Spondylolisthesis

Spondylolisthesis is a condition in which one vertebra slips forward over the vertebra beneath it. In most cases, this occurs as a result of degenerative changes in the spine. It can also develop following a fracture, most commonly after a significant fall onto the buttocks.

Spondylolisthesis is diagnosed using a series of X-rays, including anteroposterior (front), lateral (side), and oblique views. Oblique X-rays can be particularly helpful in identifying certain types of vertebral defects.

It is important to understand that spondylolisthesis is classified into different grades. Grade I and Grade II cases can often be managed successfully with conservative treatment, including osteopathy and physiotherapy. Simeon Asher has developed a specialised treatment approach based on his clinical experience to help patients with suitable cases of spondylolisthesis improve pain, mobility, and function.

Symptoms of Grade I and Grade II spondylolisthesis

• Chronic lower back pain
• Pain radiating into one or both legs
• Pain in the buttocks or hips

Grade III and Grade IV spondylolisthesis are more severe and may not be suitable for osteopathic treatment alone. Possible complications include:

• Weakness in one or both legs
• Temporary or permanent nerve root damage
• Loss of bladder or bowel control

If you experience any of these severe symptoms, you should seek immediate medical attention.