The spine condition called isthmic spondylolisthesis occurs when one vertebral body slips forward on the one below it because of a small fracture in a piece of bone that connects the two joints on the back side of the spinal segment.
The fracture in this small piece of bone, called the pars interarticularis, is caused by stress to the bone. While the fracture tends to occur most commonly when an individual is young (around 5 to 7 years old), for most people symptoms typically do not develop until adulthood. There is another spike in occurrence of lower back pain from spondylolisthesis in adolescence.
It is estimated that 5 to 7% of the population has either a fracture in this small piece of bone (a fracture of the pars interarticularis) or a spondylolisthesis (slipped vertebral body), but in most cases there are no symptoms. It has been estimated that 80% of people with a spondylolisthesis will never have symptoms, and if it does become symptomatic, only 15 to 20% will ever need surgical correction.
For patients with symptomatic isthmic spondylolisthesis, the most common symptoms include:
- Low back pain, often described as a deep ache in the lower back
- Pain that radiates into the buttocks and back of the thighs, (also called radicular pain)
- Pain that is worse when standing, walking, or any type of activities that involves bending backwards
- Pain that feels better with sitting, especially sitting in a reclining position
- A tired feeling in the legs, and possibly leg numbness or tingling, especially after walking
- Pain that radiates below the knee and possibly into the foot.
In addition to the above pain-related symptoms, most patients with isthmic spondylolisthesis have tight hamstrings – the large muscle that runs down the back of the thigh – making it difficult for them to touch their toes.
KOSA’s Understanding & Treatment
Location and function indicate the unhealthy kidney and bladder.
Liver should be able to support skeleton system.
Based on Ascetic Saahm’s formula #1, fostering large intestine, subdue ST41, BL60, KI2, and LR2.
If the patient had overlapping conditions they need to be treated at once and of course, the treatment needs to be changed accordingly.
Consultation, Diagnosis and Establishing treatment plan