Kręgozmyk - co robić, leczenie, diagnoza | Ortopedia

00:00 What is spondylolisthesis? 01:00 Causes of spondylolisthesis 01:47 Risk group 02:48 Symptoms of spondylolisthesis 05:11 How to prevent spondylolisthesis? 06:09 What to do if spondylolisthesis occurs? 08:13 How to treat spondylolisthesis? 09:59 Can spondylolisthesis be cured with reduction? 11:00 How long does treatment take? Spondylolisthesis is a condition in which one vertebra slips forward relative to another. Rehabilitation is the basis of treatment for this condition. However, spondylolisthesis can also be treated surgically. This stabilizes the vertebrae that are slipping towards each other. However, it should be noted that rehabilitation treatment is always helpful in cases of spondylolisthesis. #spine #spinecleavage #spinepain #spinecleavage Subscribe to our channel and follow us on: FB:   / rehasportclinic   Instagram:   / rehasportclinic   In younger people, spondylolisthesis develops from spondylolysis, a condition in which a small part of the vertebra becomes damaged and the bone breaks. The vertebra becomes more mobile. The spine functions as if it were normal, meaning we put weight on it, bend, straighten, and perform rotational movements, but it has lost some stability as it has gained new mobility. This is usually the result of biological stresses: different vertebral systems, as some people can allow more movement between the vertebrae, while others cannot. It can also be associated with excessive physical activity, which involves flexion and extension. In older people, spondylolisthesis develops from a degenerative disease. Symptoms of spondylolisthesis develop slowly. In both cases, one vertebra shifts forward relative to the other – we always say that the higher vertebra shifts relative to the lower one. Symptoms are usually almost never immediately obvious and develop slowly. Initially, they only affect the lumbar or lumbosacral region. This means pain that is bothersome, but it subsides after a while of rest, for example, after prolonged bending or sitting, and in younger people, after classic overexertion. In younger, still active people, performing movements that involve hyperextension, i.e., bending the trunk backward, often becomes a problem. Spondylolisthesis is usually associated with a localized focus of pain, but sometimes, when a vertebra shifts, pain in one of the limbs can also develop. Patients often see a family doctor, neurologist, or even an orthopedist, but the most important thing is to perform basic diagnostics, which means a simple X-ray. This disorder is clearly visible, and patients often undergo treatment for overuse changes and report that—surprisingly—they feel worse after rehabilitation. If rehabilitation is neglected, additional symptoms will develop, and discomfort will become constant and regular, not just during periods of overuse. Pain typically manifests in the lower limbs, and in older adults, difficulty moving is a fairly typical symptom. After walking a certain distance, patients complain that their limbs feel "uncomfortable"—heavy and tired, as if they're not listening. Only after a short rest can they continue walking. This condition is called claudication, in this case neurogenic, as it results from extreme narrowing of the nerve space. Older patients experience a moment of intense pain when they attempt to change position, but once they do, for example, stand up straight, the discomfort quickly subsides. Diagnostics are crucial – the doctor uses X-rays, and if patients have lower limb problems, a CT scan or MRI is also recommended, depending on the cause. After diagnosing an injury, the patient is most often referred for rehabilitation – physiotherapists work on proper muscle tone and trunk alignment, as well as secondary changes, such as poor hip function associated with spondylolisthesis. Patients should avoid prolonged flexion or hyperextension, and if they work in a sitting position, they should focus on core muscle stabilization. Aware patients with spondylolisthesis who undergo appropriate rehabilitation can live pain-free for many years! Unfortunately, this condition never reverses. I recommend X-rays for my patients once a year, as it's possible that the patient may not feel pain, but the spondylolisthesis may begin to worsen. Stabilization alone allows the patient to return to daily life. We can also treat spondylolisthesis surgically if rehabilitation fails. This stabilizes the vertebrae that are shifting toward each other. If there's also a neurological problem, such as constant pain radiating to the lower limbs or claudication, we can address this surgically.