Spondylolisthesis (spaun-di-lo-lie-thee-sis) is a mouthful and is a common cause of low back pain (although it can exist anywhere in the spine, the lumbar spine is the most common area affected). The spinal column is a series of building blocks called vertebral bodies stacked on top of one another. Sometimes these blocks do not line up perfectly. This slight separation in the spinal column is called a spondylolisthesis .
"Doc says I have a spondy-something-or-other. Don't ask me what it is; all I know is that it hurts". Steve tries to explain his low back condition to his friend. But, he finds that he cannot explain what he does not understand. Steve has had back pain for a number of years. Every year the pain gets worse and has now become constant. His doctor sent him for x-rays recently. The x-rays showed a spondylolisthesis with disc degeneration at L5/S1. Steve could not understand his doctor's explanation of the condition. So, now he has pain and has confusion.
Is your pain worse in the morning? At times, that pain at dawn is the worst pain of the day. We tend to be vulnerable this time of day because the muscles are stiff, the mind is not completely awake, the blood pressure is low, and the medications are losing their effectiveness. Breaking this daily pain cycle can be a matter of improving your sleep posture, changing your morning routine or changing your medications. Explore the ways to start your day with less pain.
Sleep Posture : Spending five, six or seven hours in a poor sleep posture is going to cause you to wake up in pain. Poor sleep postures can be fixed with a good mattress and some well placed pillows. Millions of people - including me - wake up in less pain by using the Tempur-Pedic mattresses and pillows . A body pillow is also worth trying because it can help you avoid sleeping in a twisted or rotated position. A pillow between the knees or a pillow at the small of your waist are also worth considering; eventually, yo...
Last month, the American Pain Society added to its recommendations to health care providers regarding the diagnosis and treatment of low back pain .
In addition, the Society decided to discuss openly procedures that could be risky to sufferers of low back pain, including recommendations on surgery and other invasive therapies.
Unfortunately, there is not a significant body of good evidence to justify unquestioningly embracing these new recommendations. It is difficult to find well-done clinical studies which support the use of a number of the more invasive treatments used for chronic low back pain.
The initial set of guidelines for the management of chronic low back pain were published in "Annals of Internal Medicine" last October. However, these recommendations dealt more with the initial evaluation of a low back pain patient, and included thoughts on what type of x-rays to order in addition to more conservative treatments such as massage/manipulation and exerci...
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