Our Spondylolisthesis Treatment Solutions

What is Spondylolisthesis?

Daily life can take its toll on a healthy spine. This becomes especially apparent as we age and the skeletal components that reinforce our spine begin to deteriorate. Spondylolisthesis—a common complication of spinal degeneration—occurs when an unprotected vertebra slips painfully forward over the vertebra that lies beneath it.

Degenerative Disc Disease is a major contributor to spondylolisthesis. As we age, our intervertebral discs—the rubbery pads which defend our spinal vertebrae against vertical and horizontal forces known as compression and shearbegin to dehydrate. As our intervertebral discs lose their gelatinous content and become more brittle with age, our likelihood of sustaining an accidental injury to the spine skyrockets. A dislocated vertebra (spondylolisthesis) or a ruptured disc (herniation) is often the undesirable outcome.

What are some symptoms of Spondylolisthesis?

  • Back Pain: Localized pain in the lower back at the site of vertebral slippage
  • Sciatica: Warm, piercing pain that radiates from the sciatic nerve in the lumbar spine and down through the buttocks, posterior thigh, calves, and/or feet
  • Cervical RadiculopathyWhite-hot, electric pain that erupts from the site of nerve compression in the cervical spine (neck) and diffuses through the shoulders, arms, hands, and/or fingers
  • Tingling: Numbness or prickling in the upper or lower limbs
  • Stiff Hamstrings: Increased tightness in the hamstrings or gradual weakening of the leg muscles
  • Activity-Related Pain: Pain that worsens while standing or with exertion
  • Swayback: Development of swayback (or lordosis) that may interfere with your gait or render walking extremely painful
  • Emergency Symptoms: Seek immediate medical attention if your spondylolisthesis symptoms include: sudden, crippling pain, difficulty controlling your bowel or bladder, fever, or sensations of numbness in the saddle region of the buttocks or groin.

What are some treatments for Spondylolisthesis?

  • Laminectomy: A lumbar laminectomy is an outpatient decompression procedure, in which your surgeon removes a tiny segment of the lamina—the backside portion of a degenerated vertebra. Extraction of the lamina allows for the decompression of pinched nerves. This procedure may be combined with a spinal fusion to reinforce the structural integrity of the lumbar spine.
  • TLIF: A TLIF (Transforaminal Lumbar Discectomy with Interbody Fusion) is a minimally invasive surgical solution, in which your surgeon performs the entire procedure through a tiny tube that allows for access to the spine. During this procedure, your surgeon removes the problematic intervertebral disc and uses a bone graft to fuse together the remaining gap.
  • Minimally Invasive Spinal Fusion: Severe cases of spondylolisthesis may require a spinal fusion procedure—a sophisticated surgical technique that uses a bone graft to fuse together two adjacent vertebral bodies. The minimally invasive version of this technique offers the permanent stability of a traditional fusion procedure while enhancing postoperative outcomes and minimizing unnecessary tissue destruction.
  • Regenerative MedicineThe stem cell treatment process involves extracting regenerative cells from the patient’s body and then injecting the cells directly into the affected area of the sprained or strained tissue. The cells can transform into the type of cell necessary for healing. The addition of platelet rich plasma (PRP) can increase the effectiveness of the cell repair work by amplifying the activity of the regenerative cells. Stem cell treatment is a safe alternative to surgery since the procedure will only use the stem cells and platelets from the patient’s own body. This means that anybody, regardless of their age, could undergo stem cell treatment.
  • Epidural Steroid InjectionEpidural Steroid Injection is an application of Cortisone, a powerful anti-inflammatory steroid into the area that surrounds the spinal cord and the nerves that extend from it, called the epidural space. The steroid that is injected reduces the inflammation or swelling of the nerves in the epidural space.  This may reduce pain, tingling, numbness and other symptoms caused by nerve inflammation or swelling.
  • Physical Therapy: At the outset of treatment, one of our highly trained physical therapists will perform an initial comprehensive examination and consultation. Their findings and treatment recommendations will be discussed with you, and our medical rehabilitation team, in a shared decision-making model of patient care. This collaboration ensures that patient care is delivered in a controlled, timely manner, resulting in faster recovery and return to normal activities.
  • Occupational TherapyOccupational Therapists commonly treat chronic or acute pain, or problems with coordination, balance, strength, endurance, flexibility, or range of motion. These symptoms can affect your ability to perform basic lifestyle activities or prevent a full return to function.
  • Massage TherapyMassage Therapy is the hands-on manipulation of the soft tissues of the body which include the muscles, connective tissue (ligaments and tendons) and joints. Widely accepted as part of many physical rehabilitation programs, this therapy can be beneficial in the prevention and treatment of many chronic and acute health problems.
  • MLS Laser TherapyLaser therapy can be used to treat acute conditions and is most effective when it is used as soon as possible following the initial injury. The faster the body’s inflammation is reduced, the sooner the healing process can begin. MLS Laser Therapy can help restore the body to normal function much quicker than other pain relieving interventions.

Why Choose Performance Rehabilitation & Regenerative Medicine?

Whether you are suffering from a recent or chronic lumbar spine condition that is adversely affecting your ability to live life under your terms, we may be able to help.

To have a consultation with one of our doctors, please contact one of our Patient Care Coordinators at 908-754-1960 or you may contact us online.