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.
How can chronic pain be prevented? Oh that I and the insurance companies knew the answer to that question!
The key is to identify those patients at risk for the development of chronic pain .
Musculoskeletal pain is a significant problem in this country: 85% of the population suffers from this affliction at some point during the employment years. Fortunately, the majority recover rather quickly from acute back pain . It is the 3% to 10% that develop long-term disability due to their chronic pain, which is a deceptively small percentage if one considers that this minority consumes significantly more than 50% of the health care dollars for this problem.
If the chronic pain group could be identified, perhaps an intervention could occur which might avoid the suffering and costs associated with pain and loss of income. Unfortunately, musculoskeletal pain is such a frequent occurrence, it would be prohibitively costly to attempt psychological interventions upon every ...
This is part two of a previous study on patients with posterior cruciate ligament injuries. Part one reported on the natural history of a PCL tear--what happens to patients years after the injury. Part two looks at long-term results based on how severe the injury was. They asked the question, "Do the results depend on the degree of PCLlaxity?" The same 271 patients from the first study were part of the second study. Amount of joint laxity (looseness) was measured for each patient. A special test called the posterior drawer test was used to label severity of each injury. Laxity was graded from one to three. The grade depends on how far the lower leg bone (tibia) slides when pulled forward by the examiner. The higher the number, the more severe the injury and laxity. The patients were asked a series of questions about knee function and activity level. The results showed it didn't matter how tight or loose the joint was after PCL injury. Patients had varying results from poor to good no ma...
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