Spondylolysis

Treatment for Spondylolysis

Spondylolysis in brief

Spondylolysis is a crack or stress fracture in one of the vertebrae, the small bones that make up the spinal column. The injury most often occurs in children and adolescents who participate in sports that involve repeated stress on the lower back, such as gymnastics, football, and weight lifting.

In some cases, the stress fracture weakens the bone so much that it is unable to maintain its proper position in the spine—and the vertebra starts to shift or slip out of place. This condition is called spondylolisthesis.

Assessment and Examination

At the time of your video consultation your physiotherapist shall understand your pain history, lifestyle and ask related questions. Close attention to history is critical in planning a treatment program for spondylolysis. You may be asked to perform certain movements on video and report the outcomes. After the assessment and examination, the doctor shall prepare a treatment program for you.

In case your condition is severe, we would advise you to visit a physiotherapist or a physician/ orthopedic in person.

Treatment Program

The treatment program for you shall be personalised based on your history, symptoms and examination. The goals of the treatment are reduction of pain, healing and return to function and daily activities. Treatment has been shown to reverse this disease.

The treatment program would usually involve rest, hot packs and prescriptive exercises to deliver the desired goals.  You shall receive an online exercise prescription which shall be followed by an online video demonstration by your doctor. Some of your exercise sessions shall be supervised by your doctor to ensure that you have understood the exercises well and are doing them with correct form.

Follow up

Your doctor will continue the follow up with you through emails and video calls to assist you in achieving the goals of the treatment program. You would have regular assessment of your progress and the treatment program shall be revised as required.