A slipped back is a condition known as spondylolisthesis in the medical term. Spondylolisthesis is the slippage of one vertebra onto its neighbor. This condition usually occurs in the spine in your lower back (lumbar).
There are four main types of spondylolisthesis:
1- Isthymic Spondylolisthesis: This usually occurs in childhood or adolescence and is the result of a fracture in an area of the spine called the isthmic portion. This is the most common form of spondylolisthesis cases.
2- Congenital Spondylolisthesis: This occurs due to a congenital defect. The spine is not formed correctly and can therefore slip.
3- Traumatic Spondylolisthesis: This occurs as a result of an injury that causes a fracture in one area of the spine.
4- Pathological Spondylolisthesis: This occurs as a result of a condition that weakens the bones of the spine due to a disease (for example, osteoporosis or a tumor).
Spondylolisthesis may show no symptoms, but some people may experience pain and discomfort. These symptoms usually occur in the form of low back pain, leg pain, stiffness in the back and difficulty walking.
Treatment options depend on the severity of the condition and symptoms. In mild cases, physical therapy and exercise may be sufficient to manage pain and strengthen lower back muscles. In more severe cases, surgery may be needed, especially if it is putting pressure on the nerves.
Treatment of lumbar stenosis (spondylolisthesis) depends on the patient's symptoms, the degree of lumbar slippage, and general health. Here are the general treatment options:
1- Conservative Treatment: The first step is usually conservative (non-surgical) treatment. This may include:
2- Surgical treatment: If conservative treatment does not relieve symptoms or if lumbar slippage is serious, surgery may be an option. Surgery is usually done to fix a spine (fusion) or to better position a spine (decompression).
Either way, it's important to follow your doctor's recommendations. You may need an MRI or similar medical evaluation to determine the extent of the injury and the most appropriate treatment.
Physical therapy plays an important role in the treatment of low back pain. Physical therapy can be an effective approach to manage low back pain, improve function, increase muscle strength and flexibility, and relieve symptoms. Here is the importance of physical therapy in lower back slippage:
1- Strengthening Muscles: Physical therapy can strengthen the lower back and surrounding muscles. Strong muscles support the spine and can relieve the symptoms of lumbar sprain. In particular, exercises that strengthen the abdominal and back muscles can be recommended.
2- Flexibility and Mobility: Physical therapy can increase flexibility and improve mobility. This can reduce pain and facilitate daily activities.
3- Pain Management: Physical therapy can help manage pain. This may include various techniques such as cold or hot applications, massage, electrical stimulation or ultrasound.
4- Activity Modification: Physiotherapists can teach you how to change your daily activities or exercise routine to help relieve symptoms of low back pain.
5- Education: Physiotherapists can provide information on low back slippage and provide training in exercises and techniques that can be practiced at home.
Physical therapy is usually part of the treatment for low back pain, but in severe cases or if symptoms do not respond to conservative treatment, surgical intervention may be required. Your doctor and physical therapist will determine the most appropriate treatment plan for you.