Unfortunately for the athlete, activity limits placed on them during the healing and treatment phase of this injury may seem to the young athlete even more painful than the injury itself. Still, activity during this time is limited to physical therapy exercises, stationary bicycling and certain swimming strokes. Anything that extends the spine is avoided.
After 4 to 6 weeks, the patient with spondylolysis is re-evaluated for spinal stabilization, and . If pain is still present, the wearing of the brace and the physical therapy exercise continues.
While wearing the brace and doing physical therapy exercises is usually enough to heal spondylolysis and allow the athlete to return fully to sports, Micheli informs me.
This is best performed in the position that reproduces the patient's pain.
Treatment for a spondylolisthesis
Treatment of patients with this condition is determined by the severity of symptoms and grade of injury.
Patients with a Grade III or IV spondylolisthesis should avoid high speed or contact sports altogether.
Alternative exercises placing minimal force through the lower back should also be performed to maintain fitness provided they do not increase symptoms.
The treating physical therapist can advise which exercises are most appropriate for the patient and when they should be commenced.
Contributing factors to the development of symptoms of a spondylolisthesis
There are several factors that may contribute to the development of symptoms in patients with this condition.
Sometimes, an internal brace of screws and rods is also used to hold together the vertebra as the fusion heals. Surgery leads to satisfactory results in 85-90% of people with severe, painful spondylolisthesis.
"My heartfelt thanks go out to Mr Rai for his care and expertise, without which I would not be enjoying life as I do now."
These need to be assessed and corrected with direction from a physical therapist and may include:
Physical therapy for a spondylolisthesis
Physical therapy treatment for patients with this condition is vital to hasten the healing process and ensure a safe return to activity.
ultrasound) Other intervention for a spondylolisthesis
Despite appropriate physical therapy management, a small percentage of patients with this condition fail to improve adequately or deteriorate.
This review article utilized previous case series and review articles to determine etiology, incidence, diagnosis and treatment of symptomatic spondylolysis and low-grade spondylolisthesis in athletes.
This book chapter provides a comprehensive review of spondylolysis and spondylolisthesis in all populations and provides updated information for determining the best imaging study to order in work-up, for deciding if the patient should undergo bracing, and for management of the rehabilitation phase.