom ma involve the nerve that go to the leg or arm depending on where the prolem i. Thi can progre to pinal tenoi, or the narrowing of the pinal canal or foramen, where the nerve enter and exit the pine, leading to weakne and dif몭cult walking or lo of trength in the hand and arm. arl treatment can include over the counter antiin몭ammatorie, chiropractic care, phical therap and exercie. arl intervention aimed at improving iomechanic of the core mucle and mucle of the upper leg, can help low the advancement of pondloi or even revere it to ome degree. Inverion therap can e helpful ut conult our doctor efore tring thi. ome condition can e made wore traction and inverion. When mptom do not repond to phical therap, inverion or chiropractic, or are interfering with our function, it i time to ee an interventional anetheiologit. Minimall invaive outpatient procedure uch a epidural teroid can reak up adheion and decreae in몭ammation. Thi treatment can often eliminate the mptom in arm or leg completel, while helping with ack pain. In patient with onl pine pain, either ack or neck, medial ranch radio
frequenc alation can decreae pain and return ou to function. frequenc alation can decreae pain and return ou to function. For over 80% of people, in m clinical experience, thee intervention are effective. Man patient go for ear without pain after treatment. For thoe patient where the treatment i onl effective for up to 612 month, ou can repeat when necear to help maintain a higher qualit of life. In cae where pondloli ha progreed to the point of cauing weakne or moderate to evere tenoi, pinal urger ma e necear. If urger i not an option, or the pain perit even when ou have had urger, then pinal Cord timulation ma e the next option for ou. pinal Cord timulation i an advanced technolog that ha proven ver effective in cae of peritent pain that cannot e controlled other mean. YMPTOM AND TRATMNT OF PONDYLOLITHI mptom of pondlolithei often egin jut like pondloi. Mot patient with pondlolithei will alo have pondloi, although the oppoite i not true. When one vertera move forward over the other jut a little, we conider thi a grade I. If the vertera lip completel off the one it wa itting on, we conider thi a grade 5. A the lippage woren it can lead to pinal tenoi, which can put preure on the central pinal canal and the foramen. The narrowing can create preure on the nerve leading to mptom of radicular pain/pain down the leg, like ciatica, weakne and depending on where the lippage i, lo of owel or ladder control. arl treatment i imilar to pondloi and i directed at tailizing the core mucle and improving iomechanic. If the pain i pronounced and the lippage i not too far progreed, epidural teroid and medial ranch radio frequenc alation can help. If the lippage i a grade II or greater, or even a grade I with intractale mptom, or weakne, then pinal urger i likel necear. Of coure, onl a quali몭ed pine urgeon can a for certain when urger i needed. MDICATION AND PINAL PAIN Judiciou ue of antiin몭ammatorie can e ver helpful. Thee medication can damage the kidne and tomach o if uing more than a couple of time a week it i proal time to viit a phical therapit or chiropractor and get eriou aout our 몭exiilit and core. If ou are not reponding to thi tep, conult an interventional anetheiologit, often called a pain doctor.
A a general rule, trong opioid pain medication are not indicated for pinal painA a general rule, trong opioid pain medication are not indicated for pinal pain and can do more harm than good long term. However, there i no rule that 몭t ever peron and it i up to ou and our doctor to determine what i the et coure of action regarding medication. Medication that can quiet the ignal ent from hperactive nerve often aociated with pain can e effective and include gaapentin and Lrica among other. A noted NAID can e helpful ut could e harmful to the kidne and tomach; and are not appropriate for all people, due their individual health factor. For ome people mucle relaxant can help too. Generall we approach a treatment of pinal pain uing a three pronged approach: 1. Medication 2. Reha; and 3. Minimal invaive intervention, uch a epidural teroid and medial ranch radiofrequenc All three can e ued to help improve iomechanic. Where necear, pinal urger or pinal cord timulation with a continuation of medication, and trengthening can alo e the anwer too. GNRAL TRATMNT TO LIVING A HAPPY LIF Awarene i a good place to tart with either pondloi and pondlolithei. When ou have awarene of either condition ou can tart talking with our doctor and take the tep it take to upport our pain management and prevent further damage to our pine. Alo, generall living a health and active life will improve our mptom. Maintain a good core and a trength, tretch regularl, and work on the 몭exiilit in our pine and leg. Alo, the le weight ou carr on our lumar pine, will help improve our mptom of thee two condition; o it i important to ta in hape. A health lifetle i imperative to improving the iomechanic of our pine and will, therefore, create a etter qualit of life for thoe uffering from either condition.
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