There are several possibilities for lumbar spondylolisthesis: congenital development, trauma, exertion, etc. It can be accompanied by isthmic fissure, isthmic lengthening, or not (degenerative).
Weightlifters have 100% lumbar isthmus fractures and even slippage, and badminton and volleyball players have up to 50% incidence. This means that it is related to the intensity of the movement and sports posture. But the athletes tenacious top, as usual, can get results, win the championship. Need to pay attention to avoid excessive weight on the waist, waist over-extension (buckle action), strengthen the waist and back muscle exercise (breaststroke, small swallow fly). (Original by Jiang Liang of Beihang Medical College, please cite the source)
Surgery is required when there is persistent low back pain, leg pain, leg numbness, and conservative treatment is ineffective for more than 6 weeks, or when lumbar spondylolisthesis progresses rapidly.
Key points of conservative treatment: bed rest is necessary in the acute period, while in the recovery period, attention is paid to good posture, diligent activity and strengthening of back muscle exercise
Exertion mainly refers to sitting (such as ambulatory work, drawing, computer, accounting, driving, car, long-distance flight, watching TV, playing cards, knitting sweater, etc.), or bending over to work (such as doing housework, electrician, tiler, etc.). The lumbar weight-bearing force is 1,0 when lying down, 1,5 when standing straight and walking, and 2,5 when sitting in a forward leaning position (reading books, computers). if you lift heavy objects, the burden will be greater.
Bed rest: In the conservative treatment of lumbar spondylolisthesis pain aggravation, bed rest is most important and generally accounts for 70% of the efficacy. A common misconception is to “nestle” in bed or on the sofa to read books and watch TV – the limbs are resting, but the waist is still “bowed” and still straining. Say “rest”, in fact, the waist did not rest, in fact, rest is the limbs. Preferably hard bed (hard bed, hard Simmons, brown cushion can be), lying down, side, lying down can be.
When lying in bed, you do not need to move, “stretch your arms and legs” can be – as long as the back does not hurt. If the symptoms are not severe, you can also go to the floor to eat and go to the toilet. In the case of diabetes, bed exercise is more important.
People with milder symptoms do not have to be strictly bedridden and not go to work. In fact, it is enough to pay proper attention to posture and move around at work and at work.
Isthmus fissure is an early stage of lumbar spondylolisthesis and is treated conservatively as before. It is not true that no weightlifter has had surgery. I hope to avoid the pursuit of athletic performance, and ultimately serious condition, and residual disease (sports injuries, occupational disease).
Spine surgery: to do or not to do? Who decides?
Post-operative X-rays: reset, fixation, fusion
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You can apply for my telephone consultation to communicate with me, click for details or call the appointment number 4008-900-120 (Monday to Saturday 09:00-19:00), the staff will tell you the specific operation.
Post-operative precautions.
Generally wear a waist brace for 4-6 weeks after surgery to facilitate soft tissue recovery
Wound healing 2 weeks, 3 weeks can generally shower (local dry, or don’t make the mistake of only rinsing)
3-4 weeks after surgery, muscle healing is satisfactory, you can start normal rehabilitation exercises, such as back muscle exercise, walking, stairs
Bone healing is generally good for 3 months, after which you can do as much as you can (e.g. running, dancing, traveling, hiking)
Nerve recovery for 12 months, generally 60-70% recovery.
Because the cause of lumbar spondylolisthesis is sedentary and poor posture, the most taboo thing after surgery is to be sedentary and keep your head down for a long time, so we encourage more activities after surgery. Pay attention to improving sitting posture, moving around regularly, and strengthening back muscle exercise (such as breaststroke)
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4.The way to exercise the lumbar back muscle: small swallow fly or breaststroke
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Please click the link to learn about typical cases
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Lumbar disc herniation Wallis elastic fixation Preserved motion Micro,,,
Lumbar spinal stenosis Internal fixation and fusion 32-year-old male Low back and leg pain,,.
Patient’s problem: Last September, he began to have low back pain, pain in the back of his right leg, swelling and pain in his right calf, and numbness in his right heel. Last October, a CT was done and the diagnosis was lumbar 4 lumbar 5 bulge, lumbar 5 sacral 1 protruding to the right posteriorly, with visible compression of nerve roots. I did traction and applied ointment. The effect was not obvious. At present, the symptoms are still the same. I am a teacher, do I have to rest in bed after surgery? How long do I need to stay in bed? Is it possible to go to work immediately (of course I will be careful). Is it possible to have a non-fused interspinous elastic fixation Wallis elastic fixation. How long must I be bedridden after surgery? Is it possible to go to work after one month and what should I pay attention to at work? Thank you.
Lumbar discectomy (open window), wallis interspinous stabilization. These two procedures are less invasive and have a faster recovery. Postoperative bed rest for 1-2 days.
Drainage is removed 1-2 days after surgery (24 hours, drainage <50ml), after which you can move around on the floor. 3-4 days for radiographs and discharge.
10-14 days after surgery, wound healing is complete
2-3 weeks, the muscles grow strong, and you can gradually start five-point support, Xiaoyanfei and other exercises.
Within 1 month after surgery, get out of bed for 1 to 2 hours tomorrow, according to your ability. Stand and walk mainly, and sit less.
Wound recovery is good (generally 3 to 4 weeks) you can start rehabilitation exercises, such as Xiao Yan Fei
Bone healing is generally 3 months, after which you can do as much as you can (e.g. running, dancing, traveling, hiking)
If the work is easy (you can take a break if you want to lie down), you can go to work in 1 month. Daily life is self-care, no problem.
If you work hard, or travel a long way, 3 months to work is appropriate.
Xiaoyanfei, pay attention to sitting posture, diligent activity – lifelong attention.
Because the cause of lumbar spine disease is sedentary and poor posture, the most taboo thing after surgery is to be sedentary, read for a long time, play computer, watch TV, knit sweater and do housework, so we encourage more activities after surgery. Pay attention to improving sitting posture, moving around, and strengthening back muscle exercise (such as breaststroke)
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