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Spondylolisthesis - Slipped Vertebrae Treatment

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Spondylolisthesis that does not cause symptoms does not need treatment.  The majority of people with spondylolisthesis are treated without surgery.  Treatments to relieve symptoms from Grade 1 and some cases of Grade 2 spondylolisthesis are aimed at pain management and improved function.

Pain relieving and anti-inflammatory medications may be used to ease symptoms.  If your symptoms do not improve significantly with these medications, your doctor may recommend epidural steroid injections.  Epidural steroid injections are used to place medicine directly near the source of pain and inflammation.  Steroid medication is used to reduce inflammation and relieve pain. Epidural injections are short outpatient procedures that may be repeated over time.
 
Pain relief from medications or epidural spinal injections may allow you to participate in physical therapy.  Your physical therapist will teach you exercises to help strengthen your back, abdomen, and legs.  Stretching exercises will help to keep your hamstrings flexible and improve posture for standing and walking.

Surgery may be needed for some people with a Grade 2 spondylolisthesis and those with Grade 3 or higher.  Again, the overall percentage of people with spondylolisthesis that require surgery is relatively small.  Surgery is necessary when the slipped vertebra is unstable, when symptoms are severe, and when nerve compression causes neurological symptoms.  Spinal fusion surgery is used to secure the vertebrae together.  A lumbar laminectomy surgery is used to enlarge the spinal canal to take pressure off the spinal cord or nerves.

Spondylolisthesis - Slipped Vertebrae Treatment from SecondOpinions.com (Orthopedics, Orthopedics, Pain Management, Pain Management, Orthopedics, Orthopedics, Pain Management, Pain Management)

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This service should be used for second opinions, additional medical reviews and consultations; not for primary diagnosis or treatment. Please always consult your primary doctor for final diagnosis and treatment.