- Joined
- Nov 11, 2016
- Messages
- 210
So, you're saying a L5/S1 spondylosis = DDD (Degen Disc Disease). Yes, I agree. Spondylolisthesis = Fx of the pars due to trauma and/or possibly genetic predisposition (questionable), causing an anterior translation of the L5 in relation to S1 aka anthrospondylolisthesis.
Osteophytes can also be present with a spondylol at the fx site. I believe the radiographic finding is called a "Bird Beak." Osteophyte causing nerve root irritation.
Absolutely I know that what I did was just temporary. There is nothing chiro can do to fix a fx pars and an anterior translating vertebra, which in turns causes spinal cord compression. The best we can do is adjust, manage and symptoms, assist the patient to strengthen their core muscles (anterior, posterior, and lateral chains), and go from there. If the patient progresses past a Meyerding grade 1, then obviously medical intervention is needed. I know the limits of what conservative care can do. I'd prefer a patient exhausts all possibilities before going into surgery. I respect all fields of the medical community, we all have our place in patient care.
Osteophytes can also be present with a spondylol at the fx site. I believe the radiographic finding is called a "Bird Beak." Osteophyte causing nerve root irritation.
Absolutely I know that what I did was just temporary. There is nothing chiro can do to fix a fx pars and an anterior translating vertebra, which in turns causes spinal cord compression. The best we can do is adjust, manage and symptoms, assist the patient to strengthen their core muscles (anterior, posterior, and lateral chains), and go from there. If the patient progresses past a Meyerding grade 1, then obviously medical intervention is needed. I know the limits of what conservative care can do. I'd prefer a patient exhausts all possibilities before going into surgery. I respect all fields of the medical community, we all have our place in patient care.
If a patient as 5-1 spondy without lysis then its almost always on a degen basis. I have many chiro friends so I know they discuss degen issues during training. So we can agree on that correct?
If its on a degen basis its not just a buldge, its degen with disc uncovering combined with dessication and osteophytes.
What the patient is experiencing relief from and i am sure you are aware of is the TEMPORARY decreased osseus narrowing of neuralforamin or lateral recess often from a traction type technique. IT DOES NOT change the underlying pathology and as the disc dessication reverts back to its 'normal" state the symptoms recur and as the mass effect on the exiting nerve root comes back mass effect plus inflammation will return thus the patients symptoms.
Guys, athletes are dumb lol. Rememer when people used to wear those magnet things on their wrist because it improved strength and balance lol I could go on and on. What chiros offer is soft tissue therapy.. manipulating is not going to alter the osseous alignment of the spine via direct effect. It can help with soft tissues. Traction can offer benefit however i already articulated when this may be or not be of benefit and the important of knowing the difference.
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