Top 15 Signs and Effect of Spondylolisthesis
The Top 15 Signs and Effects of Spondylolisthesis Are:
1. Low Back Pain
One of the most common symptoms of spondylolisthesis is pain in the low back area. There is often a dull, aching pain that worsens with activity and feels better with rest. The pain results from the instability in the spine and compression of nerve roots when the vertebra slips out of place. Standing, walking, and bending tend to aggravate the pain.
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Tight or shortened hamstring muscles are a common sign of spondylolisthesis. The hip flexors also become tight as the pelvis tilts forward to compensate for the slipped vertebra. Stretching and massage can help ease the tightness but it tends to recur due to the constant pelvic misalignment.
3. Weakness or Numbness in Legs
As the slipped vertebra presses on the nerves of the lumbar spine, it can cause sciatica-like symptoms down the legs. You may feel weakness, tingling, or numbness in one or both legs. Symptoms often worsen with activity. Loss of bowel or bladder control can also occur in severe cases.
4. Limited Range of Motion
The slipped vertebra leads to stiffness and restricted movement in the lower back. Bending forward tends to be especially difficult and painful. The tight hamstrings also reduce flexibility in the hips and legs. Physical therapy can help improve range of motion.
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5. Antalgic Gait
Walking with an antalgic gait, or a “hip-hiking gait,” is common with spondylolisthesis. This is when you subconsciously hike up one hip to avoid pain on the affected side. The abnormal gait pattern can lead to pain in other joints and muscles over time.
6. Poor Posture
Postural changes like a swayback are common as the lower spine loses stability. The pelvis tilts forward and the abdomen protrudes due to the misalignment. In later stages, the upper spine may become overly curved as the body tries to compensate.
7. Muscle Spasms
Sudden, painful muscle spasms can occur in the low back, especially after certain activities. Spasms are caused by the irritation of the nerves and surrounding muscles trying to splint and protect the area. Applying ice and avoiding aggravating movements can help reduce spasms.JAMB portal
8. Leg Length Discrepancy
Sometimes one leg appears longer than the other with spondylolisthesis due to the tilted pelvis. Measurements usually reveal that the legs remain the same length, but the pelvic imbalance makes them look different. Shoe inserts can help level the pelvis and improve comfort.Good morning My Love Message
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9. Disc Degeneration
The slipped vertebra causes abnormal pressure on the discs, leading to early disc degeneration. This increases the risk of disc herniation or rupture. Degenerative disc disease is common at segments near the spondylolisthesis.
10. Spinal Stenosis
As the vertebra slips forward, it narrows the passages where nerves exit the spine. This leads to spinal stenosis, or an abnormal narrowing of the spinal canal. The compressed nerves can cause pain, numbness, and weakness in the legs.
11. Scoliosis
The spine has to curve abnormally in cases of spondylolisthesis to regain stability. Usually a reverse scoliosis develops below the slipped vertebra to compensate. Though rare, progression of the scoliotic curve can lead to respiratory issues.NYSC Portal
12. Radicular Pain
Pinched nerves from the spondylolisthesis can produce radicular pain, which radiates down the legs. Symptoms follow the path of the compressed nerve root and often feel like an electric shock. It tends to worsen with sneezing, coughing, or straining.Information guide Nigeria
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13. Foraminal Stenosis
In addition to central stenosis, spondylolisthesis also increases the risk of foraminal stenosis. This is the narrowing of the passageways where nerves exit the sides of the spine. Symptoms include radiating leg pain and numbness.
14. Decreased Physical Functioning
The combination of chronic pain, limited flexibility, muscle spasms, and nerve compression leads to decreased physical function over time. Daily activities like standing, walking, and exercising become difficult. Many patients experience depression and social isolation.
15. Increased Fall Risk
The gait abnormalities, sagittal imbalance, leg numbness, and limited mobility increase fall risk with spondylolisthesis. Falls can lead to serious injuries like hip and wrist fractures. Balance training and assistive devices can help prevent falls.Romantic love message
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Conclusion
Spondylolisthesis has widespread effects on the spine, pelvis, nerves, and posture. Seeking prompt treatment is key to managing symptoms and preventing progression. Conservative care like physical therapy can help in mild cases. Those with intractable pain or nerve compression may need spinal fusion surgery. Keep an eye out for these 15 signs if you suspect you have spondylolisthesis. Addressing this condition early improves outcomes and helps maintain an active, healthy lifestyle.
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