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Spondylolisthesis
Hello. My mother her age 70 suddenly she started having back pain which radiated towards one leg. Shown to the doctor she is taking painkillers, vitamin and steroid tablet. Her pain is gone from 7th jan but she limps from one side. Plz help me how will this get cure. She says he bends a bit. She keep crying. Becoz she cant talk properly i dont know what to do next. Plz help me. Reports attached
Answers (16)
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Bending one side can be due to pelvic tilt or a muscle name quadratus lumborum(QL) can be short. I will suggest you to visit so that I can check thoroughly.
Next Steps
come to clinic.
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Visit near by physiotherapist and do proper physio consultation directly & Do treatment rehabilitation
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Proper exercise plan based rehab will bring get better lifestyle, pain will come down from 10 to 1 or 2 but only exercise will her at her age, medication will make her more dependent on them.
Next Steps
Do plan based Rehab
Health Tips
Try to be active at home also
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Based on the provided description, your mother may be experiencing symptoms related to sciatica, spinal nerve compression, or another musculoskeletal condition. Here’s a physiotherapy plan to support her recovery:
Initial Steps (Acute Phase):
1. Rest & Positioning:
Avoid prolonged sitting or standing. Encourage her to rest in a reclined position with support for her back.
Use a pillow under her knees while lying down to reduce strain on the lower back.
2. Cold/Hot Therapy:
If there is any swelling or inflammation, apply a cold pack to the lower back for 10–15 minutes, 2–3 times daily, for the first few days.
After the inflammation subsides, use a hot pack to relax the muscles.
3. Pain Management:
Gentle massage with a pain-relief gel may help reduce muscle tightness.
Physiotherapy Exercises (Once Pain Reduces):
Under supervision:
1. Pelvic Tilt:
Lie on her back with knees bent and feet flat.
Tighten her abdominal muscles to tilt the pelvis slightly upward, then relax.
Repeat 10 times, 2–3 times daily.
2. Knee-to-Chest Stretch:
While lying on her back, gently pull one knee toward her chest and hold for 10 seconds.
Switch legs and repeat 5–10 times.
3. Ankle Pumps:
Move her ankles up and down while lying down to improve circulation in the legs.
4. Cat-Cow Stretch (if comfortable):
On all fours, alternate arching the back upwards and lowering it.
Move slowly to improve flexibility.
Gait Training:
Since she limps, focus on balance exercises, such as standing on one leg (with support) or walking in a straight line with assistance.
Posture Correction:
Encourage proper sitting and standing posture to prevent further strain on her back.
Advanced Care:
1. Physiotherapy Techniques:
Manual Therapy: To relieve nerve compression or muscle stiffness.
Dry Needling or Class 4 Laser Therapy: May accelerate healing.
Electrotherapy (TENS/IFT): To reduce pain and improve mobility.
2. Ergonomic Advice:
Adjust daily activities to minimize strain on her lower back and leg.
When to Seek Immediate Help:
If her symptoms worsen or if she develops:
Numbness/tingling in her legs or feet
Sudden loss of bladder/bowel control
Severe weakness in her leg muscles
Consultation:
A physiotherapist should evaluate her condition in person to tailor the treatment plan. At-home physiotherapy sessions, like those offered by PAL Physiotherapy Clinic, would be ideal for her condition.
Let me know if you’d like further assistance or to book a consultation!
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Hey
You have misunderstood the condition.
This is spondylotic change which means wear and tear of spine because of age and other causes. As I can see she is 70 it can be a wear and tear due to age and occupation.
I can understand the pain must be more on Pain Scale so it causing her to cry.
For better management please consult a Physiotherapist.
Your physio
Next Steps
Physical assessment
Health Tips
AVOID LIFTING WEIGHT
BEHAVIORAL CHANGES
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It's Easily Curable with Better assessment and Personalized treatment.
Please visit @NV The Sports Physio clinic, GK2
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Observation as a Rehabilitation Therapist
Patient Overview
Mrs. S***** D**i, a 70-year-old female, presents with radiographic evidence of spondylotic changes at the L3-L4 levels of the lumbosacral spine. These findings are consistent with degenerative changes that may impact mobility, posture, and daily functioning.
Possible Symptoms
- Lower back pain.
- Stiffness in the lumbar region.
- Difficulty in performing activities involving bending or lifting.
- Reduced range of motion in the spine.
Next Steps
Rehabilitation Plan
- Begin with a personalized exercise program tailored to her tolerance level.
- Monitor for any signs of worsening symptoms, such as radiating pain or neurological deficits.
- Collaborate with a multidisciplinary team, including her referring physician, to ensure a comprehensive care approach.
Health Tips
Recommendations for Home-Based Activities:
1.Daily Routine Exercises:
- Gentle pelvic tilts and knee-to-chest stretches to alleviate stiffness in the lower back.
- Seated forward bends using a stable chair for improving flexibility.
- Wall slides or supported squats for mild strengthening of lower back and leg muscles.
2.Posture Correction:
Encourage sitting on a firm chair with lumbar support. Avoid prolonged sitting; get up and move every 30-40 minutes.
3.Heat Therapy:
Apply a heating pad to the lower back for 15-20 minutes daily to relieve pain and relax muscles.
4.Hydration and Diet:
Ensure adequate water intake and a balanced diet rich in calcium and Vitamin D to support bone health.
5.Breathing Exercises:
Simple deep breathing techniques to promote relaxation and improve overall well-being.
6.Low-Impact Activities:
Engage in activities such as slow-paced walking, yoga for seniors, or light gardening to maintain mobility without overloading the spine.
7.Fall Prevention:
- Remove trip hazards like loose rugs or clutter in the house.
- Install grab bars in areas like the bathroom.
- Use proper footwear with non-slip soles.
8.Amalgamating Professional Therapy with Home Activities:
- Schedule weekly physiotherapy sessions with the trained therapist while continuing recommended home exercises on non-session days.
- Request the therapist to provide detailed instructions and demonstrate exercises that can safely be performed at home.
- Incorporate a mix of supervised and independent exercises to build confidence and ensure adherence.
- Conduct periodic reviews with the physiotherapist to adjust the exercise program based on progress and feedback.
If you found these observations, suggestions, and recommendations helpful, I kindly encourage you to spread the word about my work and dedication to personalized rehabilitation care. Together, we can reach more individuals in need of proper guidance and support.
For tailored advice and effective rehabilitation strategies, feel free to book an online consultation with me. Let’s work together to meet your needs and ensure the best outcomes for your health and well-being.
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Hello ma’am, I have reviewed your mother’s X-ray. If she is experiencing significant pain and limping, it is highly recommended that you consult a physiotherapist in your area for a detailed assessment and treatment.
Next Steps
In the meantime, you can apply a hot pack to the affected area for at least 10 min. The heat will help improve blood circulation, relax the surrounding muscles, and may alleviate some discomfort. However, this is a temporary measure, and professional evaluation is essential for effective management.
Health Tips
Avoid low sitting, bending forward, sitting and standing for too long
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consult in person with nearby physiotherapist as she needs electrotherpay treatment as well with exercsies to reduce pain.
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Case of forward slippage of vertebrae so needs physical consultation.
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Dr. Neetu Rathi (PT)
Physiotherapist
17 yrs exp
Gurgaon
Greetings from Rid of Pain Physiotherapy
Your mother might be having anterolysthesis. Advice her to use lumbar belt for support and start taking physiotherapy
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Dr. Jacob Roshan Mathew (PT)
Physiotherapist
21 yrs exp
Bangalore
There seems to be forward movement of L5 level. It needs intensive physiotherapy. Initially during the painful stage a back brace could help
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Dr. Nimisha Varshney (PT)
Physiotherapist
11 yrs exp
Ghaziabad
Hello,she is suffering from low backache.she should avoid back forward bending,avoid long sitting & long standing.
She can take some physiotherapy sessions,definitely she will all well.
She should improve posture.
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Dr. Pallavi Mishra (PT)
Physiotherapist
4 yrs exp
New Delhi
Hi, Hope she is doing well. as per the investigation finding attached there is a lot of degenerative changes in the spine as mostly all the levels. it usually occurs due to aging or calcium deposit. but there is also a chance that some nerves are getting pinched at the spine level which is giving her a radiating leg pain resulting in her limping.Considering her age any surgery should be avoided thus a right conservative management and physiotherapy will help her get better from the current situation.
Next Steps
kindly get a consultation done to understand more about her condition and know the treatment line.
Health Tips
avoid sofa sitting, low height sitting, wear a LS belt, avoid doing generic exercises.
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Dr. Avijit Das (PT)
Sports and Musculoskeletal Physiotherapist
4 yrs exp
Kolkata
Hi she needs a Physiotherapy treatment .
Next Steps
Please visit a Physio clinic nearby your area.
Health Tips
Electro therapy.
physical theraputic exercise
Postural care.
LS belt except sleeping and eating time.
Sun bath direct on skin for 20 mins per day.
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Ms. Shefali Gandotra (PT)
Physiotherapist
20 yrs exp
Jammu
Hi you need to visit physiotherapy clinic for electrotherapy n then back strengthening exercises
Next Steps
moist heat application followed by diclofenac gel
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.