Spondylolisthesis

In spondylolisthesis, one bone in your back (vertebra) slides forward over the bone below it. It most often occurs in the lower spine (lumbosacral area). In some cases, this may lead to your spinal cord or nerve roots being squeezed. This can cause back pain and numbness or weakness in one or both legs. In rare cases, it can also lead to losing control over your bladder or bowels. See a doctor right away if you begin losing bladder or bowel control.

Sometimes when a vertebra slips out of place, you may have no symptoms at all or no symptoms until years later. Then you may have pain in your low back or buttock. Muscles in your leg may feel tight or weak. You may even limp.

Symptoms of spondylolisthesis may include:

• Back or buttock pain.
• Pain that runs from the lower back down one or both legs.
• Numbness or weakness in one or both legs.
• Difficulty walking.
• Leg, back, or buttock pain that gets worse when you bend over or twist.
• Loss of bladder or bowel control, in rare cases.

Sometimes spondylolisthesis causes no symptoms at all.

To check for spondylolisthesis, your doctor will ask questions about your symptoms and do an exam. If your doctor suspects spondylolisthesis, they will probably do X-rays. You could also have a CT scan or an MRI done.

Treatment for spondylolisthesis begins with stopping any physical activity that may have led to vertebrae damage or that increases pain. For pain, your doctor may suggest taking NSAIDs. These include ibuprofen (such as Advil) or naproxen (such as Aleve). Or use acetaminophen (such as Tylenol) for pain.

Doctors often suggest physical therapy to build up stomach and back muscles (core strengthening). Losing weight, if you need to, may also help.

When pain is extreme or bones continue to move, surgery can sometimes help. Surgery may also help if there is nerve root or spinal cord damage from the condition.